The no-scar lip-lift: upper lip suspension technique

Aesthetic Plast Surg. 2011 Aug;35(4):617-23. doi: 10.1007/s00266-011-9655-6. Epub 2011 Feb 27.


Background: Addressing the long upper lip has been a complex problem for some time. Methods such as the subnasal skin excision and the vermillion advancement technique have been described, but both leave a visible scar. A no-scar lip-lift technique is necessary for a subset of patients who have a long upper lip and will not accept a visible scar.

Methods: The upper lip is shortened via an intranasal incision and suspension suture that elevates the upper lip and anchors it to the anterior nasal spine. A retrospective review of 92 patients who had undergone upper lip-lift with the no-scar suspension technique was performed. Three plastic surgeons assessed the pre- and postoperative results and determined the presence of improvement in four categories: lip shortening, lip projection, incisor show, and vermillion show.

Results: The lip parameters improved, with 85% of the patients showing noticeable lip shortening, 79% showing increased sagittal projection, 74% exhibiting increased incisor show, and 25% exhibiting increased vermillion show. All the patients had improvement in at least one of the four categories. Complications were experienced by two patients with a suture abscess and one patient with an unraveled suture.

Conclusion: The overall lip contours improved after the lip suspension technique, most noticeably in terms of lip height and sagittal projection, and the scar was hidden intranasally.

MeSH terms

  • Adolescent
  • Adult
  • Cicatrix
  • Female
  • Humans
  • Lip / surgery*
  • Male
  • Middle Aged
  • Nose / surgery
  • Plastic Surgery Procedures / methods*
  • Retrospective Studies
  • Young Adult