June 2003 | Volume 2 | Issue 3 | Original Article | 303 | Copyright © June 2003
Oscar M. Ramirez, MD FACS; Anjum S. Khan, BA and Keith M. Robertson, MB, Bch, BAO, LRCPI, LRCSI
Our lift lip technique consists of an excision of the white part of the upper lip directly beneath the nose in the
shape of a ‘bull’s-horn’, with advancement of the inferior border of the incision to the area directly beneath the
nose. Pre-operative markings on the skin ensure the lip lift is approximately symmetric. Advancement of the
inferior edge of skin directly beneath the nasal base lifts the lip, producing more visible vermilion and about 3
mm of tooth show at rest. The position of the final incision is such that it is located within the shadow of the
nose. Meticulous technique produces an almost invisible scar. The amount and width of skin excised is individualized
depending on the desired aesthetic goals.
The procedure is straightforward and is usually performed under local anesthetic. Abdominal fat is frequently
injected into both the upper and lower lips to increase the volume and improve the rejuvenation. Lip lifts using
this technique provide an immediate, dramatic, and permanent result.