Q: Dr. Eppley, I am interested in lip reshaping surgery. My main goals are to increase vermillion height and make my lips look larger and rounder (the shape of the lips in the pictures). I also would like to have a less prominent cupid’s bow to make the lips look rounder (like the pictures).
My questions are:
1. Would the vermillion advancement for bigger lips with increased height and roundness be out of the question? I’m not looking for the goal picture size exactly, but something somewhat close to the size and shape.
2. If I’m not a candidate for a vermillion advancement, what lip augmentation option(s) would you recommend to get results close to the ones I want?
A: In answer to your lip reshaping questions:
1) Only a vermilion advancement can increase the size of the whole lip and make a less prominent Cupid’s bow at the same time. It does so by removing skin above the lip to create the type of lip shape one desires. This would be of particular value in reducing the shape of the Cupid’s bow area where more skin would be removed compared to the sids of the upper lip.
2) A vermilion advancement is your only option based on your lip size/shape goals.
Dr. Barry Eppley