LAM FACIAL PLASTICS

by **Joey** » Mon Oct 04, 2010 9:44 am

Hi Dr,

I wish i had of read your comments on lip lifts. I definitely would not have decided on going ahead. I have been quite devastated. I had the bull horn lip lift procedure about 8 weeks ago now. The middle part if the lip has been pulled up and the sides have been left to droop.it has given an exaggerated cupids bow. When I open my mouth it is very angular due to the middle of the lip. The dr gave me a unit of Botox last week on the sides in an attempt to give the sides a little lift. Dr I really need some advice. I am not in the states and wish I had the money to get on a plane and come see you. Is there a way I can get the upper lift mote straight across as opposed to angular? If so can it be done without surgery, using a filler perhaps? I do not want to add any volume to the lip what so ever. I know it will be impossible to get the lip straight across but I really want to do something as it looks like a duck beak side view and wierd front on as the sides droop. Please Dr let me know what my options are. Again I wish I had of read your thoughts on lip lifts.

by **dr. lam** » Tue Oct 05, 2010 6:28 am

give it time to settle. if it does not in the next few months or so then unfortunately the only way that i know to make it look better is to perform a lip reduction. i typically take more from the center so that it looks less like a duck. don't know if that will help with what you are talking about being angular but it should help the unnatural appearance of the duck portion. sorry to hear that you are not happy with your results.
best,
sml

by **Joey** » Tue Oct 05, 2010 6:53 am

Thanks for your reply dr. The cupids bow is overly prominent and when I open my mouth it looks almost triangular. Can't believe I have to wait months. I was told i would be back at work within a week of the procedure. It was so puffy even after 4 weeks. So there is absolutely nothing I can do in the meantime? For example getting a filler for the corners if the lip to lift them a little so the middle part is not so pronounced? As I said I do not want more volume on the upper lip at all. Just a lift on the corners.

Thanks again dr

by **Joey** » Tue Oct 05, 2010 6:58 am

Sorry to be a pain dr I forgot to ask
You about getting the swelling down. I know it's been 8 weeks but anything to help bring the swelling down would be great. I was not given any medication for that.

by **dr. lam** » Tue Oct 05, 2010 11:17 am

hi,
i make it a point not to intervene in the postoperative care of a patient that is under the care of another physician. when you are done with healing, i can begin a new relationship with you if you should need that. sorry about not commenting further about your recovery.
best,
sml

by **Joey** » Tue Oct 05, 2010 5:21 pm

I apologise dr for making you feel as I am trying to involve you. Basically wanted another opinion as I am overseas and unable to see you in person. Basically just wanted to know if something can be done to reduce the swelling even though it's 8 weeks post op? A steroidal medication. Again am just looking at my options and only asking for your opinion.

Thanks again

by **dr. lam** » Tue Oct 05, 2010 10:53 pm

in general, when all is considered well healed, lymphatic massage can help but you should ask your physician and trained lymphatic massage therapist to determine if it is appropriate for you.
best,
sml

by **jonie sue** » Mon Oct 11, 2010 3:52 pm

Many years ago, I went to Doctor in NYC (I live in Missouri) for a facial and he talked me into upper lip injections.

Over the years, my upper lip started to droop down a lot of the left side and upper middle and very little on the right side Three weeks ago I had a lip reduction to correct this. I am not pleased. The left side and top middle still hang down (just not as much). The right side looks great. However, puzzled why Doctor took a little tuck where one was not needed in upper right side.

I have been told to allow 3 months for healing. However, I don't believe this will change. When I went to have the follow-up, the doctor was not there, I requested an another appt with the Doctor. Made an appt Nov 8th, but now afraid to let this Doctor do more to this very uneven lip. May be looking for new Doctor - interested?

by **dr. lam** » Mon Oct 11, 2010 4:13 pm

at 3 weeks your doctor is right. it is too early to decide. many of my lips that look not quite right start to look better and better over time. please give it time. if things are not where you want them to be several months from now, i will consider having you as a patient.
best,
sml

by **Margo999** » Sat Oct 16, 2010 2:49 am

Lip upper lift seems like quite easy surgery to realise, though I see a number of complains about the results on many Internet Sites....
I don't know what to think about ... :roll:

I live in France, and very interested in lip upper lift, but they don't do it here,
because french ladies fear a lot of scars on the face...
I guess i will be obliged to have USA trip to do my lip lift by american surgeon

For now I am searching for any Info about Lip upper lift.

by **dr. lam** » Sat Oct 16, 2010 6:58 am

as you probably have noted in my feelings, the only time a lip lift can look good are as follows:
1. much older woman (typically 60 plus) with very thin upper lip. most women think their lips are too thin but they are not because when they move their fingers upward they think that is how the result will look but typically it looks overdone much more than the fingers can convey.
2. a full bottom lip to support the size of the upper lip. people forget that the upper lip not only shows more red but becomes slightly more protuberant that may not match the bottom lip.
in short, most of these techniques are way overdone even when it is subtly performed.
3. a scar despite the best efforts can be visible so that should be known.

if there is a choice of technique the subnasal (below the nose) lip lift is 100x better than the lip advancement technique (cut at the border of the lip) that leads to much more noticeable scarring if you do not wear lipstick.
best,
sml

by **Joey** » Mon Oct 18, 2010 9:31 pm

Hi dr

It is now 10 almost 11 weeks since the bullhorn lip lift. The sides have now drooped and middle still pronounced. I know it should be given time but I really do not believe it is going to get better. I do not really want any more volume in the upper lip, but can I somehow lift the sides of my mouth with a filler? The dr did give me a unit of Botox in the muscle said to pull down the corners. That was 2 weeks ago and hasn't really helped. Please tell ke there is something I can do. The way it looks now is unnaceptable and it's now almost 3 months.

by **dr. lam** » Mon Oct 18, 2010 10:21 pm

it is very hard to lift the sides. the best thing to do is to reduce the central red lip via a lip reduction to make it look less like a duck. that is why i am so very very very very selective in the person getting a lip lift. give it time. if it does not settle, lifting or adding more to the sides will only make the lip look even more pronounced. the trick is to try to diminish the lip back to where it was or at least halfway there.
best,
sml

by **Joey** » Mon Oct 18, 2010 10:25 pm

Thanks dr,

Wish that it could be a quicker fix. I am devastated. Is it too early for a lip reduction? Can I send you a pic? If you have a private email address

by **Joey** » Mon Oct 18, 2010 10:29 pm

Also Dr, if you do reduce the middle what happens to the sides that are drooping?

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