Facial Rejuvenation with Precision: Lip Lift Surgery in Raleigh

Dr. Zenn's career has centered on the fine detail work of facial surgery. After completing a plastic surgery residency at Harvard's Massachusetts General Hospital and a fellowship in Facial and Breast Plastic Surgery at Memorial Sloan-Kettering Cancer Center, he co-directed Duke University's Facial Reanimation Program, where he specialized in restoring natural facial movement and expression. That same precision now guides his approach to lip lift surgery in Raleigh, where a millimeter of skin removed in the wrong place can flatten a smile, and a millimeter removed correctly can restore it.

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What Is a Lip Lift?

A lip lift is a surgical procedure that shortens the vertical distance between the base of the nose and the top of the upper lip, known as the cutaneous lip. During the procedure, Dr. Zenn removes a thin strip of skin from just beneath the nose and carefully closes the incision, which draws the upper lip upward and reveals more of the pink lip tissue, or vermilion. As the American Society of Plastic Surgeons has noted, aging causes the upper lip to grow longer and looser, sometimes referred to as a "long lip," which leaves less of the upper teeth visible when a patient smiles. Facial plastic surgeon Rod Rohrich has gone so far as to call the lip lift the missing link in facial rejuvenation, since mature patients with a long lip often cannot show their upper teeth well when they smile. A 2021 study published in PubMed similarly found that the subnasal lip lift technique reliably shortens the elongated upper lip and increases vermilion show, with most patients retaining a meaningful portion of that improvement years after surgery. This is a different problem than thin lips, which is why a lip lift accomplishes something dermal filler cannot: it repositions the lip rather than adding volume to it.

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Benefits of a Lip Lift

  • Patients choose lip lift surgery in Raleigh with Dr. Zenn for a number of reasons:
  • Permanent results that don't require the ongoing maintenance of injectable filler
  • A more youthful ratio between the nose, upper lip, and teeth
  • Increased vermilion show without adding unnatural volume to the lips
  • A subtly rejuvenated smile that photographs and moves naturally
  • A shorter, well-defined Cupid's bow
Woman touching the sides of her face

Am I a Candidate for a Lip Lift in Raleigh?

Good candidates for a lip lift are typically patients who have noticed their upper lip growing longer or thinner-looking with age, and who show less of their upper teeth when they smile or speak than they did years ago. This is fundamentally a positional change in the lip, not a volume loss, so candidates are usually not seeking a fuller lip in the way a younger patient pursuing lip filler might be. Because a long lip tends to develop gradually over decades, most candidates for a lip lift in Raleigh are in their 50s, 60s, or older, and many are already exploring other forms of facial rejuvenation.

Combining a Lip Lift with a Facelift

Dr. Zenn frequently performs a lip lift in conjunction with a facelift rather than as a stand-alone procedure. A facelift addresses sagging and volume loss in the mid-to-lower face and neck, but it does not shorten the upper lip or restore lost tooth show. Left untreated, an elongated upper lip can make an otherwise excellent facelift result look incomplete, since the lower half of the face has been rejuvenated while the mouth still reads as older. 

By pairing the two procedures in a single operation, Dr. Zenn is able to address the full lower face at once, so the results of the facelift and the lip lift complement one another rather than competing for attention. Patients considering a facelift in Raleigh who have also noticed a longer, thinner-looking upper lip are encouraged to raise both concerns during their consultation.

Why Choose Dr. Zenn for a Lip Lift in Raleigh?

  • Dr. Zenn is board-certified by the American Board of Plastic Surgery and has been named one of America's Best Plastic Surgeons by Newsweek in 2021, 2022, 2023, and 2024
  • He is recognized as a Castle Connolly Top Doctor for cosmetic surgery
  • His training includes a Harvard plastic surgery residency and a facial surgery fellowship at Memorial Sloan-Kettering Cancer Center
  • He has spent nearly 30 years focused on complex facial, breast, and body surgery, including a 17-year career at Duke Plastic Surgery
  • His approach favors subtle, natural-looking results over an obviously surgical appearance, which is especially important in a procedure performed close to the nose and mouth
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What to Expect from Lip Lift Surgery

Consultation and Cost of a Lip Lift

During your consultation, Dr. Zenn will examine the proportions of your upper lip, measure the amount of skin to be removed, and discuss whether a lip lift alone or in combination with a facelift or other facial procedure will best meet your goals. Because every patient's anatomy and treatment plan are different, the cost of a lip lift in Raleigh varies from patient to patient. Dr. Zenn will provide a personalized quote after your evaluation, and his office offers financing options through CareCredit and Alphaeon Credit to make treatment more accessible.

The Lip Lift Procedure

Lip lift surgery is typically performed under local anesthesia or light sedation as an outpatient procedure. Dr. Zenn makes a carefully placed incision at the base of the nose, removes a precisely measured strip of skin, and closes the incision with fine sutures designed to minimize visible scarring as it heals and fades into the natural shadow beneath the nose. The entire procedure generally takes less than an hour.

Recovery and Results Timeline

Most patients experience mild swelling and bruising for the first week after a lip lift, with sutures typically removed around five to seven days after surgery. Many patients feel comfortable returning to normal social activities within one to two weeks, once initial swelling has subsided. As with any incision, the scar beneath the nose will continue to soften and fade over the following months, and the improved lip position is considered permanent.

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Types of Lip Lift Techniques

Several surgical approaches exist for lifting the upper lip, and Dr. Zenn will recommend the technique best suited to your anatomy and goals during your consultation:

  • Subnasal (bullhorn) lip lift — the most common approach, in which an incision shaped like a bullhorn is placed at the base of the nose to lift the entire upper lip evenly
  • Central lip lift — a smaller incision limited to the center of the lip, used to lift the middle portion primarily without emphasizing the corners of the mouth
  • Corner lip lift — targets the corners of the mouth specifically, often used to address a downturned smile rather than an elongated cutaneous lip
Woman touching her chin

Alternatives to a Lip Lift

Not every patient is ready for surgery, and Dr. Zenn offers non-surgical options as well:

  • Lip Augmentation with Filler — hyaluronic acid filler adds volume and can soften lip lines, though it does not shorten an elongated upper lip or restore lost tooth show the way a lip lift can
  • Facelift — addresses sagging in the mid-to-lower face and neck and is commonly combined with a lip lift for comprehensive facial rejuvenation
  • Facial Fat Grafting — restores lost volume elsewhere in the face using the patient's own fat

Lip Lift FAQ

Is a lip lift painful?

Will a lip lift leave a visible scar?

What are the risks of a lip lift?

How long do lip lift results last?

Can a lip lift be combined with other procedures?

How is a lip lift different from lip fillers?

Is a lip lift painful?

Most patients report only mild discomfort during recovery, comparable to the sensation of a bruise or mild pulling near the incision. Dr. Zenn will discuss anesthesia and pain management options during your consultation.

Will a lip lift leave a visible scar?

The incision is placed at the base of the nose, in a location that naturally hides most scarring within the shadow created by the nose. With proper healing, most scars become difficult to notice within several months.

What are the risks of a lip lift?

As with any surgical procedure, risks can include infection, asymmetry, an unnatural appearance if too much skin is removed, and changes in lip sensation, most of which are temporary. Choosing an experienced, board-certified surgeon like Dr. Zenn significantly reduces these risks.

How long do lip lift results last?

Results from a lip lift are considered permanent, since skin is surgically removed rather than temporarily filled or plumped. Continued natural aging can still occur over time, but the improved lip position achieved by surgery does not reverse the way filler does.

Can a lip lift be combined with other procedures?

Yes. A lip lift is frequently combined with a facelift, chin augmentation, or rhinoplasty to create balanced, comprehensive facial rejuvenation in a single recovery period.

How is a lip lift different from lip fillers?

A lip lift is a one-time surgical procedure that repositions the upper lip and increases vermilion show permanently. Lip fillers are a non-surgical, temporary treatment that adds volume to the lips and must be repeated every six to eighteen months to maintain results.

Schedule Your Lip Lift Consultation in Raleigh

If your upper lip has grown longer or thinner-looking over the years, Dr. Zenn can help you determine whether a lip lift, a facelift, or a combination of the two is the right path forward. Contact Zenn Plastic Surgery today to schedule your private consultation.


This information is provided for educational purposes only and does not replace a consultation with a board-certified plastic surgeon. Outcomes, risks, and suitability vary from patient to patient.

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