How Can I Fix The A Frame Deformity Of the Upper Lip After A Subnasal Lip Lift?

Q: Dr. Eppley, I hope you’re doing well. I recently underwent a subnasal lip lift and, unfortunately, was left with an A-frame deformity—the center of my lip was lifted significantly, while the sides remained relatively unchanged. As my daughter puts it, I now look “botched.” For context, my philtrum measured 18mm before surgery, and the surgeon removed 6mm evenly across the subnasal line. The vertical distance from the base of my nose to the top of the central lift looks appropriate, so I don’t believe too much was removed from the center. I’ve read about the extended subnasal lip lift technique you pioneered to specifically avoid this type of outcome. I’m wondering if it’s possible to perform a revision that lifts only the sides to correct the A-frame deformity—without taking any more from the central philtrum. I also want to mention that I’m not a good candidate for a corner lip lift due to my darker skin tone and risk of scarring. Could you kindly advise: Whether this kind of targeted revision is feasible in my case? How long I should wait before considering a revision? And whether Botox could help temporarily improve the appearance in the meantime? Thank you so much for your time and expertise. I would be happy to send photos if needed.

A: The only option to improve the shape of the upper lip after an ‘overdone’ subnasal lip lift are lateral vermilion advancements. There is no ‘extended’ subnasal lip lift technique that will change the outer downturned portions of the upper lip. Botox injections will not help.

Dr Barry Eppley

World Renowned Plastic Surgeon