This lady had a previous upper lip lift and lips that were distorted with a previous filler (silicone)..She felt that her lips did not harmonize well with her face. A secondary superomedial muscle hemming upper lip lift , lower V-Y plasty (to elevate the central lower lip to minimize lower tooth unveiling) and a DAO release were performed along with facial micro-cannular liposculpture (of the jowls and neck regions). An 8 week-postop result is shown. She exhibited exceptional healing along her upper lip lift scar. Genetics plays a role in this regard as well as careful state-of-the art lip lifting techniques.