LAM FACIAL PLASTICS

I got an unknown substance injected into my lips in a salon years ago, and since then I have had 2 lip reduction surgeries to correct it. I am happy with the shape of my lips now, however the skin above the upper lip sticks out much farther than the actual lip itself. It is especially noticeable when I smile. I already had two lip reductions, but the top of the upper lip is still too puffed out. It is way bigger than the lip itself, and looks unnatural. How do I correct this? I have enclosed pictures. If anyone can offer advice I would appreciate it; thank you!

even though i do a lot of lip reductions, your situation lies beyond my scope of expertise for two reasons:
1. the lip outside of the red lip is very hard to reduce. i cannot do that without risk of scarring.
2. your incision sits right at the mucosal and skin edge meaning that if i made my incision anywhere else you may have a flap loss or loss of blood supply.
this is not an easy one. i am sorry.

Thank you for the answer. Would a lip tuck work instead, just to push the red part out more?

personally i would say absolutely no. i would be opposed to that. i don't have a great answer for you. so sorry.