V-Y Mucosal Advancement of the Lip

A V-Y mucosal advancement of the lip is a surgical procedure that involves making a V-shaped incision on the inside of the upper or lower lips, and then, pulling and suturing them together. As the V-shaped incision is closed from one end with stitches, it takes on the shape of a Y. This mucosal reshaping results in plumper lips without the use of dermal fillers. This safe outpatient procedure is popular for candidates with thin or drooping lips. Costs range between $4,000-$6,000 per lip.

V-Y Mucosal Advancement of the Lip Overview - Everything You Need to Know

The Skinny

V-Y Mucosal Advancement of the Lip
avg. recovery
10 days
Is permanent
Surgical Procedure
$3000 - $4000

About the Procedure

Last Updated: 09.18.2021

A V-Y mucosal advancement of the lip is a procedure that adds volume to the lip without the use of dermal fillers. Instead, the natural lip tissue is plumped by making incisions on the inside of the lip, and then, suturing the incisions together tighter than it was originally. This crowds existing lip tissue together inside the treated lip, resulting in more volume and vermillion definition. This procedure is commonly used to increase a lip’s vertical height and to increase lip volume. It is performed with local anesthesia and causes very little downtime in most patients. Incisions during a V-Y lip advancement are made inside the mouth and therefore cause no visible scarring in most patients. In some cases, autologous fat transfer or other dermal fillers are used to increase lip volume further. This procedure is safe and causes few side effects in most patients. Mild to moderate discomfort, tightness, and swelling are typical for a few days post-op. However, most patients are able to return to non-strenuous work and activities the next day. The procedure typically costs between $4,000-$6,000 per lip, depending on several patient specific factors.

The goal of a V-Y mucosal advancement of the lip is to create a fuller volume of the lower lip.


V-Y Mucosal Advancement of the Lip addresses concerns such as:

Recovery Notes

Following surgery, limit the movement of the mouth. Do not eat anything post-surgery that will stretch the mouth to bite into. Your doctor will recommend to stick to liquids and soft food cut into small pieces until the incisions are healed.

Ideal Candidate

The ideal candidate for a V-Y mucosal lip advancement presents with an elongated white lip or has height mismatch between the white lip and red lip.

Not Recommended For

V-Y mucosal lip advancement is not recommended for candidates with active infections in or around the mouth, diabetes, or heavy smokers unwilling to quit for a short period. This procedure is not recommended for patients with lower lip ptosis.

Side Effects

Side effects from a V-Y mucosal lip advancement may include deformity, unanticipated lengthening of the lip, unanticipated separation of the mucosa from the muscle causing an animation deformity, scarring, asymmetry, and numbness.


  • no scar
  • hidden incision
  • permanent


  • asymmetry
  • prolonged edema

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