Would A Vermilion Advancement Help Improve My Severe Vertical Lip Lines?

Q: Dr. Eppley,You have correctly surmised that with a long upper lip and many vertical lip lines that an excisional approach would be helpful with two caveats: 1) the amount of vertical lip line improvement will be limited to what is removed in the excisional area (see attached image) and 2) by doing a combined subnasal lip lift and upper vermilion advancement the upper lip will become bigger than the lower lip so a lower lip advancement may need to be considered as well.

A: You have correctly surmised that with a long upper lip and many vertical lip lines that an excisional approach would be helpful with two caveats: 1) the amount of vertical lip line improvement will be limited to what is removed in the excisional area (see attached image) and 2) by doing a combined subnasal lip lift and upper vermilion advancement the upper lip will become bigger than the lower lip so a lower lip advancement may need to be considered as well.

Dr. Barry Eppley

World-Renowned Plastic Surgeon