Subnasal “Bullhorn” Lip Lift
by Dr. Jacobson

The lips play a central role in facial balance, expression, and youthfulness. Over time, natural aging can cause the upper lip to elongate, thin, and rotate inward, changing the overall harmony of the lower face.

At Jacobson Cosmetic Surgery in Lincoln, Nebraska, Dr. Jacobson performs lip lift surgery—often referred to as a subnasal lip lift or “bullhorn” lip lift—to restore youthful lip proportions and improve the relationship between the nose, lips, and smile.

A lip lift shortens the distance between the nose and upper lip while gently rotating the lip outward. This structural adjustment enhances lip shape, improves tooth show, and creates a more balanced and refreshed appearance.

Unlike temporary lip fillers, a lip lift addresses the underlying position of the lip, creating a natural and lasting improvement in facial harmony.

This procedure can be performed under local anesthesia while awake, though it is often performed under general anesthesia for comfort, particularly when combined with other facial procedures.

The result is a subtle yet meaningful refinement of the upper lip and lower facial balance.

Lip Lift Surgery

What Does a Lip Lift Treat?

As we age, the philtrum (the space between the base of the nose and the top of the upper lip) naturally lengthens. This change can alter lip shape and reduce tooth visibility when smiling.

A lengthened philtrum can cause the upper lip to:

  • Turn inward
  • Appear thinner
  • Cover the upper teeth when smiling
  • Lose definition along the vermilion border

Lip lift surgery is designed to restore youthful proportions to the lower face.

A lip lift can improve:

  • A long philtrum (increased distance between the nose and lip)
  • Limited upper tooth show when smiling
  • An upper lip that appears thin or rolled inward
  • Loss of lip definition
  • Imbalance in the lower third of the face

By shortening the philtrum and gently everting the lip outward, a lip lift restores natural lip shape, tooth show, and facial harmony.

Dr. Jacobson’s Anatomy-Based Approach
to Lip Enhancement

At Jacobson Cosmetic Surgery, lip procedures are approached with a focus on facial balance and structural harmony, not simply increasing lip volume. A lip lift improves the position and structure of the upper lip, rather than adding temporary fullness.

During consultation, Dr. Jacobson carefully evaluates:

01

Philtrum length

02

Lip shape and vermilion show

03

Tooth show at rest and with smiling

04

The relationship between the nose, lips, and chin

This detailed assessment ensures that lip lift surgery enhances the natural proportions of the face without creating an artificial or overfilled appearance.

The Subnasal “Bullhorn” Lip Lift Technique

The Gold Standard Technique

The subnasal bullhorn lip lift is widely considered the gold standard technique for lip lift surgery. This method allows for precise lifting of the upper lip while keeping the scar discreetly hidden beneath the base of the nose.

01

The Incision

A carefully designed incision is placed directly beneath the base of the nose, following the natural curves of the nostrils and columella.

This incision pattern resembles the shape of a bullhorn, which is how the technique earned its name.

Because the incision sits within the natural shadow at the base of the nose, it typically heals in a very discreet location.

02

The Lift

A small, precisely measured strip of skin is removed. This shortens the philtrum and allows the upper lip to gently rotate upward and outward.

This adjustment can:

  • Increase upper lip visibility
  • Improve tooth show
  • Enhance lip shape and contour

Even small changes in this area can significantly improve facial balance and expression.

03

Structural Support & Layered Closure

Dr. Jacobson reinforces the lift by supporting the deeper tissues rather than relying on the skin alone. By securing underlying structures, the lift is stabilized at a structural level.

This deeper support helps:

  • Maintain a smooth, natural lip contour
  • Preserve natural facial expression and movement
  • Reduce tension on the skin closure
  • Support improved scar healing

Once the lift is precisely positioned, the incision is meticulously closed in multiple layers using ultra-fine sutures. This layered closure technique distributes tension beneath the skin and allows the surface incision to heal with minimal stress. Because the incision is placed along the natural contour beneath the nose, the scar typically blends into the subtle shadow at the base of the nostrils as it matures.

Lip Lift vs Lip Filler

While dermal fillers can temporarily increase lip volume, they do not address structural changes such as a long philtrum or lip inversion. Understanding the difference helps patients choose the treatment best suited to their goals.

For patients with a long philtrum, a lip lift often produces more natural and lasting results than repeated filler treatments.

Temporary Option

Lip Filler

  • Adds temporary volume
  • Requires maintenance treatments
  • Does not shorten the philtrum
Structural Solution

Lip Lift Surgery

  • Shortens the philtrum
  • Improves tooth show
  • Rotates the lip outward
  • Creates permanent structural improvement

Who Is a Good Candidate for Lip Lift Surgery?

You may be a good candidate for a lip lift in Lincoln, Nebraska if you are healthy and a non-smoker who is looking for a lasting structural improvement to the upper lip and lower face.

A consultation with Dr. Jacobson will determine whether a lip lift is the most appropriate treatment for your facial anatomy and aesthetic goals.

  • Have a long philtrum
  • Notice your upper lip turning inward with age
  • Show little or no upper teeth when smiling
  • Want a more youthful upper lip shape
  • Prefer a permanent structural solution instead of fillers
  • Are healthy and a non-smoker

Lip Lift Downtime & Recovery

Lip lift surgery is typically a short outpatient procedure. Most patients return to normal activities within 7–10 days.

~1 Hour

The Procedure

Local or general anesthesia – Outpatient

Days 1-5

Early Recovery

Presentable in public

~1 Week

Suture Removal

Sutures removed at approximately one week

7–10 Days

Return to Routine

Return to work and social activities

6–12 Months

Final Results

Gradual fading – Scars increasingly discreet

Early Recovery (Weeks 1-2)

Most patients experience:

  • Swelling
  • Mild bruising
  • Tightness in the upper lip

Swelling is typically most noticeable during the first 3–5 days. Sutures are typically removed approximately one week after surgery. Most patients return to work and social activities within 7–10 days.

Scars & Incisions

Although the incision is external, it is carefully placed within the natural crease beneath the nose, allowing it to remain discreet once healed.

With proper healing and scar care:

  • The scar typically fades well over time
  • It becomes increasingly difficult to detect

Scar maturation continues gradually for 6–12 months. With careful surgical technique and proper post-operative care, the incision generally fades well over time and becomes increasingly discreet.

Face Before & After Gallery

“Natural Results —
Never Overdone.”

A well-performed lip lift enhances the lips without making them appear artificial.

Dr. Jacobson’s goal is to create:

  • A more youthful lip position
  • Natural tooth show
  • Balanced facial proportions
  • Soft, refined lip contours

The result is a subtle but beautiful improvement in facial harmony.

About You at Jacobson Cosmetic Surgery

Why Choose Dr. Jacobson for Lip Lift Surgery?

Patients choose Jacobson Cosmetic Surgery in Lincoln, Nebraska for advanced facial aesthetic expertise, precise surgical technique for discreet scars, a structural approach to facial harmony, and natural-looking results that avoid the “overdone” appearance.

  • Advanced facial aesthetic expertise
  • Precise surgical technique for discreet scars
  • Structural approach to facial harmony
  • Natural-looking results that avoid the “overdone” appearance
  • Concierge-level care from consultation through recovery

Lip Lift FAQs

A lip lift is a surgical procedure that shortens the philtrum — the distance between the nose and upper lip — and gently rotates the upper lip outward. This creates a lasting structural improvement in lip position, tooth show, and lower facial balance. Unlike lip fillers, which add temporary volume through injection, a lip lift addresses the underlying anatomy of the lip. Fillers require ongoing maintenance and cannot correct a long philtrum or lip inversion. For patients whose primary concern is the shape and position of the upper lip rather than volume alone, a lip lift typically produces more natural and longer-lasting results.

The incision for a subnasal bullhorn lip lift is placed directly beneath the base of the nose, following the natural curves of the nostrils and columella. Because the incision sits within the natural shadow at the base of the nose, it typically heals in a very discreet location. Dr. Jacobson closes the incision in multiple layers using ultra-fine sutures, which helps distribute tension and supports better scar healing. With careful surgical technique and proper post-operative care, the scar generally fades well over time and becomes increasingly difficult to detect. Scar maturation continues gradually for 6–12 months.

The amount of lifting is precisely measured during surgery and customized to each patient’s anatomy and aesthetic goals. Dr. Jacobson evaluates philtrum length, lip shape, vermilion show, tooth show at rest and while smiling, and the relationship between the nose, lips, and chin before determining the appropriate degree of correction. The goal is always a refined, proportionate improvement — not an exaggerated or artificial appearance. A well-performed lip lift should enhance the lips in a way that looks natural and in harmony with the rest of the face.

Yes. A lip lift is commonly performed alongside other facial procedures such as a facelift, blepharoplasty, or chin surgery, contributing to a more comprehensive improvement in lower facial balance and overall facial harmony. In these cases, the procedure is typically performed under general anesthesia for comfort. During your consultation, Dr. Jacobson will discuss whether combining procedures is appropriate for your anatomy and goals.

Lip lift surgery is an outpatient procedure that typically takes approximately one hour. Most patients experience swelling, mild bruising, and tightness in the upper lip during the first week, with swelling most noticeable during the first 3–5 days. Sutures are typically removed at approximately one week. Most patients are comfortable returning to work and social activities within 7–10 days. The incision will continue to mature and fade gradually over 6–12 months.

Ideal candidates for a lip lift are healthy, non-smoking adults who have noticed an increase in the distance between the nose and upper lip with age, have a lip that appears thin or rolled inward, show little or no upper teeth when smiling, or prefer a lasting structural solution over temporary filler treatments. A consultation with Dr. Jacobson will assess your philtrum length, lip shape, tooth show, and overall facial anatomy to determine whether a lip lift is the most appropriate treatment for your goals.

Serving Lincoln and Surrounding Nebraska Communities

If you’ve noticed changes in your upper lip shape or feel the distance between your nose and lip has lengthened over time, lip lift surgery may offer a beautiful and lasting improvement in facial balance. A personalized consultation with Dr. Jacobson at Jacobson Cosmetic Surgery in Lincoln, Nebraska will determine the best approach for your facial anatomy and aesthetic goals. Schedule your consultation today.

Related Procedures

Patients considering a facelift may also be interested in these complementary procedures:

Neck Lift

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Blepharoplasty

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Facial Fat Grafting

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Endoscopic Brow Lift

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