A bullhorn lip lift is a cosmetic surgical procedure that shortens the upper lip by removing a crescent of skin beneath the nose (the “bullhorn” incision), which elevates the lip and reveals more pink vermilion for a fuller, more youthful smile.

Ideal candidates are adults with a long upper lip, limited visible vermilion, or a gummy smile who want a lasting surgical solution rather than temporary fillers. You should be in general good health and have realistic expectations about scarring and the degree of lift.

A bullhorn lip lift is typically a brief procedure—often 30–90 minutes—and is commonly performed under local anesthesia with sedation or general anesthesia depending on patient preference and the surgical plan.

You’ll see an immediate increase in visible upper-lip vermilion and a shortened upper-lip length right after surgery. Final contour becomes clearer as swelling resolves over days to a few weeks, with the natural appearance settling within several weeks.

The bullhorn incision is placed along the crease beneath the nose where it heals subtly. While any surgical incision forms a scar, refined closure techniques and scar care usually make it low-visibility and well hidden in the natural crease.

Expect mild swelling and soreness for several days. Most patients return to light activities within a few days and feel comfortable in social settings within about 1–2 weeks; strenuous activity is usually delayed per your surgeon’s instructions.

Results are permanent because the procedure alters the lip-to-nose relationship. Future changes from ageing occur naturally, but repeated surgical lifts are uncommon; permanent results mean no ongoing filler maintenance for this specific concern.

Yes—lip lifts are often combined with rhinoplasty, facelift, blepharoplasty, or injectable treatments to harmonize overall facial balance. Your surgeon will recommend a coordinated plan based on your goals.

Risks include temporary swelling, numbness, infection, or visible scarring. Risks are minimized by careful patient selection, experienced surgical technique, proper wound care, and following pre/post-op instructions provided by your board-supervised surgical team.

For the consult bring your medical history and photos of desired lip outcomes. To prepare for surgery: stop smoking, avoid blood-thinning medications/supplements as instructed, arrange transport and aftercare, and follow any pre-op testing or fasting guidelines your surgeon provides.