Facial Plast Surg
DOI: 10.1055/a-2622-3141
Original Article

Lip Reduction

Adrees A. Basharmal
1   Tina Ho MD Facial Plastic Surgery, Wayne, Pennsylvania
,
Thuy-Van Tina Ho
1   Tina Ho MD Facial Plastic Surgery, Wayne, Pennsylvania
› Author Affiliations
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Abstract

Aims and Background

This study discusses the surgical technique and the ideal candidates for lip reduction as well as highlights the low-risk, yet efficacious nature of this in-office procedure.

Historical Aspects

Lip augmentation procedures such as hyaluronic acid fillers and lip lift surgery are the most common cosmetic lip treatments; however, lip reduction is growing in popularity.

Anatomy

The lips are highly vascularized and sensitive tissue supplied by the superior and inferior labial arteries and innervated by the trigeminal nerve.

Patient Selection

Patients may be ideal candidates for lip reduction surgery if they possess a large upper and/or lower lip and desire decreased lip volume and projection.

Techniques

The senior author's surgical technique entails marking an elliptical incision along the wet–dry border, excising the mucosal tissue en bloc, and closing the wounds following the rule of halves.

Postoperative Care

Patients are instructed to follow a soft diet for 1 week and activity restrictions for 2 weeks as well as to frequently apply Aquaphor or Vaseline to the wounds.

Conclusion and Clinical Relevance

Lip reduction surgery is a cosmetic procedure intended to decrease lip size and projection. Lip reduction is a safe and relatively quick in-office procedure that is associated with minimal downtime.



Publication History

Accepted Manuscript online:
28 May 2025

Article published online:
12 June 2025

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