Lip lift = Bullhorn Excision Surgery

Lip lift = Bullhorn Exicision OP – Synonyms & Principle

synonyms: Bullhorn surgery, lip lift surgery

principle: Reduction of the distance from the bottom of the nose to the lip – thereby emphasizing the lip and optically increasing the volume – harmonization of the facial profile (often in older patients with a very long distance between the nose and the upper lip)

is sometimes combined with…

• hyaluronic acid for direct volume build-up in the lip
• Botox – Lip-Flip = optical enlargement of the lip via Botox effect
• chin implant (to improve the profile)

efficiency

Basically, theoretically almost any degree of effectiveness in terms of Xmm lifting of the lip region is possible. However, it is always important to keep an eye on the length and formation of the scar - and the greater the effect in terms of length reduction, the longer the scar and the more tension is placed on the scar, which in turn worsens the quality of the scar.

In general, the following applies to a planned bullhorn excision: honest advice and a good concept definitely pay off!

treatment duration

On average, a bullhorn excision under local anesthesia takes about 1-1.5 hours

repetition of the treatment

Basically, a bullhorn excision is designed for 1x.

The final result (including the scar) can only be seen after at least one year. In some cases, scar correction may be useful.

In most cases, it is recommended to use other ingredients to enhance the effect – hyaluronic acid for the lips directly, possibly lip flip, etc.

Application in which body region

lip, lip-nose distance

alternatives

• direct excision above the upper lip border – here the resulting scars are very often a problem (even with ideal technique and healing process)
• lip flip with Botox
• hyaluronic acid directly into the lip for direct volume building

decision-making aids

Essentially, these are fundamental decisionsthat constitute a surgical bullhorn excision.

Should I have a bullhorn excision surgery do it at all? – Sometimes it is better not to do something at all.

Good results can also be achieved with the alternative volume increase with hyaluronic acid, possibly combined with a lip flip.

Good advice highlights all the advantages and disadvantages of a treatment – and thus helps you make the right decision.

analysis: What is important before a bullhorn escision is a good concept and an honest analysis of the patient's wishes. Weighing up the advantages and disadvantages in the individual case is also important!

Possibilities & Limitations: The possibilities are revealed through precise analysis. However, there are certain limits. If too much is lifted, this will result in an increasingly wider and worse scar.

scar

Incision = scar. This should always be considered carefully, even with a planned bullhorn excision. And a scar is initially a minus that one accepts for the time being in return for a possible plus in the success of the operation and improvement of the situation.

A scar is not "invisible" – it can sometimes be almost unnoticeable. In some cases, however, a scar can become wider, firmer and more noticeable. And in the area under the nose, the scar is of course always in sight (although make-up can almost always help here).

So you have to decide for yourself what is more important to you: a change in the distance between nose and lip – or a scar-free face

Every operation/every face is different: In my opinion, individual adjustment to the face and facial profile is crucial for maximum harmony and balance – and also the right concept for optimizing the nose/lip region.

What should you have heard/read before a bullhorn excision?

Scar: carefully consider the issue of scarring before a bullhorn excision

Alternative correction with hyaluronic acid and/or Botox: Hyaluronic acid offers a real alternative for some patients – which may be more interesting for some in terms of effort and cost.

wishful thinking

Scars are "invisible"

facts

Even with perfect technique and ideal scar formation and healing, scars are an issue with this operation due to the position. Of course, the scars usually become less noticeable and less noticeable, especially in the first year after the operation (and even afterward). But the opposite can also be the case.

A detailed scar history before surgery is important.

And of course, appropriate aftercare with sun protection, scar care and massage, if necessary injection of enzymes or cortisone, etc.

common possible side effects/complications

• scar
• Asymmetry (always present on two sides to a certain extent)
• numbness or altered sensation in the operated area – usually only temporary

details Information on possible complications can be found in the information documents

In summary, good preparation (information, explanation, preliminary examinations, analysis of the initial situation and the options, etc.) and the surgeon's experience are important factors for the success of a bullhorn excision.

You should avoid…

• unrealistic wishes and role models – every face is different, every correction is therefore individual
  
• ignore the topic of the scar and hope for an “invisible” scar – even with a scar, the advantage of the changed shape and harmony must outweigh

anesthesia

Possible anesthesiaforms for a bullhorn excision are:

• Local anesthesia
• Local anesthesia + twilight sleep
  
• possibly gentle general anesthesia

the operation

Deadlines must be met in Austria (surgical information and anesthesia information) – this means that there is a waiting period of at least 3-4 weeks from the decision to undergo breast enlargement, but often longer.

Precise but also realistic ideas of a possible outcome are important.

Clarifying possible alternatives

the operation

rest for 3 weeks in the sense of:

• do not lift more than 5-6kg
• no jerky activities
• don't work headfirst

scar care and massage from the suture removal

sun protection in the first year after bullhorn excision

our preferred technique/recommendation

• precise analysis with a good concept before the operation
• mostly Local anesthesia sufficient (otherwise + twilight sleep of course possible)
• important are a possible inconspicuous positioning of the cuts and later scars

Cost

Guidelines:

approx. 3200 indirect lip lifting in the sense of bullhorn excision including local anesthesia

2900 direct lip lift under local anesthesia

4600 indirect lip lifting in the sense of bullhorn excision including twilight sleep

from 400 lip augmentation with hyaluronic acid per ampoule including treatment

approx. 250 Lip Flip Botox

650 Lip Flip Botox + Hyaluron

minus consultation costs

any costs incurred for anesthesia information

70 optional special price recommended scar ointment + disinfectant spray (after surgery 74)

possibly 100 day admissions at the clinic

ev. 400 overnight stay at the clinic with nurse/450 if overnight stay from Friday to Saturday – if necessary and reasonable

The prices listed are average values and could be cheaper or more expensive. The final total price will be determined during the second consultation (=consent) depending on the individual effort/planned operation time, combinations, desired clinic/room category and other factors.

reasonable budget/alternative treatments

A final cost estimate is only possible and meaningful after a detailed on-site inspection and clarification of individual wishes.

downtime

In general, 2-3 weeks of rest be taken into account – this means specifically:

• lifting no more than 5-6 kg
• no jerky movements
• do not perform any activities overhead

socially acceptable Normally you will be there after approx. 2 weeks. Women often find it easier to wear make-up. Residual swelling is an issue for many months

Important to know…

• a good concept is important