As we age our lip becomes longer and the red portion of the lip (the vermilion) tends to become less prominent. Often times, less tooth show is visible on full smile. This results in an aged appearance. Fillers are not the answer for these patients. Fillers will tend to lengthen the lip, decrease tooth show and age such a patient.


The procedure itself utilizes an incision that wraps around the lower contours of the nose in a bull horn pattern. Intervening skin is removed and meticulous suturing is undertaken. Sutures are removed at 1 week. Social downtime is typically 7-14 days. The incision line can remain red for the first few months, however it can be covered up with make up. Final result and incision healing is normally appreciable by 6 months.


  • Youthful appearance – more tooth show
  • More show and pout of the upper lip (the vermillion)