in general in many cases, i perform what is known as a trapezoidal reduction, focused on the central region which is oversized. it will also create visual breaks in the lip, i.e., by not reducing the lip by the same amount across the lip, i can make the lip smaller looking than a straight reduction by not making it look like an unbroken tube. sorry hard to explain. it really also depends on your problem. for example, two weeks ago, i focused on the outer portion in a gentleman who had the outer part of his lips overfilled with silicone. so i tailor the shape to the need of the person. for example, a lady i worked on today i reduced only the center part of the lip and for the bottom lip i reduced mainly the sides of the lip because she had bad fat grafting in the past. best, sml
Samuel M. Lam, M.D., F.A.C.S.
Diplomate, American Board of Facial Plastic & Reconstructive Surgery
Diplomate, American Board of Otolaryngology Head & Neck Surgery
Diplomate, American Board of Hair Restoration Surgery