What is Lip Lift Surgery?

Despite the importance of the lips in the aesthetics of the face as a whole, they are often not given the importance they deserve when considering facial rejuvenation. There is a tendency to treat the lips only with fillers or neuromodulators, when they can benefit from certain surgical techniques.


Today, we have two lip rejuvenation techniques available, which are the Lip Lift (indirect lip lift) and the vermilion advancement or direct lip lift.

Types of Surgery

Lip Lift
The lip lift is intended to shorten the length of the lip that is too long. That is to reduce the distance between the subnasal and vermilion point. At the same time it rotates the vermilion outward, increasing its thickness. Depending on the lip lift design, we reduce not only the central area of the lip but also the lateral area. The incision is hidden in the alar sulcus of the nose and inside the nostrils. The stitches are removed after 7 days. The scar is practically imperceptible in this area and the result is immediate.

Vermilion or direct lip lift advancement
In this design, 2-3 mm of skin adjacent to the vermilion is removed, advancing the vermilion outward. The scar is concealed in the alba line of the lip. It is indicated when the lip length is normal but the amount of exposed vermilion is scarce and the lip is too thin. The sutures used are very fine and magnifying glasses are needed to see them. The stitches are removed after 7 days. The scar is practically imperceptible in this area and the result is immediate.

Surgical Steps

We perform a static and dynamic facial evaluation, looking at the mobility of the upper lip when smiling, measuring its length (ideally 13 mm from subnasal to vermilion) as well as evaluating the thickness of the vermilion.

Both direct lip lift and vermilion advancement (indirect lp lift) are surgeries that can be performed under local anesthesia if performed as the only surgery. They are often part of an overall facial rejuvenation, and are performed in conjunction with a facelift and blepharoplasty. In such a case we usually recommend intravenous sedation as an anesthetic technique.

Frequently Asked Questions About Lip Surgery

We perform lipofilling (filling with the patient’s own fat), lip lifts (shortening the distance between the nose and the lip), lip reduction when there is excess mucosa, and follow-up visits for previous surgeries. At Clínica Birbe in Barcelona, we always prioritize a natural-looking result that is in harmony with the rest of the face and respects each patient’s individual expression.

With a lip lift, the scar is hidden at the base of the nose, where it is very well concealed. With lipofilling, there are no visible incisions. In lip reduction surgery, the scar is located on the inner mucosa and is not visible when smiling. Meticulous technique and postoperative care are key to a natural-looking result.

Hyaluronic acid fillers provide temporary volume (usually lasting between 6 and 12 months) and do not alter the shape of the lips. Surgery allows for lasting structural changes: altering the length, projection, or contour of the lip. The choice depends on the patient’s goals, which we assess during a no-obligation consultation.

Inflammation is at its peak during the first 3 days and decreases significantly starting in the first week. The final shape becomes apparent between 6 and 8 weeks, when the tissues have fully settled. We recommend a soft diet at first, careful oral hygiene, and avoiding strenuous activity and direct sun exposure during the first few weeks.

Dr. Joan Birbe: Lip Surgery Based on the ABOMS Holistic Facial Approach

Surgically altering the shape of the lips requires an understanding of how they relate to the teeth, gums, chin, and nose. Dr. Birbe’s ABOMS certification ensures this holistic approach: every lipectomy, upper lip lift, or reshaping procedure is designed with the overall facial proportions in mind, aiming for an expressive smile and lip contours that harmonize with the rest of the face.

Why get lip treatments at Clínica Birbe?

The lips are a focal point of facial expression. Designing them through surgery requires careful planning and honesty in the proposal.
• Photographic study and dental-labial analysis to determine the appropriate proportion.
• Various surgical techniques (upper lip lift, V-Y, bullhorn) selected on a case-by-case basis.
• Scars hidden in areas that are concealed by the natural contours of the lip or nose.
• Coordination with the aesthetic medicine department when evaluating an option involving fillers.
• Frequent reviews to monitor the progress of the project.


Schedule an appointment at Clínica Birbe Barcelona, and let’s work together to create the lip contour you’re looking for.

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