Vermillion Advancement of the Lip
The vermillion is the colored portion of the lip on the outside of the mouth. The vermillion border defines the lips on the face. Vermilion advancement is a surgical procedure that involves removing some of the skin above or below the vermillion border, and then, repositioning the vermillion to reform its border. Dissolvable sutures are used to hold the new position.
The SkinnyVermillion Advancement of the Lip
- avg. recovery
About the Procedure
During a vermilion advancement surgery, the surgeon will begin by administering a local anesthesia agent to numb the patient. IV sedative drugs may also be used to keep the patient relaxed. Next, the doctor will make an incision along the vermillion border, and then, remove a predetermined amount of facial skin above or below the lip(s) being reshaped. Next, the vermillion is grasped and pulled outward and into its desired new position. The surgeon then sutures the stretched vermillion to meet up with the facial skin. This safe outpatient procedure, also known as a Gullwing lip lift, does not require the use of general anesthesia. Most people who have this surgery go back to work the next day. Strenuous activities should be avoided for 7-10 days after the surgery. Tightness, swelling and discomfort should be expected and typically diminishes within a few days. Lipstick and makeup can be used to conceal the surgical incisions as they heal. Infection, scarring, asymmetry, and other adverse outcomes are possible but rare. This procedure cost $2000-$4000 for each lip is performed on.
The goal of a vermillion advancement of the lip is to create fuller lip volume.
What to Expect
Vermilion advancement is a surgical procedure that removes some of the skin above or below the vermillion border then repositioning the vermillion to reform its border. Here is a quick guide for what to expect before, during, and after a vermillion advancement of the lip.
- An antibiotic and antiviral medication may be prescribed
- Stop taking any blood thinning medications for 2 weeks
- Stop smoking 4 weeks before and after surgery
- No alcohol 2 days prior
- No eating or drinking 6 hours before the procedure
- Local anesthesia with sedation
- Incision made along vermillion border
- Strip of skin is removed
- Vermillion is grasped and pulled outward into its new position
- Sutures to close
Follow all postoperative instructions given by your doctor. Limit expressive movements of the mouth and do not eat anything that requires the mouth to stretch. Diet should consist of liquids and soft foods that can be cut into bite size pieces until the incisions have sufficiently healed.
The ideal candidate for a vermillion lip advancement presents with an elongated white lip or has height mismatch between the white lip and red lip.
Not Recommended For
Vermillion lip advancement is not recommended for candidates with active infections in or around the mouth such as herpes, lupus, blood-clotting diseases, diabetes, or heavy smokers unwilling to quit for a short period.
Side effects from a vermillion lip advancement may include swelling, scarring, infection, and bleeding.