Blanketing Instagram may be the pout of the moment: an ample, upturned mouth revealing front pearly whites. It’s a look that has generated a fresh trend in cosmetic surgery: the lip lift. “Social media is driving a whole lot of esthetic selections,” says Andrew Jacono, a Park Avenue cosmetic surgeon, but “the voluptuous lip is not something you may get with injections. Filling lips only makes them appear to be sausages but doesn’t change their condition. Only the upper lip lift can naturally turnthe lip up and out.” The 30-minute office procedure excises tissue from just underneath the nose to shorten the distance between nose and mouth, causing the top lip to relax a bit, exposing more teeth, or “tooth show.” In Gen Z’ers and young millennials, it gives an ideal selfie pout; in older candidates, it can shave up to 7 years from the countenance ($3,000-$10,000).
As upper lips age, they elongate to eventually hide the upper teeth, while lower lips drop to expose the bottom teeth. Beverly Hills plastic surgeon Randal Haworth says lips, like breasts, go over time south. “When Angelina [Jolie] was 19, she had an insouciant mouth and had the Bardot upper tooth exposure ,” he says. “Nowadays her lip is starting to hide her teeth. It is the same with Jane Fonda.” Jacono offers that face-lifts improve the corners of the mouth but don’t address the problem: “Shortening the top lip is probably the most effective esthetic procedures I really do.”
Some surgeons will work with dentists to coordinate how much teeth to show.
“Showing 2 millimeters of tooth while you are at rest is ideal,says Manhattan esthetic dental professional Lana Rozenberg, who claims patients once requested heavier veneers to push away the lip for pout.
Now the Bugs Rabbit look can’t be avoided can be avoided, with surgeons just like NYC’s Oren Tepper working with esthetic dentist Jonathan Levine to open LipSync. “Ten years past, there was an ‘aha’ moment when hands were an era giveaway. Now we realize the mouth is a lot more telling, ” says Tepper.
There is one disadvantage to a lip lift; its scar. “You can hide part of the incision inside the nostrils, but there is usually always some visibility at the bottom edge of the nasal area, ” says Beverly Hills cosmetic surgeon Leif Rogers, adding “If not done properly, it can change the look of the nose. “
Dr. Haworth acknowledged this as a problem about 15 years ago, ever since patients began complaining of this subtle nasal change. He realized there were two factors playing a part in this:
Excess tension around the incision line where the upper lip attaches to the nose and …
When the incision is made into the nose in a good faith attempt to hide the scar.
This led him to evolve his methods as a necessity to meet the increasingly discerning tastes of his patients. “Cutting into the nasal still can be a disaster even though it is motivated by goodwill towards the patients. By cutting into the nose, it breaks the circular stability of the nostril itself thus allowing it to “unfurl” and migrate inferiorly.
Another thing I have discovered is that when a lip lift is performed, it mustn’t just resist the downward forces of gravity but it must also resist the hundreds of thousands of mouth movements that occur per day. That’s why I needed to develop the OOS Upper Lip Lift which involves securing the upper lip to the strong lining of the bone around the base of the nose (periosteum). This technique is clearly superior to any skin-only lip lift whether it is modified or not. This results in a superior results in terms of beauty, scarring, lack of nasal distortion and longevity.
Fashion designer Alex Perry has made no secret of the fact he relies on fillers and Botox to achieve his unique appearance.
And during an interview with The Kyle and Jackie O Show on Monday, the 56-year-old raised eyebrows when he displayed a noticeably puffy visage.
After in-studio footage was shared to Instagram, KIIS FM listeners soon began accusing Alex of overdoing the cosmetic work and having one too many ‘facelifts’.
‘How many facelifts has he had?’ Fans have accused Alex Perry of having more plastic surgery, after he looked noticeably puffy during a radio interview on Monday (right). Left: Alex in 2018
‘How many facelifts has he had?’ one fan asked, prompting another to comment: ‘He looks like an old sock.’
It comes after a leading plastic surgeon accused the fashionista of ‘excessive’ use of anti-wrinkle injections last year.
Dr. Randal Haworth observed that Alex looks remarkably different in before and after photos and may have taken things too far.
The Beverly Hills-based surgeon also claimed that Alex’s face now looks rather ‘crowded’ as a result of ‘too much’ filler.
‘There is no denying that Mr. Perry has undergone significant change to his countenance,’ Dr. Haworth said at the time.
‘Compared to his younger self, his face is now “crowded”, making his eyes appear smaller and closer set.
‘Most likely, a generous recipe of injected filler and more than a drizzle of Botox in and around his forehead, brows and temples contributed to this look.’
‘Compared to his younger self, his face is now crowded’: Last year, plastic surgeon Dr. Randal Haworth criticised Alex’s ‘excessive’ use of Botox and fillers. Pictured left: Alex in March 2002, and right:in September 2017
‘Additionally, his mid-face (the area between his lower eyes and upper lip) has been amply plumped to attain the “apple cheek”, a feature I feel is best left flatter in men,’ he added.
Dr. Haworth went on to say that it’s hard to determine whether Alex’s cosmetic work is permanent or temporary.
‘Hopefully the fillers used to obtain Mr. Perry’s current look are absorbable and therefore temporary,’ he said. ‘However, if fat was used (which is a permanent, living filler) his options, unfortunately, will be more limited.
Alex, whose celebrity fans include Rihanna and Kim Kardashian, told Yahoo Lifestyle in 2013 that he is not ashamed of using fillers and Botox.
‘There is nothing not real, there are a few fillers and there is a bit of Botox but that’s that. That’s normal, right?… It’s all real. It’s all real,’ he said.
In 2016, the Australia’s Next Top Model judge was criticised for his appearance by one of the show’s contestants, Kassidy Ure.
After Alex criticised one of her photos, she sniped back: ‘At least my lips are real!’
She has refused to comment on plastic surgery speculation over the years.
But Delta Goodrem came under scrutiny yet again on Sunday, when viewers accused The Voice coach of undergoing ‘cosmetic work’ after seeing her on launch night.
Fans flocked to Twitter to claim that the 34-year-old singer has had ‘too much work’ done to her face, with one person observing she has a fuller top lip.
‘What’s happened to her face?’ The Voice fans have accused Delta Goodrem, 34, of getting cosmetic work after she displayed a very polish appearance on launch night. Pictured left: on The Voice, and right: in 2007
‘Delta has had more work done. Can’t work it out… she doesn’t need to do anything she’s beautiful!’ another added.
‘Top lip? Was thinking that,’ wrote a third eagle-eyed fan, before somebody else asked: ‘What happened to Delta’s face? #toomuchworknow.’
Speculation: Bewildered fans flocked to Twitter after Sunday’s episode of The Voice to claim that Delta ‘has had more work done’
It’s not the first time Delta has sparked cosmetic surgery speculation.
Last year, a leading plastic surgeon speculated that the Born To Try hitmaker may have invested in some cosmetic tweaks over the years.
Dr. Randal Haworth told Daily Mail Australia he had a ‘strong hunch’ Delta may have undergone a rhinoplasty, as well as cheek and lip fillers.
Claims: Last year, a leading plastic surgeon claimed that Delta may have undergone a nose job in addition to cheek and lip fillers. Pictured left: on The Voice, and right: in April 2003
‘Certain angles may be more revealing than others, but I have a strong hunch she has undergone a rhinoplasty because the shape of her tip is more demarcated from the rest of her nose while her bridge is noticeably narrowed,’ he said at the time.
‘These are the types of characteristics that would make any plastic surgeon suspicious,’ he added.
Dr. Haworth also believes the songstress may have indulged in some other non-surgical cosmetic procedures.
Hmm! ‘I find it apparent that both her cheekbones and her lips have been enhanced with a temporary filler,’ Dr. Randal Haworth said. Pictured left: on The Voice, and right: in 2003
He claimed Delta’s full cheeks and plump pout could be the result of temporary filler.
‘I find it apparent that both her cheekbones and her lips have been enhanced with a temporary filler, most likely of a hyaluronic acid variety such as Juvéderm or Restylane,’ he said.
‘Celebrities with busy schedules oftentimes can’t afford the recovery time needed to undergo fat transfer for more permanent results,’ he explained.
Daily Mail Australia has contacted Delta Goodrem’s management for comment.
Could it be? Delta sparked speculation with her plump lips and incredibly smooth complexion
A renowned plastic surgeon has delivered a withering assessment of this year’s Married At First Sight stars, saying they are too dependent on fillers.
Beverly Hills-based Dr. Randal Haworth says the latest crop of brides have ‘over-inflated lips’ that sit uncomfortably with their faces and ‘don’t do them any favours’.
Speaking exclusively to Daily Mail Australia, the CEO of DrHaworth.com also claimed that reality TV stars more generally are sending a harmful message to young fans by excessively plumping up their features.
‘Their lips are preposterously out of proportion!’ MAFS brides Jessika Power and Ines Basic ‘are destroying their looks with facial fillers’, says a leading cosmetic surgeon. Pictured left: Jessika pre-2017, and right: in 2019
After being shown before-and-after photos of Jessika Power, Martha Kalifatidis and Ines Basic, Dr. Haworth didn’t hold back.
‘Like a loud out-of-tune instrument in an otherwise beautiful orchestra, these over-inflated lips resemble baboon bottoms in heat and do no one any favours,’ he said.
Speaking about reality stars generally, he said there is a risk they are projecting unrealistic beauty standards on to a young generation of women.
He added: ‘As a renowned lip reshaping expert, I can say it is not just the lips, but also the surgically and “filter enhanced” faces and bodies that send a bad message to young people. It breeds insecurity and bland conformity whereby everyone starts to look the same.’
‘These over-inflated lips resemble baboon bottoms in heat’: After being shown before-and-after photos of several Married At First Sight stars, Dr. Randal Haworth didn’t hold back. Pictured left: an undated photo of Martha Kalifatidis from several years ago, and right: in 2019
Several MAFS contestants, including single mother Susie Bradley, have admitted to using off-the-shelf lip fillers, such as Juvéderm.
In photos taken before their cosmetic transformations, the reality stars are almost unrecognisable compared to how they look today.
But Dr. Haworth believes that facial fillers have not necessarily improved or complemented the brides’ natural features.
‘Instead of enhancing facial sensuality, overly plumped lips tend to do the opposite and even age the face in a strange way,’ he observed.
Plump pouts: Several MAFS contestants, including Ines Basic, have admitted to regularly getting lip fillers. Pictured left: Ines in September 2018, and right: on April 18, 2019
‘The exaggerated lips of Jessika only serve to distract from her natural beauty’: Dr. Haworth told Daily Mail Australia that ‘overly plumped lips tend to age the face in a strange way’. Pictured: Jessika before and after having lip fillers
He added: ‘For example, the exaggerated lips of Jessika only serve to distract from her natural beauty, while the lips of Martha just draw attention to her other churlish facial plastic surgery, including her rhinoplasty.’
Dr. Haworth went on to say that ‘so-called practitioners’ of cosmetic enhancements are allowing ‘their own aesthetic judgment to be hijacked by social media influencers’ and reality stars like the Kardashians.
‘This [fixation] encourages tunnel vision in doctors and nurse injectors alike, focusing only on lip volume and not on shape,’ he said.
‘Doctors and nurse injectors alike focus only on lip volume and not on shape’: Dr. Haworth wasn’t a fan of Martha Kalifatidis’ cosmetic enhancements. Pictured before and after she underwent facial fillers
Speaking to NW magazine on Monday, Jessika confirmed she has spent $25,000 on her cosmetic transformation so far – and has no plans to slow down.
Last month, Ines also admitted she has been getting lip fillers ‘for years’.
Furthermore, Martha has acknowledged having Botox and facial fillers in addition to undergoing a rhinoplasty and breast enlargement.
Mummy makeover: Susie Bradley underwent extensive cosmetic work after having her first child. Pictured left: Susie in 2015, and right: earlier this year
efore making a name for herself on Instagram, Tammy Hembrow starred in an outrageous hip-hop music video.
A newly-unearthed YouTube video shows the now 24-year-old letting lose in the clip for underground Aussie hip-hop band Mr Hill & Rahjconkas’ 2014 single, Non Stop.
The video was uploaded in April 2014, and five years later, Tammy is virtually unrecognisable from her former self.
Now and then: Before making a name for herself on Instagram Tammy Hembrow was starring in rap music videos. Pictured left in a 2014 music video, and right on Monday Compared to her current appearance, Tammy’s face appeared to be much fresher, bearing classic girl-next-door good looks.
Her lips appear smaller, her face is less full, and her nose looks much different.
Even Tammy’s hair is a different hue, having once been a golden blonde compared to the platinum she’s known for now.
In an interview with Daily Mail Australia in August 2018, Beverly Hills plastic surgeon Dr Randal Haworth claimed Tammy may have undergone a nose job, liposuction and dermal fillers to achieve her bombshell look.
‘Based on what I presume to be filtered photos, she has undergone a striking transformation of not only her facial features but also of her facial shape,’ Dr Haworth claimed at the time.
He added: ‘Specifically, her jawline is more defined into a “V-line”. I would even venture to say her chin has been shortened and narrowed compared to her teenage years.’
Dr Haworth also believes her V-line chin could have been achieved through either ‘liposuction or bony chin modification’.
He also acknowledged that ‘losing her “baby fat” may have been a contributing factor’ to the visible changes in Tammy’s jawline.
Furthermore, Dr Haworth claimed that Tammy may have undergone a rhinoplasty to fine-tune her look, saying: ‘A subtle, balanced rhinoplasty to narrow her nasal bones and refine her tip may have been carried out.’
He also suggested that Tammy’s cheekbones look more sculpted and angled upwards in recent photos, while her eye-hollows appear less apparent.
Both of these changes are likely to have been carried out with a filler such as Voluma or Restylane Lyft, or even achieved via fat transfer.
According to Dr Haworth, Tammy’s lips have also almost certainly been enhanced due to their ‘overly plumped’ appearance.
He claimed: ‘Like Kylie Jenner, Tammy has been originally inspired by the Angelina Jolie lip variety. Paradoxically, lips oversized for a face can mature the visage beyond its years.’
In the music video, Tammy can be seen puffing on a cigarette while swigging back drinks.
At one stage, she’s seen licking the screen of her iPhone, before another girl squirts a liquid out of her mouth into Tammy’s open mouth.
Talk show queen Ellen Degeneres has gifted herself with a new million – dollar face for her 61st birthday in January. Terrified she ‘ll be dumped by her 15- years – younger wife Portia de Rossi , Ellen has erased the ravages of time with extensive plastic surgery , sources say .
Now top doctors tell Globe the Funny Gal looks younger than ever !
“It’s quite obvious she underwent a full face lift ___ and everything else , as well !” noted new York plastic surgeon Dr. Yoel S. Shahar dishes to Globe .
He believes the chat-fest diva has also had a neck lift , forehead lift, brow lift, eyelid surgery, fillers and a chemical peel to smooth out the area around her lips.
” She’s had almost everything done that can be done __ and I suspect a nose job, too , ” adds Dr. Shahar, who has not treated Ellen .
Top Beverly Hills plastic surgeon Dr. Randal Haworth says the hint of scars around Ellen’s ears indicates a face-lift .
” Her smooth facial appearance firm firm jawline and barely there jowls are unusual for a person of Ellen’s age and provide further evidence that she had a face-lift ” says Dr. Haworth, who has not treated her .
Dr. Shahar estimates Ellen coughed up close to 50000$ on her most recent cosmetic tweaks __ and that’s on top of previous pricey procedures !!
The former stand- up comic reportedly went under the knife in 2014 and had even more work done in 2015 !
“The noticeable scars on her neck are most likely a result of a face –lift and / or neck lift “
Renowned New York City plastic surgeon Dr. Ramtin Kassir , who has not treated Ellen , said at the time. ” Her neck and jawline appear rejuvenated and defined. She doesn’t have sagging skin and her skin appears smooth and wrinkle-free “.
Adds a source: “Over time , Ellen has spent at least 1$ million on her face alone !
” She ‘s very much aware of the age difference between her and Portia. She’ll do anything to turn back the hands of time – and money is no object!”
The Biggest Loser star Michelle Bridges has helped thousands of people with her fitness program.
According to Beverly Hills-based plastic surgeon Dr. Randal Haworth, she may have undergone her own transformation.
‘It appears Michelle’s striking facial change came from an enthusiastic use of fillers and Botox. Unfortunately, the manner in which they were used tends to detract from her natural facial harmony rather than enhance it.’ said Dr. Haworth.
Dr. Haworth went on to describe the tell-tale signs of Michelle’s supposed cosmetic work.
‘Her eyebrows are a tad too elevated into a pointed arch similar to Captain Spock, which is most likely the result of Botox. Ironically, this shape can be softened with a further small shot of Botox above each arch. I have a small suspicion Botox was also injected in and around her chin because her smile in recent pictures seems somewhat restricted and stiff,’ he explained.
Dr. Haworth also described how Michelle appears to have used a filler such as Juvéderm to plump her lips and under-eye hollows.
‘In certain angles, the filler seems to have accentuated her long upper lip which is a sign of aging. A tell-tale sign that filler was used to treat under-eye hollows is bulging below her lower eyes next to the nose. I can see Michelle has those when she is smiling in recent photographs.’
When we choose to undergo a plastic surgical procedure, we do so to get a beautiful result which is balanced for the face and one that is as permanent as possible and one which doesn’t interfere with function.
I don’t think anyone would argue with the above.
Lips are a unique anatomical future. They connote youth, beauty and sexuality. However, their job is not only to look beautiful, they have to also function. This is contrast to a nose or an ear which have no moving parts.
And as a plastic surgeon helping to advance the field of lip reshaping surgery (LRS), this is where the challenge lays. When a patient asks me to make them a beautiful set of lips, I have to ensure:
a. A beautiful upper lip
b.A beautiful lower lip
c. Both upper and lower lips harmonize with each other
d.The harmonizing upper and lower lips harmonize with the surrounding face in terms of shape and scale (volume)
e.The upper and lower lips continue to harmonize well into the future (akin to a long-lasting result)
f. Scars are as imperceptible as they can be
g.The chance of nasal distortion and other complications are kept to a bare minimum
h.Lip function is retained (perhaps even improved with the new found confidence!)
i.Recovery is minimized whenever possible
j.A patient’s expectations are aligned with reality.
(Of course, “j.” should be at the top of the list. If a patient has unrealistic expectations, then no matter how successful a surgery is, if a patient in the end is dissatisfied, the surgery is a failure to them).
One of the cornerstones of lip reshaping surgery is the upper lip lift. Most of us appreciate that beauty is mostly conferred through shape and less so by colour and volume. The lips are no exception. An upper lip that is considered beautiful on a primal, instinctual level is one comprised of a short nose-to-lip distance, a beautiful “O” arch, a visible vermilion balanced with the size of the lower and, of course, an appropriate upper tooth exposure.
After performing thousands of upper, corner and lower lip lifts, the secret to unparalleled longevity and a naturally beautiful lip shape is stability. One must understand that, like the hands, the lips move hundreds of thousands of times a day- eating, talking, expressing and other things that shall go unmentioned in this post. Therefore, for an upper lip lift to be successful in terms of beauty and longevity, it should not only resist the downward pull of gravity but also be stabilized against everyday movement (which contributes to re-stretching of the lip, obvious wide scarring and downward pull on the nose).
The OOS (Orbicularis Oris Suspension) superficial muscle technique provides this very stabilization by anchoring the superficial layer of Orbicularis Oris just below the dermis to the periosteum (or lining of the bone) below the nose. (The Orbicularis Oris is the circumferential, sphincter muscle that surrounds the oral aperture).
By stabilizing the lip in two directions bilaterally I am able to customize the curl and expression of the upper lip to make it not only youthful but sensual as well. The two direction approach is analogous to the way a marionette can come to life by the hands and strings which control it.
The skin-only lip lift is a far simpler operation to perform and solely involves removing skin and sewing the skin edge of the lip to that of the bottom of the nose. The only thing holding the skin-only lip lift in position are the dissolvable stitches in the dermis which are no match against constant daily mouth movement and gravity’s pull. As a result, there is a far greater likelihood of the nostrils being pulled downwards, obvious scarring, significantly decreased longevity and suboptimal aesthetics.
I can personally attest to the dramatically decreased longevity, unremarkable results, worse scarring and nasal distortion from the thousand or so skin-only lip lifts I performed in the 90s. Though the skin-only recovery is easier, the current version of the OOS upper lip lift may allow the patient to appreciate results as early as 10 days. Not only does the OOS technique shorten the distance between the nose and lip but it also allows upper tooth show( that goes without saying really), subtle added rollout of the upper lip’s pink vermilion, welcomed narrowing of the aperture of the mouth (that gets wider with age) and even noticeable reduction in the nasolabial folds. Contrary to some misperceptions, no muscle is removed and no cases of permanent numbness or any paralysis ever encountered.
More and more people are realizing that the upper lip lift( and other LRS techniques) may play as important a role as a facelift and eyelid surgery in facial rejuvenation. Choosing proper techniques, performing them well and understanding how all elements of the lip work together can be the ultimate magic trick to transform a face from “Meh to Mwah”!
Plastic surgeon Randal Haworth, MD, is taking the next step in his career with the launch of a stylish, comprehensive aesthetic care facility.
Randal Haworth, MD, made a name for himself in aesthetics in the early 2000s when he joined Fox television’s reality show, “The Swan.” On the program, he was part of a team of plastic surgeons, stylists and makeup artists who dramatically transformed participants’ appearances, Earlier this year, he transformed his own Beverly Hills, California-based practice when he moved to a new, custom-designed facility that incorporates a full range of aesthetic services—from facials and nutritional services to fillers, lasers and surgical procedures.
Dr. Haworth’s design philosophy for the new Haworth Institute was nature meets high-tech.
“It’s a beautiful place, and all our services are under one roof—the surgical center, my clinic and our new noninvasive center, Self Centered Aesthetics,” says Dr. Haworth. “Patients always asked us, ‘What else can you do?’ ‘How do I maintain this?’ It just doesn’t make sense nowadays not to offer the full-range of aesthetic treatments.”
In addition to laser treatments and injectables performed by Dr. Haworth and his R.N., celebrity esthetician John Tew performs signature facials and naturopathic doctor Matea Polisoto, who goes by “Dr. Matea,” offers IV therapy and nutrition counseling. “Like John, she has a very big following in Beverly Hills and beyond,” says Dr. Haworth. “She is involved with IV therapy, which helps augment the pre- and postoperative surgical experience, and optimizes healing.
“The people working with me are just as important as the surgeon—it’s all about having a team,” he says.
The Frustrated Artist
Born in Los Angeles and educated in England, Dr. Haworth has a somewhat unusual background for a Beverly Hills plastic surgeon. “My dad was English and spent World War Il in London selling bootleg whiskey during the Blitzkrieg. My mother and her family lived in Holland during the German occupation,” he says.
Following the war, both of his parents immigrated to the United States seeking opportunities, of which there were few in post-war Europe. “They met, and I was born in Los Angeles. But my dad always wanted me to be in England eventually,” says Dr. Haworth.
When he was 9 years old, he and his parents drove to Central America and boarded a cargo ship to England. During his school years in London, Dr. Haworth became enamored with the arts. “l always drew—and I was very good at a young age. In University I joined band. I was really into the arts, and that’s what I wanted to pursue,” he says. “But my parents, being war babies, wanted a doctor in the family and I was their only child.”
During a road trip prior to his final year at the university, he shared his goals with his parents. “We were in a VW bus and they said, ‘We’ll disown you if you become an artist. Make your decision’—it was really bizarre,” he says. His mind flashed back to a BBC interview of Kurt Wagner, MD, he had seen when he was 13. “l said, ‘Then I’ll be a plastic surgeon,’ having no idea what was involved in that.”
He came back to the U.S. and enrolled in medical school at the University of Southern California. Following graduation, he completed a five-year general surgery residency at Cornell Medical Center in New York. Dr. Haworth made his way back to the West coast for his plastic surgery residency at the University of California, Los Angeles.
“After my residency, I had no money so I was anxious to go into practice. I thought, well then I have to goto Beverly Hills because that’s where successful plastic surgeons go,” he says.
Another surgeon offered to rent him a space in his clinic’s kitchen, which was housed in one of the most desirable medical buildings in Beverly Hills. “He had a little pocket door in front of the kitchen so I stayed in there,” says Dr. Haworth. “During my clinic days, I would take his diplomas off the walls in the two little exam rooms and put mine up, and that’s how it started.
“l look back fondly on those days now, but it was horrible at the time. If I had two surgeries in a month, it was a great month.
Finding His Niche
During his UCLA residency, Dr. Haworth won a plastic surgery research prize for his lip surgeries, which provided a unique niche with which to build his practice, More than 20 years later, he has patients from all over the world who travel to the Haworth Institute for their lip surgeries.
“You can be the best doctor in the world, but if you don’t have marketing, no one will know about you,” he says. “So I leveraged that award and started getting known for lips, even though my favorite surgeries are noses, mid- facelifts and what I call hyperaesthetic surgeries where we change everything. The lips are what I was known for, and now I get jazzed by that because there’s really no competi- tion in the world for these surgeries.”
He offers upper, lower and corner lip lifting procedures as well fat transfer and F.A.T.M.A. (fat transfer & mucosal advancement). “l do many types of lip lifts because it is shape before volume; there are many things that fillers alone cannot do,” he says.
Embracing and Investigating New Technologies
Despite the limitations of traditional filling techniques, Dr. Haworth has embraced dermal fillers as effective tools to perfect his patients’ lips. In some cases the new, less invasive procedures are even surpassing what he can achieve in the O.R.
“Our mouths get wider as we age and our lower teeth become visible,” he says. “People will often just fill the lower lip horizontally, which won’t help with these concerns.”
In his surgical center, he performs lower lip V-Y plasty procedures to narrow the mouth, lift the bottom lip and pout out the middle third of the lower lip. But, due to the minimal improvement, he recently became interested in the idea of using vertical filler injections to lift and shape the lower lip.
“About three months ago, I started injecting vertically into the lower lip. I place my long cannula or a long needle vertically from the bottom of the prejowl sulcus all the way to where I see the needle blanching on the vermillion on the back of the lower lip on the sides. Then I inject vertically as I pull the needle out,” he says. “l am seeing such dramatic elevation of not just the lower lip but the whole corner of the mouth—the marionette folds are dramatically reduced and the labiomental sulcus opens up.”
He is calling this the Caisson technique after Caisson beams in construction. “The patients are three months out now, and the results are far better than what we see with the lower V-Y plasty in hiding the lower teeth,” he says.
Dr. Haworth is investigating new ways to augment and lift lips using dermal fillers.
“l love doing surgery, but plastic surgery is in some ways a dying field,” he continues. “The future of plastic surgery lies in the lab, not the operating room. Eventually they are going to know how to stop senescence. In the meantime, the future of aesthetics is laying more and more in lasers and newer, better fillers, and I want to stay on the forefront of that.”
His biggest challenge is determining which new technologies and procedures live up to the hype—and resisting the urge to bring in every new device about which patients inquire. “Sixty to seventy percent of all new medical cosmetic technologies overpromise and under deliver,” he says. “First it’s a big ‘Wow!’ Then results are ‘operator-dependent,’ then it’s gathering dust, so I vet all these technologies and only offer the ones I believe are proven to work.
“What I want to offer my patients with the Haworth Institute and Self Centered Aesthetics is more than one-stop aesthetics, It’s the tools and knowledge to deliver the absolute best treatments for their individual concerns and lifestyles,” continues Dr. Haworth. “We have a turbocharged armamentarium of proven noninvasive treatments to carry on the philosophy that I espouse in my surgeries, which is really detailed aesthetic work.”