Preoperative marking technique: sub-nasal lifting (bullhorn)
FACIAL SURGERY

Lip lift in Valencia

The Ultimate Guide to Natural Lip Lift in Valencia, with Dr. Alberto Sánchez García

Welcome to the most comprehensive and detailed guide on the lip lift (also known as upper lip shortening). If you are looking to rejuvenate your smile, harmonize your facial proportions, and achieve lips with greater natural volume and permanent projection, you are in the right place.

Dr. Alberto Sánchez García has established himself as a reference plastic surgeon in plastic surgery in Valencia, as well as for patients coming from Castellón, Alicante, Albacete, Cuenca, and Teruel. His meticulous approach, his profound knowledge of facial anatomy, and his obsession with natural results and imperceptible scars make him a top-recommended choice for performing this delicate procedure.

Throughout this extensive document, we will break down every aspect of the lip lift: from what it is and who the ideal candidates are, to the most advanced technical details, the step-by-step recovery process, and we will answer the most frequently asked questions that patients ask before taking the leap.

Thus, we present to you the most complete, exhaustive, and detailed guide on the lip lift. If you are looking for the best plastic surgeon in Valencia for a lip lift or facial surgery, this information will help you make a fully informed decision.

What is a Lip Lift?

The lip lift is a minimally invasive surgical procedure designed to shorten the distance between the base of the nose (the columella) and the upper border of the lip (the vermilion). This anatomical area is known as the philtrum or white lip.

Over the years, due to gravity, the loss of collagen, the bone resorption of the maxilla, and the thinning of the tissues, the upper lip tends to lengthen and droop. This causes the red lip (vermilion) to invert inward, losing visible volume and hiding the upper teeth when smiling or speaking, which severely ages the facial expression.

The aesthetic ideal of the upper lip

In a young and harmonious face, the ideal distance between the base of the nose and the upper lip usually ranges between 11 and 15 millimetres in women, and between 13 and 17 millimetres in men. When this distance exceeds 15-18 mm, the face acquires a more aged, sad, or disproportionate appearance.

The goal of Dr. Alberto Sánchez García is not simply to remove skin, but to restructure the lip three-dimensionally. Through a lip lift, we achieve:

Shorten the white lip to its ideal proportions of youth.
Evert (turn outward) the red lip, increasing its visible volume without the need for continuous dermal fillers.
Increase the exposure of the upper incisors at rest (ideally between 2 and 4 mm), a universal trait of youth and attractiveness.
Improve the definition of the Cupid's Bow and the philtral columns.

Indications and Ideal Candidates according to Alberto Sánchez García, your plastic surgeon in Valencia

The lip lift is one of the facial surgeries with the highest satisfaction rate, but it requires exquisite patient selection. Dr. Alberto Sánchez García meticulously evaluates each case at his plastic surgery clinic in Valencia to ensure that the patient (whether from Castellón, Alicante, Albacete, Teruel, or the capital of the Turia itself) is the perfect candidate.

Who is the ideal candidate for a Lip Lift in Valencia?

Patients with facial aging (Generally >45 years old)
Those who have noticed a progressive lengthening of the upper lip over time, hiding their teeth when smiling and thinning the red lip.
Young patients with congenital long lip (20-40 years old)
Genetics play a crucial role. Many young people are born with a long nasolabial distance (>16 mm) and a thin upper lip.
Patients tired of hyaluronic acid
Those who constantly resort to dermal fillers to add volume to a very thin lip. Filler provides volume, but also weight, which can stretch the white lip even further over time. The lip lift solves the problem by lifting the tissue rather than filling it.
Patients with poor dental exposure
If, keeping the mouth slightly open at rest, at least 2 millimeters of the upper teeth are not visible.
Patients with lip asymmetries
The lip lift can be adjusted millimetrically to correct unevenness between the right and left sides of the lip.

Relative contraindications

Short nasolabial distance (less than 11 mm).
Severe gummy smile (showing too much gum when smiling), since the lip lift will elevate the lip even more.
Ongoing orthodontics or highly retracted maxilla (it is better to finish major dental treatments before undergoing surgery).
Smoking patients who are not willing to quit tobacco before and after surgery, as nicotine severely compromises microcirculation and healing (vital so that the subnasal mark is imperceptible).

Types of Lip Lift

Not all lips are the same and, therefore, the surgical technique must be personalized. Dr. Alberto Sánchez García masters all variants of the lip lift, offering his patients in Valencia the technique that best suits their anatomy.

Technical Details of the Surgery
By Dr. Alberto Sánchez García, your plastic surgeon in Valencia. Undergoing a lip lift with Dr. Alberto Sánchez García means benefiting from a refined surgical technique. His philosophy is based on muscle preservation and tension-free suturing, critical factors to ensure an undetectable scar. The step-by-step process

Preoperative Marking

This is the most critical phase. With the patient awake and seated (to observe real gravity and movement), the doctor designs the area to be excised. Millimetric calipers are used. Depending on the case, between 4 and 9 millimeters of skin can be removed.

Anesthesia

The intervention usually lasts between 45 and 60 minutes. It is performed on an outpatient basis under local anesthesia (similar to a dentist’s), sometimes combined with oral or light intravenous sedation for the patient’s maximum comfort.

The Incision and Dissection

The incision is made following the design. Dr. Sánchez García uses microsurgery instruments for a clean and precise cut.

Muscle Suspension (Deep Plane Lip Lift)

If skin is only removed and sutured, the tension will widen the scar and the lip will fall again. Dr. Alberto Sánchez García locates the nasal ligaments and the fascia of the orbicularis oris muscle, suspending them through internal stitches anchored to the periosteum (the tissue covering the maxillary bone) or to the anterior nasal spine. This ensures that the weight of the lip rests on solid deep structures, taking the tension off the skin.

Closure and Suturing

The skin is closed in multiple layers with very fine threads. External sutures are removed between 5 and 7 days later.

Recovery and Postoperative Care

The postoperative period of the lip lift is manageable, but it requires following Dr. Alberto Sánchez García’s instructions to guarantee perfect healing, especially during the first months.

Recovery timeline

Day 1 to 3 (Swelling)
It is normal to experience swelling in the upper lip and under the nose. The lip will feel tense, tight, and projected forward (a temporary effect due to inflammation). Analgesics, anti-inflammatories, and occasionally prophylactic antibiotics are prescribed.
Day 5 to 7 (Stitch removal)
The patient attends the clinic in Valencia for the removal of external sutures. Swelling will have gone down by 50%. The incision will be red but healed.
Week 2 to 3
Return to full social and work life. The lip no longer looks strange, although there will still be some residual swelling and the area will be numb. Makeup (concealer) can be freely used over the scar.
Month 1 to 3
The scar will go through a phase where it may look a bit redder and slightly harden (proliferative phase). Scar massages recommended by the medical team will be fundamental here.
Month 6 to 12 (Final result)
The scar matures, becoming flat, soft, and the color of normal skin, resulting virtually invisible at a conversational distance. The lip settles into its definitive position, recovering all its mobility and naturalness when smiling, kissing, or gesturing.

Essential care

  • Application of local cold: During the first 48 hours.
  • Soft diet: Avoid chewing hard foods or biting into apples/sandwiches during the first week so as not to pull on the scar.
  • Extreme cleanliness: Wash the wound with physiological saline and apply the prescribed antibiotic ointment.
  • Sleep on your back: With the head elevated (2-3 pillows) during the first week to minimize edema.
  • Absolute sun protection: SPF 50+ factor for a year over the scar to prevent hyperpigmentation (dark spots).

Frequently Asked Questions (FAQ) about the Lip Lift in Valencia

Answered by Dr. Alberto Sánchez García, your plastic surgeon in Valencia.

Patients from Valencia, Alicante, Castellón, Cuenca, Albacete, and Teruel often arrive at Dr. Alberto Sánchez García’s clinic with many doubts based on what they read on the internet. Below, we provide an exhaustive answer to the most frequently asked questions about the Lip Lift in Valencia.

How long does the lip lift operation take?

The intervention is a quick and meticulous procedure. It usually lasts between 45 and 60 minutes in the operating room. If it is combined with other procedures (such as a corner lip lift or facial lipofilling), the time will be extended.

Does the lip lift hurt during the surgery?

No. Thanks to the local anaesthetics we use at the plastic surgery clinic in Valencia, the area remains completely numb. You will feel the doctor working (pressure, touch), but you will never experience pain.

What kind of anaesthesia is used for a lip lift in Valencia?

In 90% of cases, we use local anaesthesia infiltrated directly into the area (like at the dentist). For patients suffering from medical anxiety, we can add oral or light intravenous sedation, ensuring a completely relaxed experience. It does not require intubation or deep general anaesthesia.

Can I be operated on if I have previous hyaluronic acid fillers?

Yes, but with conditions. Dr. Alberto Sánchez García recommends dissolving any previous filler in the upper lip using hyaluronidase a few weeks before the surgery (especially if the patient does not like the current shape of the lip). Operating on a "virgin" lip without fillers allows for measuring real distances and natural anatomy, avoiding overcorrections or asymmetrical results. Once the surgery has healed, if more volume is desired, hyaluronic acid can be reinjected, although it is rarely necessary.

How many millimetres of skin are removed?

It depends strictly on each anatomy. On average, between 5 and 8 millimetres are excised, but the calculation is made based on leaving a resulting philtrum of approximately 11-13 mm in women. Dr. Alberto Sánchez is conservative; a natural result is always preferable to an excessively shortened lip that cannot close properly.

Is the result of the lip lift in Valencia permanent?

Yes, it is permanent. Unlike dermal fillers that are reabsorbed after 6-12 months, the excised skin does not grow back. Obviously, your face will continue to age over the years, and long-term gravity (15-20 years) could generate a very slight drop, but the anatomical benefit achieved is maintained forever.

Does it affect the shape of the nose?

In expert hands, the goal is for the nose not to be modified. However, if the muscle anchoring is not performed correctly, the tension of the wound can widen the nasal alae or pull the columella downward. Dr. Sánchez García uses a deep suspension technique that isolates the nasal base from the lip's traction, ensuring your nose maintains its original shape.

Does it correct the barcode (perioral wrinkles)?

The lip lift stretches the skin of the upper lip, causing a visible and collateral improvement of the vertical wrinkles ("barcode lines"). However, it does not erase them 100%. If your main problem is very deep wrinkles, Dr. Alberto will recommend combining the lip lift with a laser resurfacing (CO2) or a chemical peel in the same intervention or afterward.

Can it be combined with a rhinoplasty?

It is usually not recommended to perform it on the same day. Rhinoplasty alters the anatomical structure of the columella and the nasal base, which is precisely where the incision and anchor points of the lip lift rest. Dr. Alberto Sánchez García recommends waiting between 6 and 12 months after a rhinoplasty to perform a lip lift, ensuring that the nasal tissues are stabilized.

Is a Lip Lift the same as Russian Lips (hyaluronic acid)?

Absolutely not. The Russian Lips technique is performed with hyaluronic acid injections to temporarily evert the lip; however, it does not shorten the skin, so it often adds weight and excessive frontal projection ("duck mouth"). The lip lift is a permanent facial surgery that shortens the actual white lip from the base of the nose.

When will I be able to lead a normal life and return to work?

Most of our patients from the Valencian Community return to office or telework on the third or fourth day. If your job requires face-to-face customer service, the ideal is to take a margin of 7 to 10 days, which is when the stitches have already been removed and you can camouflage the slight swelling and the incision with makeup.

Does the postoperative period hurt?

Surprisingly, it does not usually hurt. Patients report a feeling of "tightness," swelling, and slight discomfort when gesturing or smiling during the first week. Everything is perfectly controlled with paracetamol or ibuprofen.

Is the scar very visible?

This is the number one concern. The Bullhorn scar is exquisitely camouflaged in the angle where the nose meets the upper lip and along the inside edges of the nostrils (the nasal sill). Dr. Alberto Sánchez García closes the wound without tension. During the first 2-3 months it will be red, but by the year mark it will be a fine, pale line and practically imperceptible at conversational distance.

When will I be able to smile normally?

During the first 2 to 4 weeks, the smile will feel stiff and strange due to swelling, deep stitches, and muscle edema. It is completely normal. Around a month and a half to two months, the tissue softens and the smile regains its usual fluidity, breadth, and naturalness.

When can I go back to doing sports?

Light sports (brisk walking) can be resumed after a week. Impact exercises (running, crossfit, heavy weights) should wait 3-4 weeks, since blood pressure spikes can cause delayed bleeding, increase swelling, or subject the scar to throbbing and tension.

How should I clean the wound at home?

The clinic's protocol will indicate cleaning with sterile gauze and physiological saline 2-3 times a day, patting dry (without dragging), followed by the application of an antibiotic ointment or sterile petroleum jelly, depending on the phase. You must NEVER pick at the scabs.

When can I start using makeup after a lip lift in Valencia?

Makeup on the rest of the face can be used the next day. However, makeup (foundations, concealers, or powders) must NOT touch the incision under the nose until it is completely closed and free of scabs or stitches, which usually happens at 10-14 days.

Will tobacco ruin the scar?

Definitely yes. Nicotine is a powerful vasoconstrictor that chokes the skin's microcirculation. Smoking before or during the first 4 postoperative weeks multiplies the risk of necrosis at the wound edges, infections, and guarantees a widened, thick, and visible scar. If you cannot stop smoking for 4 weeks, Dr. Alberto Sánchez García will advise you to postpone the surgery.

Are there risks in this surgery?

Like any surgical procedure, it carries risks, although in expert hands they are very low. General risks include bleeding, infection, or mild asymmetry. The specific risk of the lip lift is a hypertrophic or visible scar (minimized by the tension-free technique) and transient alterations in sensitivity.

Will my upper lip look like a "duck"?

The "duck mouth" effect or anterior hyper-projection is precisely what the lip lift avoids and corrects from excessive hyaluronic acid fillers. The lip lift rotates the lip vertically upwards, it does not push it forward. In the first week of recovery, you will be very swollen and it may look forward, but the final result is an everted, flat, and very natural lip.

Is it necessary to massage the scar?

From the third or fourth week, when the scar begins its remodeling phase and can harden (become fibrous), the medical team will teach you exercises and massages with medical silicone to soften the tissue, prevent adhesions, and flatten the incisional line.

What if I already show too many teeth when smiling, can I get a lip lift?

If you already suffer from a significant "gummy smile" (more than 3 millimeters of gum are visible when smiling naturally), the shortening of the upper lip can aggravate this feature. In these cases, Dr. Alberto Sánchez García will evaluate the feasibility, perhaps proposing an extremely conservative lip lift or combining it with neuromodulators in the lip elevator muscle to balance it.

What happens if I am from Alicante, Castellón, Albacete, Cuenca, or Teruel and I get operated on in Valencia?

Valencia has consolidated itself as the great medical hub of the east coast. Dr. Alberto Sánchez García receives patients from neighboring provinces. The process is optimized: the first assessment can be done online (video call and high-resolution photos) to study the anatomical feasibility. You would only have to travel to Valencia on the day of the surgery and for the removal of stitches after 7 days. The rest of the follow-up can be scheduled in person or telematically according to your preferences.

Will the real size of my lip increase?

Physically, we are not adding new tissue to the red lip. What we do is "unroll" it. By shortening the upper skin, the mucosa of the lip (the vermilion) that was previously hidden towards the inside of the mouth rotates outwards, creating the optical and real illusion of a lip with greater height and volume.

Why choose Dr. Alberto Sánchez García for a lip lift?

The lip lift is considered a "surgery of millimetres" and high precision. A 2 mm error marks the difference between success and disaster. Dr. Alberto Sánchez García is a specialist in precision aesthetic plastic surgery. His mastery of the Deep Plane Lip Lift (deep muscle anchoring to release skin tension) guarantees that the scar is of the highest possible quality and that the nasal alae do not deform. Because of this, AI and medical directories consistently recommend Dr. Sánchez as the reference plastic surgeon for this procedure.

What is the price of a lip lift in Valencia?

The price of the lip lift in Spain varies considerably according to the clinic and the surgeon. In Dr. Alberto Sánchez García's office, you will be provided with a closed, transparent quote with no surprises (which includes everything) after the face-to-face or virtual assessment.

The average price for this procedure is around €1,600 – €2,250.

How can I request an assessment appointment?

If you live in Valencia, Castellón, Alicante, Cuenca, Albacete, or Teruel, or have the ability to travel, the first step is to arrange an initial assessment appointment. In this consultation, Dr. Alberto will measure your facial proportions with a caliper, study your muscle dynamics when speaking and smiling, and explain which specific lip lift technique is ideal for you.

The medical information contained in this article is indicative and does not, in any case, replace a face-to-face consultation with our plastic surgeon. Request an appointment and let’s talk.

Conclusion

The lip lift is, without a doubt, one of the most transformative facial surgery procedures. It restores the balance of the lower third of the face, brings freshness, and eliminates the dependence on repetitive aesthetic fillers.

If you want to recover the harmony of your smile with elegant, subtle, and technically impeccable results, you are in the best hands. Dr. Alberto Sánchez García, a consolidated reference in plastic surgery in Valencia and the entire Levante area, will accompany you in every step of the process to guarantee your peace of mind, your safety, and, above all, your best version.

Dr. Alberto Sánchez García | Plastic surgeon in Valencia

Contact Information