The lips are among the most expressive features of the face, and their shape and proportion have a strong influence on overall facial balance. What makes lips look right varies from person to person — it depends on the rest of your features, not a single ideal.
Common goals include adding or reducing volume, lifting a lip that has drooped with age, and refining shape. At Kamol Cosmetic Hospital, we offer the following lip and perioral procedures:
- Lip reduction
- Lip enhancement (adding volume)
- Horn chestnut-shaped lip
- Upper lip lift
- Cupid’s bow enhancement
- Philtrum enhancement
- Corner lip lift
- Dimple creation
Our Lip Surgery at Kamol Hospital Bangkok
1. Lip Reduction
Lip reduction decreases the volume of the upper lip, lower lip, or both, for better proportion with the rest of the face. Incisions are closed with absorbable sutures that dissolve within 7–10 days.
The operation takes under an hour under local anesthesia.
Picture 2. Shows the incision line and the result of lip reduction.
2. Lip surgery with Horn chestnut-shaped lip
This procedure shapes the upper lip so it curves upward at the sides while the central portion dips gently like a bow, giving a fuller, more defined upper lip that shows slightly more of the teeth when smiling.
Whether it’s suitable depends on the original shape and size of your upper lip and your facial proportions, which your surgeon will assess.
Picture 3. Shows the incision of Horn chestnut-shaped lips surgery and result.
3. Lip surgery by Upper Lip Lift
The upper lip lift is a surgical procedure that shortens the philtrum (space between the nose and the top of the mouth) This often gets longer with age. This procedure turns the lip upwards, increasing the visible part of the upper lip and reducing the length between the nose and the top lip. The result is a much more youthful and attractive look.
At Kamol Cosmetic Hospital we offer three methods for lip lifts as follows:
3.1. Upper lip lift with Sub Nasal Bullhorn technique
An incision scar will be made along the base of the nose where it is less visible. The incision is shaped like a bullhorn. The upper lip is pulled up toward the nose as in picture 4.
Picture 4. Shows the upper lip lift with the Sub Nasal Bullhorn technique.
3.2. Upper lip lift with a direct Incision.
The incision is made above the upper lip and the lip is remodeller to the desired lool. The excess skin is then removed. The benefit of this technique is that it shorterns long aging drooping lips but the downside is that it leaves a faint scar.
Picture 5. Shows Upper lip lift incision with direct lip tincision.
4. Lip surgery by Cupid Bow Lip Enhancement
The Cupid’s bow is the double curve, or M shape, at the centre of the upper lip. This procedure increases its definition using either filler injection or augmentation with acellular dermal matrix. The surgeon marks four points and inserts the material through the upper lip border on both sides.
Picture 6. Shows Cupid bow lip enhancement by Acellular dermal matrix augmentation
5. Lip surgery by Philtrum enhancement
The philtrum is a narrow groove between the nose and upper lip. Philtrum enhancement is a surgical procedure to improve the prominence of Philtrum making the upper lip more projected and beautiful. There are two methods for Philtrum enhancement as follows:
5.1. Philtrum enhancement with V-shave scar
The surgeon makes a 2-3 mm V shape incision at the base of a nose and removes the spare skin. This procedure will create a more prominent Philtrum. See picture 7.
Picture 7. Shows Phitrum enhancement with V-shave scar
5.2. Phitrum enhancement with augmentation
The surgeon makes 4 points and inserts the Acellular dermal matrix through both sides of the philtrum and then sutures as in picture 8.
Picture 8. Shows Philtrum enhancement with augmentation
6. Lip surgery by Lips Enhancement
Lip enhancement is a surgical procedure to adjust the shape of the upper, lower, or both lips to add more volume which adds significant beauty to a face. There are many methods of lip enhancement as follows:
6.1. Lip Enhancement by Autologous Cellular Regeneration (PRP)
Lips lose perioral volume as we age. The use of platelet-rich plasma (PRP) is one of the most advanced procedures to improve muscle tissue vascularity and neuronal regeneration which increases the volume of the lips. This procedure is a minimally invasive lip rejuvenation procedure that uses PRP injections three times within three months. The result can be visible for up to 3 months.
6.2. Lips Enhancement by filler injection
This is the most popular non-surgical method and has been the standard non-permanent treatment for many years. The filler usually includes Hyaluronic acid and lasts around 6-12 months.
- Advantage: Non-surgical with immediately visible results.
- Disadvantage: Non-permanent. Repeated injections are needed wasting time and money. Possibility of allergy to Hyaluronic acid.
Picture 9. Shows Lips Enhancement by filler injection
6.3. Lips Enhancement by the Acellular dermal matrix
This uses the patient’s own skin to create fuller lips. Acellular dermal matrix is a soft connective tissue graft generated by a decellularization process that preserves the extracellular skin matrix intact. In simplified terms, this procedure passes a piece of your skin that has been specially prepared through the lip. This procedure is performed under local anesthesia. The incision scar is on either side of the lip at 2 points and the skin matrix is passed through the lip. See picture 10.
Picture 10. Shows Lip surgery by augmentation with the Acellular dermal matrix
6.4. Lips Enhancement by Fat Graft
Fat is sucked from the body in an area such as the abdomen or under the arm. The fat is extracted to only keep only the nano fat. This is then injected into the lips making them fuller. See picture 11.
- Advantage: The fat comes from your own tissue so it can’t be rejected or cause an allergic reaction.
- Disadvantage: Some fat that is injected may disappear, and the lip shape may be unbalanced. It will need to be repeated 1-2 times to become stable.
Picture 11. Shows Lips Enhancement by Fat Graft
7. Lip surgery by Corner Lip Lift
The corner lip lift is a plastic procedure to improve the downturned lip corners that develop with age. The aging lips can develop an unhappy or even bitter appearance that cannot be treated with a facelift. A small incision is made at both sides of the Vermillion border and excess skin will be removed. See picture 12.
Picture 12. Shows the incisions and results of Lip surgery by Corner Lip Lift
8. Dimples Surgery
Dimples are the indentations that occur when some people smile. They are most often located on the bottom of the cheeks. A suture from one side of the cheek muscle to the other is made and the stitching is tied to set the dimple permanently in place. This procedure is performed under local anesthesia. See picture 13.
Picture 13. Shows the incision and result of a dimples surgery
Post-Operative care for Dimples Surgery
- Keep the oral wounds clean by drinking plenty of water and using mouthwash for at least two weeks to prevent infection.
- Wait three days before using a toothbrush.
- Avoid sticky food.
- Talk as little as possible for 2–4 weeks to help prevent the sutures loosening.
A good candidate for Lip Surgery
- Someone who is unsatisfied with their lips.
- Someone healthy. The patient must stop smoking at least one week before the surgery.
- Someone with realistic expectations.
Preparation
- Consult with your surgeon about your goals so the right technique can be chosen for your anatomy.
- Complete any physical examination or tests your surgeon requests.
- Stop smoking for at least two weeks before surgery.
- Stop medications and supplements that affect blood clotting — aspirin, ibuprofen, some vitamins and herbal products — at least two weeks beforehand.
- Arrange soft food for the first days after surgery, particularly for procedures involving incisions inside the mouth.
Post-operative Care
- Apply ice pack on the lips within 24 hours to reduce pain and swelling.
- Elevate your head a few days to decrease swelling.
- Keep your lips moisturized.
- Keep incisions clean.
- Use a small toothbrush and brush carefully.
- Follow all postoperative instructions and attend all postoperative appointments.
Risks and Complications
The lips are very sensitive. After surgery, you will likely have some minor side effects possibly including:
- Wound redness
- swelling
- Pain for a few days
- Numbness
- Bruising
- Hematoma
- Poor healing
- Asymmetry
Much rarer complications are:
- Bleeding
- Infection
- Scaring
Recovery
In the following days after the surgery, patients will be given pain medication and given an ice pack to put on the lips to decrease pain and swelling. The patient can usually return to work within a week of surgery. The best results will be seen at about two to three months after surgery.
Before & After
Reviews for Lips and Associated Surgery
Video : Lips and Associated Surgery
Lip Enhancement at Kamol Cosmetic Hospital
Kamol Cosmetic Hospital offers a full range of options for reshaping and adding volume to the lips, from temporary non-surgical treatments through to permanent surgical techniques.
Dermal fillers based on hyaluronic acid are injected to add volume and definition. Hyaluronic acid occurs naturally in the body, and these fillers have a long safety record. Results typically last six to twelve months before a repeat treatment is needed.
Surgical augmentation — using acellular dermal matrix or a fat graft — offers a longer-lasting alternative for patients who don’t want repeat injections. These are performed under local anesthesia.
Our team of experienced plastic surgeons and nursing staff will talk through which option suits your anatomy, your goals, and how permanent a result you want.
Frequently Asked Questions (FAQs)
What is lip surgery?
Lip surgery, also sometimes referred to as lip augmentation or enhancement, is like fine-tuning one of your face’s most expressive features. It’s a surgical procedure that allows you to reshape and refine your lips, achieving a more balanced and harmonious appearance.
Whether you desire fuller, more voluptuous lips, a lip reduction, or wish to address asymmetry or age-related changes, the procedure can help you achieve your aesthetic goals and boost your confidence.
What are the different approaches to lip enhancement?
At Kamol Cosmetic Hospital, we offer a variety of techniques to tailor your lip surgery to your unique needs:
- Fat grafting: This technique involves harvesting fat from another area of your body, such as your abdomen or thighs, and carefully injecting it into your lips to create natural-looking volume and fullness.
- Dermal fillers: For those seeking a less invasive option, dermal fillers, like hyaluronic acid, can be used to plump up the lips and smooth out fine lines and wrinkles.
- Lip implants: If you desire a more permanent solution, lip implants made of soft, biocompatible materials can be strategically placed to enhance lip volume and definition.
- Lip reduction: In some cases, individuals may wish to reduce the size of their lips for a more balanced facial appearance. Lip reduction surgery carefully removes excess lip tissue to achieve a more refined and proportionate look.
- Lip lift: This procedure subtly shortens the distance between your nose and upper lip, creating a more youthful and lifted appearance.
Our expert surgeons will guide you through the options, recommending the best approach for you, based on your individual anatomy and your desired outcome.
Am I a suitable candidate for lip surgery?
While individual needs vary, ideal candidates are generally:
- In good overall health: Non-smokers who prioritize their well-being and have no underlying medical conditions that could affect healing.
- Realistic expectations: Individuals who are seeking to refine their appearance and boost their confidence and not striving for an unrealistic ideal.
A personalized consultation at Kamol Cosmetic Hospital is the best way for us to determine your suitability and discuss your aesthetic goals in detail.
What are the benefits of lip surgery?
Beyond fuller, reshaped lips, or a lip reduction, the procedure can offer a range of noteworthy benefits:
- Enhanced facial harmony: Create a balanced and proportionate facial structure where your lips complement your other features.
- A boost in confidence: Feel more self-assured and empowered by your newly refined lips.
- Improved facial aesthetics: Address concerns like thin lips, asymmetry, or downturned corners, creating a more youthful and attractive appearance.
- Reduced signs of aging: Smooth out fine lines and wrinkles around the lips, restoring a more youthful and vibrant look.
- Enhanced self-expression: Feel more confident expressing yourself.
What can I expect during the recovery process after lip surgery?
We prioritize your comfort and well-being every step of the way. You can expect some swelling and discomfort following the lip augmentation procedure, but that can be effectively managed with medication.
Our dedicated team will provide you with a set of detailed post-operative instructions, ensuring you are supported throughout your recovery.
Will there be noticeable scarring after lip surgery?
Yes, every lip lift leaves a scar, but its position depends on the technique. With the subnasal “bullhorn” lift, the scar sits in the natural crease under the nose and usually fades to a fine line over 3–6 months. A direct lip lift leaves a thin line along the border of the upper lip, which is easier to see up close but can be covered with lip liner. People with darker skin or a history of raised scars should mention this at consultation. Thick scars can be treated with keloid removal.
Will lip surgery affect my smile, speech or eating?
Temporarily. Swelling and tightness can make talking, smiling and eating feel stiff for the first few days, so soft food and plenty of water help. After dimple surgery, you’ll be asked to talk less for 2–4 weeks so the internal stitch can settle. Once healing is complete, normal movement returns. The aim of surgery is to change the shape of your lips, not how they function.
Can lip surgery be combined with other facial procedures?
Yes. A lip lift is a common part of facial feminization surgery, because a shorter distance between the nose and upper lip is typically associated with a more feminine face. Because the bullhorn incision sits at the nasal base, it’s often planned alongside rhinoplasty or alarplasty. For lower-face balance, it can be combined with chin augmentation.
How long should I stay in Bangkok after lip surgery?
Most lip procedures are done under local anesthesia, so you can go home the same day. Plan to stay in Bangkok for about 7 days, until any stitches are removed and your surgeon has checked your healing. Thailand is one of Asia’s leading destinations for facial surgery, and Kamol Trip can arrange accommodation close to the hospital.
