What are the advantages of a scarless lip lift?

In his latest online article, leading London-based consultant plastic surgeon Professor Ghassan Abu-Sittah explains the advantages of scarless lip lifts over more traditional methods.

When is a scarless lip lift recommended?

To address the question of when a scarless lip lift is recommended, it is essential to delve into the factors that contribute to aesthetic appeal. There are four key elements to consider:

• Lip length: This refers to the distance between the nose and the bottom of the lip. A desirable length ensures a subtle display of teeth when the mouth is slightly open, as the absence of tooth exposure can convey an ageing appearance.
• Red show: The proportion of the lip that displays the red, mucosa-rich area is crucial. A greater expanse of red from corner to corner imparts a fuller, more voluptuous appearance.
• Pout: A gentle J-shaped fullness at the lower part of the lip, especially evident in a side profile, is desirable. This differs significantly from the appearance achieved with fillers, which often produce a straighter, less natural look.
• Natural movement: Unlike other parts of the body, the lip must retain its beauty while in motion. Fillers can sometimes compromise the lip's elasticity and natural movement, leading to an artificial appearance.

Surgical procedures have been developed to address these characteristics. The most common technique is the bullhorn lip lift, which involves shortening the skin under the nose to lift and turn the lip, enhancing red show. However, this procedure leaves a permanent scar in a conspicuous area and can alter the shape of the nostrils. Moreover, it primarily targets the central area of the lip.

In contrast, the scarless lip lift, also known as the V2Y lip lift, avoids external scarring altogether by making all incisions on the inner surface of the lip, hidden from view. Instead of shortening the outer lip, this method pushes and curls the inner lip outward, increasing red show across the entire lip and concentrating volume at the bottom. This technique achieves a natural-looking, fuller, and more attractive lip appearance.

Who is a good candidate for a scarless lip lift?

The ideal candidate for a scarless lip lift is someone seeking improved red show and increased lip volume while desiring a subtle change. This option is particularly suitable for those dissatisfied with the results of lip fillers.

What does the procedure entail?

The scarless lip lift employs a unique approach reminiscent of the letters "V" and "Y." The method involves moving the two “V” on the inner lip surface downward. When these tissues are moved downward from the nose area, they are then sutured together to form a "Y." This is called the V2Y method.

This process not only elongates the inner lip but also causes it to curve outward, showcasing more red and augmenting volume. The use of absorbable sutures ensures that they naturally dissolve within seven to ten days, reducing concerns about visible scarring and promoting effective healing.

How does it differ from traditional procedures?

The primary distinction lies in the absence of visible scarring, as all incisions are concealed within the mouth. Unlike the bullhorn technique, the V2Y lip lift addresses the entire lip, extending from corner to corner, without altering the nostril shape. However, it is essential to note that the bullhorn method may lead to less postoperative swelling compared to the V2Y lip lift, which typically involves a week of noticeable swelling, followed by a four-to-six-week period during which residual swelling subsides.

Are there any risks or possible complications?

The primary risk associated with the scarless lip lift is prolonged swelling, typically occurring for one week post-surgery. Some patients may experience tightness in the upper lip, which can persist for up to three to six months but rarely affects speech or eating.

When will the final results be visible?

Patients can anticipate seeing the final results of the scarless lip lift between the sixth and tenth week, once all swelling has subsided. This procedure offers a subtle yet natural enhancement of the lips, ensuring an unoperated and full red lip appearance.

If you would like to book a consultation with Professor Ghassan Abu-Sittah, you can do so today via his Top Doctors profile.