A lip lift is a relatively small operation, but it has specific risks. The most important is the scar under the nose, which can occasionally widen, thicken or remain visible. Other risks include asymmetry, over- or under-correction of lip height, changes to the shape of the nostrils, altered sensation, infection and bleeding. Careful assessment, precise design and good aftercare aim to reduce these risks.
General risks
- Bleeding: minor oozing is common; significant bleeding is uncommon and usually controlled with pressure.
- Infection: the area around the mouth has a good blood supply, but infection can occur and may need antibiotics.
- Anaesthetic: most lip lifts use local anaesthetic, which avoids the risks of general anaesthesia; if sedation or general anaesthetic is used, these risks are discussed separately.
- Blood clots: the risk is low with short procedures under local anaesthetic, but walking soon after surgery is still encouraged.
The scar
The incision follows the base of the nose, where it meets the upper lip, usually in a shape resembling a bullhorn. In most people it matures into a fine line that is hard to see. However, scars can widen if the closure is under tension, become raised or red, or sit slightly outside the natural crease. People with darker skin or a history of thick or keloid scars have a higher risk. Precise design, a layered closure and diligent scar care help to minimise these problems.
Asymmetry and lip height
No lip is perfectly symmetrical to begin with, and slight differences can become more noticeable after surgery. Removing too little skin may produce only a subtle change, while removing too much can shorten the lip excessively, causing too much upper tooth or gum show, or difficulty closing the lips comfortably. Over-correction is harder to fix than under-correction, which is why a conservative approach is preferred. Mr Nassab measures lip length, tooth show and lip closure carefully when planning.
Nostril and nose changes
Because the incision runs along the base of the nose, the nostril sills can be widened, flattened or distorted slightly if the design or closure is not precise. This is uncommon, but it is one reason the procedure should be carried out by a surgeon with expertise in facial surgery. If the nostril base looks different once swelling has settled, minor adjustment can sometimes be considered after the scar has matured.
Sensation and movement
Numbness or tingling of the upper lip is common in the early weeks and usually resolves over a few months. The lip may feel stiff and smiling can feel unusual while swelling settles. Permanent changes to lip movement are rare.
What is normal and what is a concern
Normal: swelling that makes the lip look pouty, tightness, mild bruising, a pink scar and slight asymmetry in the first weeks. Concerning: increasing pain, fever, spreading redness, discharge, the wound opening, or bleeding that does not stop with ten minutes of gentle pressure. Contact the team the same day for signs of infection or a wound opening, and urgently for heavy bleeding or rapidly increasing swelling. Chest pain or breathlessness needs a 999 call.
Reducing your risk
Stop smoking and vaping well before and after surgery, disclose all medicines and supplements, and follow aftercare advice on cleaning, limiting facial movement and sun protection. Be realistic about the scar and discuss your scarring history openly. Revision to adjust a scar or lip height is possible in some cases but is usually delayed until at least 12 months after surgery. Lip lift surgery costs from £4,000 and the £150 consultation is charged separately. Cosmetic surgery is for adults aged 18 and over.
Frequently Asked Questions
Will a lip lift scar be noticeable?
In most people the scar fades into the crease under the nose, but it can occasionally widen or remain visible close up.
Can a lip lift be reversed?
Not easily. Removed skin cannot be replaced, which is why a conservative design is important.
What happens if too much skin is removed?
The lip may show too much tooth or gum, or feel tight. This is difficult to correct, so careful planning is essential.
Can a lip lift change the shape of my nose?
The nostril base can occasionally be altered slightly, which careful design aims to avoid.
Is a lip lift safe under local anaesthetic?
Yes, for most people. Local anaesthetic avoids the risks of a general anaesthetic, and you can usually go home the same day with someone to accompany you.
Who is at higher risk of a poor scar?
Smokers and people with a history of raised or keloid scars are at higher risk.
