
The upper liplift,
discussed in my blog posting dated 24June15, demonstrates the liplift
with fat transfer to augment the vermilion simultaneously. If a patient
is just interested in reducing a long upper "white" lip without
augmenting the vermilion or "red" lip, then that can be easily
accomplished with excellent results.
Once
again, we attempt to show at least 2-4 mm of the lower portion of the
upper front teeth. Alternatively, if the vermilion or red lip is very
thin and unable to be augmented with fillers or fat injections, then an
internal mucosal advancement (V to Y plasty) can be performed at the
same time as the upper liplift.
There
have also been occasions where fat or some other permanent filler has
been inappropriately injected into the vermilion in a long upper lip, so
that reduction of the vermilion or red lip must be undertaken at the
same time as the upper liplift. The same reduction can be performed if
the vermilion is too prominent to bring the entire upper lip and
surrounding anatomy into better proportion.
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