How Can Nostril Sills Be Restored?

Q: Dr. Eppley, I came across several of your detailed explanations about nasal sill loss after lip lift surgery, and they were the clearest I’ve found. I have a similar complication from a 2021 lift, and I’m trying to find someone experienced in revision or at least improving the appearance.If this isn’t something you treat directly, would you happen to know any surgeons who handle these types of sill repairs or camouflage techniques? Thank you for your time.

A: The problem with the Italian lip lift is the effacement of the nostril sill. It flattens it out making a runway right up into the inside of the nose. This is glaring apparent in someone who has a visible raised natural sill…which many but not all people do. There is no camouflage technique to treat it. The only way to potentially create the appearance of a sill is to add a firm graft/implant underneath the now flat sill skin. While this is the only treatment option its effectiveness is limited by the now tight skin at the sill caused by the prior lip lift.

Dr. Barry Eppley

World-Renowned Plastic Surgeon