Some of my Houston rhinoplasty patients inquire about a lip lift at the same time as their rhinoplasty. While the combination of a nose job and lip lift has been documented and described in the literature, it is best performed when planning a closed rhinoplasty. With an open rhinoplasty, an incision is usually made in the mid columella (the patch of skin between each nostril). With a lip lift, the incision is made along the base of the nose and passes through the junction of the columella with the upper lip. This leaves a small piece of skin between these two incisions in the columella where the blood supply may be compromised. Some have described performing the open rhinoplasty through the lip lift incision but I feel that closure of the lip lift to the nose under tension may disturb the aesthetics of the nose. Therefore, I feel it is best to perform the lip lift 6-8 weeks after an open rhinoplasty once much of the rhinoplasty healing is complete.
Dr. Funk is a top rhinoplasty surgeon in Houston, Texas.