Dr. Haworth Beverly Hills Rhinoplasty

Beverly Hills Lip Lift Surgery

Beverly Hills Lip Lift Specialist - Dr. Randal Haworth

What is a Lip Lift?

As our faces age, so do our lips. The oral region tends to droop and sag just as faces and breasts do. Volume loss is only part of the explanation for this phenomenon; the main culprit is a degradement of the structure of the skin and its supporting tissue. Learn more about the variety of lip procedures performed by Dr. Randal Haworth at his site dedicated to lip beautification.

Please visit Dr. Haworth's gallery of lip lift procedures, including corner lip lift and before and after photos and Dr. Haworth's signature v-y plasty procedure for the lower lip, to get a proper feel for the variety and uniqueness Dr. Haworth brings to each lip lift procedure. We also recommend noting the other facial procedures traditionally performed alongside of lip lift surgeries.

Corner Lip Lift

Corner lip lifts are designed in order to elevate an otherwise drooping outer corner of the mouth that give patients a constant angry or sad look, compounding their aging appearance. Young patients can have downward turning corners of their mouth that they may have had ever since they can remember. To meet the diversity of issues with the corner lips, there are three different categories of procedures:

  • Traditional outer corner lip lift with a near invisible outer scar located inconspicuously along the outer most corner of the red border of the upper lip. This surgery can be done under local anesthesia and involves 2 layers of stitches placed with the aid of magnification to minimize any scar. A singular outer stitch is removed in 5 days at which point makeup can be worn.

  • Medialized external lip lift with a near invisible scar which can be performed under local anesthesia. This surgery not only elevates the corners of the mouth, but increases the red lip visible on either end of the upper lip. It also decreases any displeasing downward slope the upper lip takes as measured from its center. In other words, it is quite powerful in its ability to change the shape of the upper lip, giving unprecedented control to the surgeon. Despite its apparent simplicity, this surgery can be very challenging to even an experienced surgeon since it requires extraordinary detail to execute symmetrically and with pleasing results.

  • D.A.O. (Depressor Anguli Oris) Release, or an inner corner lip lift, is reserved for younger patients or for those with drooping outer lip corners but no folding, wrinkling or skin sagging below the corner of the mouth. The surgery divides a small muscle through an incision just inside the cheek. All sutures are dissolvable therefore none need be removed.

Upper Lip Lift

An upper lip lift is done in one of several ways. There was a European vogue for making a scar on the vermillion (that is the pink bit of the lip) excising some skin between the vermillion and the nose and lift the lip up. Other surgeons made an incision underneath the nose to lift the lip up. Many of these procedures have been superseded by injecting either fat, or other injectables into the tissues of the upper lip to plump it up - which is of a much better effect without the scars.

V-Y Plasty

A v-y plasty is Dr. Haworth's signature solution to a lower lip lift. An aging lower lip manifests itself as a lip that flattens in shape, thins while turning inward towards the teeth (except in times if a weak, underdeveloped chin is present as well) and drops downward to expose the lower teeth (the opposite effect of a dropping upper lip). Through a simple operation involving minor muscle tightening and rearrangement of the tissue located just inside of the lower lip, the above effects can be significantly lessened.

Best Candidates for Lip Lifts

Dr. Haworth makes a point of serving each individual patient's needs and defining overall expectations from any plastic surgery procedure. As Dr. Haworth states in his blog, "'Plastic surgery will not make you happy, but it can make you happier.' In simple terms, this allows me to assess whether a patient is fundamentally happy and balanced prior to operating on them."

The best candidates for lip lift procedures have:
  • A desire for more permanent results than temporary injectable fillers (which only address volume anyway)
  • Lips that have become thin, inverted, shapeless or sagging with age
  • Had other facial rejuvenation surgeries and want their lips to sync up with the rest of their face
  • Had a rhinoplasty and find that their upper lip is too long
  • Naturally unbalanced lips
  • Naturally thin, inverted or flat lips that are nearly invisible, imparting an angry expression
  • The time available for healing and resolution of bruising (usually 10-21 days)

Those who already possess ideally shaped lips but desire a bit more plumpness may only need to add lip volume. Dr. Haworth offers both temporary (injectable filler) and permanent (fat transfer) augmentation.

Lip Lift Technique

Dr. Haworth has altered his lip lift technique 3 times over the last 14 years. The first version involved skin-only lip lifting, but he realized that results were not as lasting and the scars not as good. Additionally, there was a higher frequency of collateral distortion around the nose in which the nostrils were displaced downwards by a millimeter or two. Therefore, he exclusively started incorporating lifting the orbicularis oris muscle (below the skin) as well. Contrary to common myth, this does not involve cutting the muscle out, but is simply a shortening or hemming of the muscle via a folding technique onto the periosteum (lining) of the bones beneath the nose. This tended to not only improve the scarring (to near invisibility) with minimal-to-no nasal distortion, but also provide far longer-lasting results.

 
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Randal Haworth, MD
436 North Bedford Drive Suite 105
Beverly Hills, CA 90210
(310) 273-3000 (310) 273-8802 Monday through Friday, 9 a.m. to 5 p.m.