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How nose tip affects the appearance of upper lip

How nose tip affects the appearance of upper lip

Postby Mike_eu » Wed Apr 27, 2011 2:59 am

Hey guys,

I have been thinking for a while about the fact that most of the time upper lip looks different after rhinoplasty. For example in my case during primary rhinoplasty my nose was made so small and underprojected and it seemed like an upper part of the lip somehow moved backward.

Also when I look at pictures of some rhino patients it is really notieceable. What is more interesting is that it seems that when you add tip projection during revision rhino for example, upper lip moves forward to its original position and it has an attractive shape again. So I am just asking is it illusion or is really upper part of upper lip somehow connected with tip and when you alter one it is going to change the other?

For better understanding I am also including two pictures of patients I found on internet. One is from Gunter's website and the second from Rollin Daniel's website. Both women as you can see before surgery had kinda underprojected noses which were very smooshed to their faces. And when you look at the upper part of upper lip it is totally displaced back into their faces and upper part of lip is more backward then bottom part of her lip (hope it makes sense). But when you look at after pics the upper part of upper lip is about the same level as bottom part of their upper lip and it creates that nice shape. And I think we all must agree that it looks much better after.

Also in patient information below the first picture, Gunter says: "The increased projection has resulted in the junction of the nose with the upper lip to be brought forward giving it a more natural look."

So basically when you add projection it is going to move upper lip forward too right? I hope I did not make it too complicated :) I know a lot of people have been experiencing this problem after rhinoplasty so this might be helpful.
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Re: How nose tip affects the appearance of upper lip

Postby ced02286 » Wed Apr 27, 2011 7:24 am

yes it most certainly does affect the upper lip. When my tip was lifted it made my upper lip look way longer (not very attractive). My columella was tucked in too which is also the reason my lip looks longer. It took me the longest time to figure it out (I looked different it pictures). There is a surgery called lip lift I believe which can make the appearance of the upper lip look shorter but I dont think I would ever have something like that done, my primary didnt go so well so I dont need another issue with my face..
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Re: How nose tip affects the appearance of upper lip

Postby jimmy7 » Wed Apr 27, 2011 7:48 am

Hmm, interesting Mike! It's something I actually wanted to happen with both my primary and my revision (tip and top part of upper lip pushed backwards more into my face) but every surgeon I asked about it said I was dreaming and that I didn't understand the processes involved. Seems that some of them don't either ;).
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Re: How nose tip affects the appearance of upper lip

Postby AnnieBeansprout » Wed Apr 27, 2011 8:45 am

I had a lip lift and it actually does make the upper lip shorter (rather than just the appearance of it). They cut a strip of skin out directly underneith your nose, and pull your lip up. In doing so, the top lip will kind of flip out a bit for more "red show" of your lip, as well as more tooth show.

Jimmy, I like that look better myself as well (to a point). I don't like the flat look as much if I had to choose between the two.
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Re: How nose tip affects the appearance of upper lip

Postby CalvesBrah » Wed Apr 27, 2011 9:03 am

I also rotated my tip upward. Whats aesthetically wrong with a loger upper lip? Is it less feminine ?
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Re: How nose tip affects the appearance of upper lip

Postby AnnieBeansprout » Wed Apr 27, 2011 11:09 am

Well, on some women it might tend to give them a more masculine appearance, but I think that is more dependent on the rest of the facial features as well. The longer lip distance alone would probably not do it.

It basically comes down to facial balance. As we age the distance between our lip and nose increases, so those of us in that situation may find that reducing this distance can take years off the face, although the average Joe has no idea that it is the lip lift that did it.

However, it is more than just the distance. As we age and the distance increases, our top lip kind of falls inward, showing less "red" and therefore, looking thinner. The red show is under there if you lift your lip up, but it is not seen. (This on top of volume loss...double whammy).

As well may start to cover up the teeth completely when in repose.

In my case, I didn't care much about the distance but I wanted more red show as well as I wanted teeth show again.

You will notice that in these modern times of the "lips" that almost all models and most younger celebrities are going to have good teeth show, fuller top lip and a short nose to lip ratio. Too short and the look can be rather rabbity, so too much of a good thing not a good thing. If you have a very thin upper lip yet a short nose to lip ratio, it can still look good, as with fuller lips and a further distance can look good. Balance is key here again.

Many beautiful people, men and women alike, have longer lip distance. Elizabeth Taylor did even in her younger years. She pulled it off great as it held fine with the balance of her face, and even with the distance she still had tooth show and a nice upper lip.

This is not a "one size fits" all fix. In my case, while I'm certainly happy I have some tooth show, I now feel it has made my chin look too long! :shock: I think my face was more balanced before.


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Re: How nose tip affects the appearance of upper lip

Postby jeanneban » Wed Apr 27, 2011 12:01 pm

Dr. Menick told me the an often unwanted side effect of a reduction rhino is a longer lip to nose ratio. This looks horrible on me as I have a long face. I am not a candidate for a lip lift as I have a gummy smile with a lot of tooth show.
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Re: How nose tip affects the appearance of upper lip

Postby Mike_eu » Wed Apr 27, 2011 12:42 pm

I see what you all mean but this thread is basically not about lenght of upper lip which of course gets longer when you shorten nose vertical length but about the shape of upper lip.

If you look at those pics the length(distance between tip and lip) is the same. However the projection (how nose sticks out from the face) is different and it totally changes the shape of upper lip.
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