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 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:
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 Many of these procedures have been superseded by injecting either fat, or other injectables into the tissues of the upper lip to plump it up - which is of a much better effect without the scars.
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.
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:
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.
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.