When the space between the nose and lip seems disproportionately long and the upper lip looks too thin, a bull horn lift may be the solution. Longer upper lips may be due to genetics, but aging can also cause this appearance when the upper lip becomes thinner. A bullhorn lip lift addresses both concerns, reducing the length and revealing more of the pink upper lip. Dr. Gary Linkov offers bullhorn lip lift surgery at City Facial Plastics, located on the Upper East Side of NYC.
Dr. Gary Linkov is an experienced facial plastic surgeon who specializes in creating stunning, natural facial alterations. His background in art and sculpture have given him a unique skill set when it comes to mastering the artistry of plastic surgery. Lip enhancements are one of Dr. Linkov’s specialties, using his talent to create balanced, beautiful lips that appear natural. If you have been considering a bullhorn lip lift to improve the symmetry and fullness of your lips, Dr. Linkov can create the results you desire.
How is a Bullhorn Lip Lift Performed?
A bullhorn lip lift, also called a subnasal lip lift, involves reducing the skin between the upper lip and nose base. A horizontal incision is made at the base of the nose. A small amount of skin is then removed to shorten the distance between the lip and nose. When closing the incision, the skin flap is anchored to the sturdy tissue at the nose base, elevating the upper lip. This reveals more of the pink lip, making the upper lip look fuller. The result is a proportionate space between the mouth and nose with an upper lip that is full and more defined for a sensuous, youthful appearance.
A lip lift can do more than just improve your mouth. It can create a more balanced, beautiful appearance to your facial features. To learn more about the bullhorn lip lift procedure or any of our other cosmetic solutions, contact City Facial Plastics to schedule a consultation with Dr. Linkov.
History of the Lip Lift
For decades, the cosmetic lip lift has been evolving, improving the shape and fullness of lips. Here is a timeline of the profession of lip lift techniques up to the modern-day surgical options offered by Dr. Gary Linkov.
- 1981 – Bullhorn upper lip lift, or subnasal lift, was the first procedure of its type ever used and described. This first lift was skin only excision without any undermining of skin flaps.
- 1984 – Vermillion border lip lift was first used and described by plastic surgeons. This technique has since fallen out of favor due to high risk of unfavorable scarring and potential distortion of central aesthetic components of the upper lip.
- 1986 – A modification is presented for the bullhorn upper lip lift, which is to add a vertical midline component for patients with poor cupids bow definition.
- 1994 – An extended upper lip lift procedure was used and described in Brazil that incorporated the nasolabial folds into the excision. This technique did not catch on due to the degree of scarring in a very visible central portion of the face.
- 2000 – Adjunct and alternatives procedures were used and described for lip enhancement – implantation of crystal silicone, polyacrylamide hydrogel, Gore-Tex tubes, autologous fat, and dermis-fat graft. Silicone in the lip has since been completely abandoned in most parts of the world due to migration, scarring, and nodule formation problems.
- 2002 –SMAS (superficial musculoaponeurotic system) grafts obtained from a facelift reported as a tool for lip augmentation into the red portion of the lip.
- 2004 – V-Y mucosal lip advancement used and described with incisions placed on the inside of the mouth. No major change to philtral length procedure. Implants such as silicone and alloderm introduced to augment the fullness of the red lip. The Italian lip lift is used and described, which does not include an incision under the columella (in the middle), only on the sides.
- 2010 – SCM (sternocleidomastoid) muscle used and described by plastic surgeons as another graft material for enhancing the red portion of the lips.
- 2011 – An upper lip suspension technique is used by plastic surgeons for patients not interested in a visible scar. The upper lip is shortened via an intranasal incision and suspension suture inside the nose. A single suture is used, which raised concern about the longevity of results.
- 2013 – A corner lip lift is described to correct the “sad” appearance that can occur with aging. While a subnasal bullhorn lip lift addresses the portion of the lip under the nose, the corner lift addresses the sides of the lip, but incisions are made in a visible location.
- 2014 – The traditional subnasal upper lip lift is modified with endonasal flaps to hide portions of the incision by bringing them into the nose. A disadvantage is destruction of the nasal sill, a natural structure at the base of the nose that cannot be recreated and leads to a widened nostril appearance.
- 2016 – A combination of the Italian lip lift and upper lip suspension technique with several sutures is used with screw fixation to minimize visible scarring.
- 2017 – A “T-shaped” orbicularis muscle segment is removed in addition to skin with a subnasal approach. There is still concern about functional changes to the upper lip with this procedure.
- 2019 – Dr. Gary Linkov is the first to publish on simulated upper lip augmentation, including upper lip lift, and social perception analysis.
- 2019 – Dr. Gary Linkov invents the Elelyft, a version of the bullhorn upper lip lift that combines deep release technique with undermining of skin flaps and meticulous closure with special surgical ink marking. Dr. Linkov also begins combining lip lifts with alar base reduction and philtrum defining surgery to enhance the junction of the lower and middle face near the mouth and nose.