Geometry over Volume

For the last decade, the aesthetic conversation around lips has focused almost entirely on volume. The assumption was simple: bigger equals younger. But as the "filled" look becomes ubiquitous, a more discerning patient demographic is realizing that youthfulness isn't just about fullness—it is about proportion. When the space between the nose and the mouth lengthens (a natural side effect of gravity and genetics), adding volume often works against you, creating weight rather than definition.

The lip lift addresses the architecture of the lower face, shortening the distance between the nose and the red lip to restore a balanced, youthful pout that fillers simply cannot replicate. As a double board-certified facial plastic and reconstructive surgeon, Dr. Julia Kerolus performs this procedure for patients in Atlanta who are ready to move beyond the maintenance of injections and achieve a permanent, structural refinement.

What is a Lip Lift?

A lip lift is a surgical procedure designed to shorten the upper lip (specifically the cutaneous lip, or skin-colored area) and evert the vermilion border (the red part of the lip). Unlike lip fillers, which expand the lip outward, a lip lift pulls the lip upward.

This distinction is critical. By removing a precise strip of skin from the base of the nose, Dr. Kerolus reduces the vertical height of the elongated upper lip. This slight elevation reveals more of the pink lip tissue and, crucially, increases dental show—the youthful glimpse of the upper teeth when the mouth is slightly open.

Lip Lift
vs. Dermal Fillers

Many patients come to us frustrated that dermal fillers haven't achieved their aesthetic goals. Often, the issue isn’t a lack of volume, but a lack of vertical space.

If you have a long upper lip, injecting filler can weigh the tissue down further, resulting in the dreaded "duck lip" appearance where the lip projects forward rather than rolling up. In these cases, a lip lift surgery is the superior choice. It restores the natural lip line and creates fuller lips by repositioning the tissue you already have, rather than inflating it with gel. This makes it an ideal solution for those experiencing "filler fatigue" or seeking a permanent cosmetic procedure.

Is a Lip Lift Right for Me?

The ideal candidate for a lip lift in Atlanta typically falls into one of two categories:

Older patients: As we age, the ligaments supporting the mouth weaken, causing the upper lip to lengthen and cover the teeth. A lift restores a more youthful appearance by re-establishing appropriate proportions.
Younger patients: Some individuals are born with a naturally long philtrum or a thin upper lip that rolls inward. For them, this procedure provides a permanent contour improvement that filler cannot achieve.

During your personal consultation, Dr. Kerolus will evaluate your facial anatomy and medical history. She will measure the philtral length and assess your facial features to ensure the procedure will harmonize with your nose and chin.

The Bullhorn Lip Lift

Dr. Kerolus utilizes the "bullhorn" technique (subnasal lip lift), named for the shape of the excision. This is an outpatient procedure typically performed under local anesthesia (sometimes with oral sedation), meaning you are awake but numb and comfortable.

The Procedure Steps:

Marking: Dr. Kerolus measures the precise amount of excess skin to be removed just under the nose, following the natural curves of the nostrils.
Excision: The skin is removed, and the remaining lip skin is lifted and anchored to the strong tissues at the base of the nose.
Closure: The incision is closed with fine sutures in the natural crease where the nose meets the face, minimizing visible scars.

The entire lip lift procedure takes about an hour. Because Dr. Kerolus is an expert in facial plastic and reconstructive surgery, she places deep tension-relieving sutures to ensure the scar heals as a fine, imperceptible line.

Why Choose Dr. Kerolus?

The lip lift is a procedure of millimeters. Remove too little, and the result is negligible; remove too much, and the lip can look unnatural. It requires a surgeon with a deep understanding of facial plastic surgery and reconstructive principles.

Dr. Kerolus combines technical precision with a philosophy of "natural alignment." She doesn't just "do surgery"; she designs a customized treatment plan that respects your unique anatomy. Furthermore, she offers a concierge level of care that is rare in the Atlanta area and Sandy Springs. Every surgical patient receives her personal cell phone number, ensuring you have direct access to your surgeon throughout the healing process.

Recovery & Aftercare

The recovery process for an upper lip lift is relatively quick compared to other facial rejuvenation procedures like a neck lift or rhinoplasty.

Immediate Post-Op: You will experience swelling in the upper lip, which can be significant for the first 3–4 days. Using ice packs and keeping your head elevated is crucial to reduce inflammation.
Suture Removal: Sutures are typically removed 5–7 days post surgery.
Social Downtime: Most patients feel comfortable returning to work or social activities within 7–10 days, once the initial tightness and swelling subside.
Scar Maturation: The incision line may appear pink initially but will fade significantly over the following months.

Dr. Kerolus and her team will provide detailed instructions on wound care, diet (soft foods are best initially), and activity restrictions to ensure optimal results.

Lip Lift Frequently Asked Questions

Will I have a visible scar?

Because the incision is placed in the natural shadow under the nose, the scar is exceptionally well-hidden. Dr. Kerolus uses meticulous closure techniques to ensure it heals as a fine line. With proper care, the scar becomes virtually undetectable to the naked eye once fully matured.

Does a lip lift change my nose?

If performed incorrectly, a lip lift can distort the nostrils. This is why choosing a board-certified facial plastic surgeon is vital. Dr. Kerolus uses deep anchoring techniques that lift the lip without pulling down on the nose, preserving your natural nasal shape.

Can I combine this with other procedures?

Absolutely. A lip lift is often paired with a facelift, neck surgery, or dermal fillers (for the lower lip) to achieve comprehensive facial harmony. During your consultation, we can discuss other facial rejuvenation procedures that align with your aesthetic goals.

Is the result permanent?

Yes. Unlike non surgical options like fillers which dissolve over time, a lip lift permanently removes excess tissue. While the aging process continues, the improvements to your lip appearance and dental show remain long-term.

Does it hurt?

Most patients report that the procedure is well-tolerated with local anesthesia. You may feel pressure, but no sharp pain. Post-op discomfort is usually mild and easily managed with Tylenol or mild pain medication.

Am I a candidate if I have veneers?

Yes. In fact, patients with veneers are often excellent candidates because the procedure reveals the dental investment you’ve already made. Improving tooth show can significantly enhance the brightness of your smile.

Let Your Beauty Shine

Schedule a Consultation

Taking care of yourself is about more than just annual check-ups and eating right. You also want to preserve your ability to look and feel your best. If you feel like you have an area that you want to improve through plastic surgery, schedule a consultation with Dr. Kerolus. She will make sure you find the right treatment for your best results.

1218 West Paces Ferry Road Northwest, Suite 108, Atlanta, GA 30327

(404) 233-3937

Lip Lift