3.Too long upper lip
A long upper lip can be a sign of aging or simply a family trait. There are two ways to shorten the lip
How is it corrected ?
A. Above the vermillion
A small part of the lip is removed above the vermillion. Eventually part of the muscle is also resected. It is a method particularly suited to people who have also thin lips, as it gives some lifting to the vermillion part also.
The scar is very fine, but care should be taken in people with a history of bad scarring. Older people have an advantage over younger persons ; they make less visible scars.
The incision is just under the nose and not so wide as in the previous procedure. The scar is quite inconspicuous while at the same time shortening the lip sufficiently
Complications short and long term
Bruising of the skin (Ecchymosis)
When blood migrates into the skin, the skin first turns blue after a day or two. Over a period of 10 days it further turns into green and finally yellow before disappearing completely. No ointments should be used to speed up this resorption of blood. They could only add a rash.
Blood collections (Haematoma)
When more blood accumulates in the virtual spaces between subcutaneous fat and skin, this is called a haematoma. This is very uncommon.
Their natural course is to convert to hard nodules -over a period of weeks- that sometimes can be felt and trouble the patient. They also disappear very slowly, over the course of months.
In the first week, sensitivity can be impaired a little, but this comes back without any problem.
Infection is also very rare because the lip resists infection very well. Nevertheless a good hygiene and prevention of infection are important.
Reduction above the vermillion
Reduction at the base of the nose