Dr Raymond Goh on Lip Lift

Heard of a lip lift? What about a bull horn lip lift? Italian Lip Lift? Ever wondered what they are? How it can make you look more youthful? 💋
Check out our latest episode as Specialist Plastic Surgeon Dr Raymond Goh shares with us the lip lift procedure. Including the three classifications of lip lift and how the procedure is performed, where it is done, and who are the patients that this procedure is suited to.
Dr. Goh honestly is the bomb on this procedure! He does amazing lip lifts, so be sure to look him up. You’ll find him at Valley Plastic Surgery in Brisbane.
Excited to listen to this episode? Well we were pretty excited to share this with everyone.

Transcript – Dr Raymond Goh on Lip Lift 

Trish

Hello, listeners. It’s Trish Hammond from the Aesthetics Uncensored Podcast and today I’ve got Dr. Raymond Goh, Specialist Plastic Surgeon in Brisbane, from Valley Plastic Surgery. Dr. Goh specialises in a whole gamut of procedures but one of the things like he loves – noses, he does bodies and breasts as well. But like he loves doing all surgery, but especially on the face and he does a lot of a growing procedure, which is called the lip lift. And so today we’re going to get a bit of a rundown about the lip lift because there’s been a lot of people in our group that want to have this treatment done but don’t know, or a procedure actually, but don’t know much about it. Want to know a bit about the recovery, about how easy or how difficult it is. So yeah, so I’m really excited about this, because this is something that I absolutely want so welcome, Dr. Goh.

Dr Goh

Hi, everybody. I’m very glad to be here. 

Trish

Oh, thank you so much for joining us today. So, I mean, you know that I absolutely love this procedure and I know that you actually love doing it as well and I’ve seen one of your patients that she just looks absolutely fantastic. So first of all, maybe we’ll start with what the procedure actually is and who would want the procedure.

Dr Goh 

Okay, so I usually classify a lip lift or an upper lip lift patient into three categories. Those patients who want a really stylised lip area appearance, those patients who are a little bit more older, who want to rejuvenate the perioral, or the area around the lower face area and those patients who are somewhere in between the upper lip lift is a procedure where we essentially shorten the length of the upper lip and this will help improve the appearance or the ratio between the upper and lower lip length. And this, in turn, will help to improve the appearance or rejuvenate that area.

Trish

So when you say the upper lip, upper lip, sorry, it’s kind of the area above the upper lip, hey.

Dr Goh 

In the upper lip is essentially just the area between the base of the nose and the red part of the upper lip really and the area of skin that we removed is just at the base of the nose over the very top of the upper lip tissue like.

Trish 

And when you say you remove so it’s mean it’s not as simple as but it’s kind of just like an incision from, I guess from one nostril to the other. Would that be right? Oh sorry, from the side of the left hand or sort of side, the right hand nostril and it’s a little thin strip in there.

Dr Goh   

Correct. So this procedure is usually done under local anesthetic. Some patients or minorities may choose to undertake this procedure under twilight or sedation type anesthetic or general anesthesia. But the majority will offer local that is an in office scenario procedure. The incision goes from pretty much the base of the nose from one side, all the way to the under the nose to the other side and so this helps to hide the scar the best way we can. Let’s see, pretty much the only downside to this procedure is potential risk of scarring but we try to minimise this by trying to place the sky directly in that groove between the nose and the lip junction.

Trish 

You’re right. So since I’ve found out about this procedure, like because they say that when you get old, you get long in the lip, so I kind of know what that means now because what happens is the area between the bottom of the nostrils and the top of your actual top lip. Yeah, kind of gets a bit longer and sort of droops down a bit, hey. 

Dr Goh  

Yeah, great and the basis of this is actually bone resorption. As we get older, the Maxilla or the upper teeth, bone that holds the upper teeth starts to shrink down and as it shrinks down kind of shrinks backwards as well and as it does that the upper lip loses its foundational support or push underneath it and therefore elongates. It’s like if you’ve been wearing a jacket that’s been fitting well and all of a sudden you start to lose weight. That jacket looks long and droopy and doesn’t fit as well and it kind of looks like it’s dragging down. So the upper lip the right proportion of the upper lip to the lower they visit, the appellate should be shorter, and the lower lip in the youthful person’s face. But when the upper lip starts to approximate the same length as the lower lip, or even be longer than the low lip, then it starts to become aged. And if you look at someone who’s in the 80s – 90s, with no teeth, you get the idea because the upper lip looks really long and looks like they have no teeth and you kind of get that same effect. If your appearance when someone’s lip is really long, they just look a little bit older, not as useful and when they are small, there’s not as much teeth show, or as well. So that again, is not very useful looking.

Trish 

Yeah, right. And so tell me, cuz I’ve actually seen older people that I thought had like a filler in the upper area between them in the plan to get their lips done. But then someone’s put filler in that area that is between the bottom of the nose and the top of the upper lip, which kind of gives the appearance of a longer lip, which just looks terrible, I think. Yeah. So that’s an error in someone doing an injury, correct? 

Dr Goh 

Yeah, correct, I will often get a lot of patients referred along from the injectable person or injectable practitioner and I think that’s a very wise thing for the practitioner to do because when a patient’s lip, upper lip is actually very long, it’s no point in putting in more and more fillers, you’re just going to drag on the lip and make it look like a big long lip instead of a thin long lip and a lot of times when you have a lot of fillers, they migrate down as well. So fillers will help to augment or plump up a lip, but it doesn’t actually shorten that distance and there’s only so much you can pump a lip up to try to lift it up by volume alone, that that after a certain point will start to fail and have a negative effect that is past a certain point, you will just have a long and heavy lip as opposed to a proportional and full lip. So there’s a certain level where if I think the patient has an adequate length, I’ll actually suggest that they go and see someone fulfill it to just plump up and give it more volume. But possession length in terms of the ratio between the upper and lower lip fillers are of no use and they may actually give a negative effect.

Trish  

Yeah, yeah, well, I’ve seen it myself. I’ve like whoa, that summer, someone said they had filler in their lip and I thought all they put it on top and it just said made that top part look longer. So that’s some, okay, and certain because, like, I’m not like, I love lip fillers and other people but I don’t want that for myself, because I just I think it would just freak, like I don’t mind having everything else done but lip fillers freak me out a little bit and so the upper lip lift, it kind of brings out the lip a bit more so your lip looks bigger, doesn’t it? Can you tell us how that works, or if that’s even true?

Dr Goh 

It is true. So this is the way I like to explain to patients the effects you get and what effects come from getting an upper lip lift. So if you have the same volume of muscle in your lip, but it’s surrounded or wrapped around by less skin, that is you’ve taken out a strip of skin, you actually make that appellate more look more volumise it’s like you’re wearing the same size jacket, you’re weighing M size jacket, but you’ve been working out so you’ll use development the bigger muscles or you’re wearing a tighter, if you just wear a tighter shirt, then it does look bigger. The second thing it does is that it changes the angle of the lip. Because if the lip kind of looks like it’s hanging straight down, and you’re removing a bit of skin from up top, and pulling that lip, that same amount of muscle that’s wrapped up by the skin, it will actually change the angle of your upper lip that is it will rotate it upwards a little bit so that angle at which the upper lip skin loss will be changed as well. And the third thing, of course, is the distance or the actual length of the lip will be shorter and therefore be more proportional in terms of the ratio between the upper and lower lip.

Trish 

Yep. I know where she’s at. She’s quite a famous doctor and she’s had more than one of these. I think she’s had like about four or something and she wants to be more so I know but that’s what she’s famous for. She loves everything done. So once you’ve had it done, does it just kind of grow or flop back down that you’d have to have it done again, or is that just?

Dr Goh 

I think it can be analogous to say a facelift? Yes, you haven’t done and I will say to patients, the immediate effects of a may look a little bit overdone and that is, it may look a little bit over corrected. But I always tell patients that the skin does stretch a little bit so the appearance or the result that you get in that first, three to six weeks is not going to be the result that you’re going to see at six months or one year, because they will stretch out one or two millimeters. And as they get older, it’s gonna be skin, that’s gonna stretch as well. But it’s like a facelift, you turn back the clock, but the clock keeps on ticking so it’s never going to be as long as it used to be, but it will age effectively at the same rate as the rest of your face ages. But it’s always going to be better than if you hadn’t had that procedure done, if that makes sense.

Trish  

Yep. So it’s automatically gonna make your top lip look bigger, because it folds out a little bit and kind of lifts up. 

Dr Goh  

Yeah, correct. So yeah, just that analogy, again, we don’t remove any muscle in a lip lift and the way I do it is that I leave all the muscle intact, I go under the skin quite a distance all the way down to the junction of the red powder lip and the white part of it. And so essentially, it’s like lifting up a blanket or bed sheet and drawing it up to a higher level and so it does wrap it up in a small amount of skin and it just looks more volumised and changing the angle and obviously changing the length.

Trish  

And is there anyone that you wouldn’t do it on?

Dr Goh  

Yeah, I think if a patient’s upper lip is of a good length already, that is it’s age appropriate or is, in fact took out any more skin who would actually look weird, then I would suggest that, you know, it’s not the procedure for them. And if they want more volume, then perhaps fillers are the best thing for them. Sometimes patients may request a stylised appearance so I have my limits to how much I will leave behind so it’s not so much how much you take care, but how much you leave behind. So again, for my younger patients, many of them do want a more stylised result or outcome and I may leave behind slightly less skin, and therefore it looks more volume is a little bit shorter, more lifted, whereas my slightly older population, so for example, 45 to 60, they may just want to look normal and balanced and not old and so I may leave a little bit more skin in them so it looks a little bit more natural. And so there are different populations and then there’s those people in between who just want to look slightly stylised, but more youthful and rejuvenated.

Trish 

Yeah. So when you say stylised, what do you mean?

Dr Goh 

Oh, by that I mean almost an overdone look, very plump, very short and I have my limits to how much I will shorten it because you can always cut it more, or you can put it back in. I’m always aware as well that it does stretch out a little bit and I will warn these patients that immediately it may look a little bit overdone, but in time you will stretch out a little bit. It is important that I tell patients I do remain conservative, simply because you can always cut out a little bit more but it’s hard to put things back.

Trish 

Yeah, that’s so true and I like that way of thinking because there’d be nothing worse than having too much taken and then it just looking silly.

Dr Goh 

Silly, exactly. And it’s also the amount that you can take and the result is also determined by the width of the patient’s nose. So for example, if a patient had really really wide nose, almost as wide of its widest lip or upper lip, you can take quite a lot out and it will have a very even lift that is you can take out a lot all underneath the nose and you have good lift in the middle part of the lip as well as very good lift to the sides of the upper lip. Whereas if a patient had a really skinny, really narrow nose compared to the upper lip, it will lift mainly the middle part of your lip so you don’t want to lift that patient’s middle lip part too much because the side part of the lips is going to remain slightly longer so you want it to still look natural. So if that makes sense, the perfect upper lip lift patients are those where their noses are wide and their nasal base is wide in comparison to the width of their lip. And so if a patient comes in and their nose is really ultra skinny, compared to the upper lip, I will say to those patients listen, I can’t take too much, because I can only lift that portion underneath your nose. And if your nose is really skinny, it’s just going to lift up the middle part of your lip and not the size of your lip and so we can’t lift it up too much. Otherwise, it’s gonna make it look silly.

Trish  

Yeah, of course, that makes so much which means I would be the perfect candidate coz I got a fat nose and small lips. 

Dr Goh

You are the perfect candidate. 

Trish 

Oh my god, so I wanna and I’m so scared as well, because one thing is going to ask you about is some? Because I know that it’s not like that, it’s not a huge procedure. It’s a relatively simple procedure but the after like, first of all, when someone has it done and says they do under local, what’s the recovery? And I know that we all scarred differently but how long before you reckon you’d be able to say okay, well, no one can see, that it’s red or because after you’ve had something cut like that it’s going to be red. 

Dr Goh

Yeah, so the first couple of days are going to be the toughest and I have photographs to show patients where the lip is five times the size the next day and so I tell patients do not be shocked the next day, if you look like your lips about to explode because of the swelling and lots of cold packs, keeping the head up, they all help. The next day will be the most swollen after the procedure and you should take your painkillers and put plenty of cold packs and ice packs on the lip area to reduce the swelling and reduce the bruising. Second day, it’s still going to be swollen. The stitches are removed in seven days or one week. And by that stage, most of the swelling has gone down. By about two weeks, the scars heal the wounds healing up really well. The swelling’s gone down, but the scar hasn’t matured yet and as with any scar on any part of the body, I always say to patients, the scars will get worse before they get better. So in terms of the redness, the appearance, the lumpy bumpiness along the scar, they will be worth around the four to six week mark and that’s usually when we see patients for follow up, just to reassure them, and then from then on, you’ll start to get better. And the way you can help the scar along is with moisturisation with scar gels and some of my patients will go along and have some laser treatment to their, to their wound as well, or light therapy to their wound and all these measures don’t just get as good a scar as possible. And the thing that I tell patients, this is what I this is really the worst thing you can do after the procedure is to check out your wound or having a good look at your scar where you’re kind of sort of drawing out your lip downwards to have a look at the scar because when you do that you’re you’re stretching the wound, you’re stretching the scar. So I tell patients to trust in the healing process, trust in the scar maturation, just do all those steps to get as good a scar as possible. But don’t try to open up the wound by kind of dragging your lip in those parts to have a look at the scar.

Trish  

Yeah, coz I actually that would be the immediate thing that I would want to do just have a really good close look at it.

Dr Goh 

Yeah, exactly. Yeah. 

Trish   

Yeah. All right. And I was gonna ask you, like, you’re talking about the width of the nose compared to your mouth is gonna make the difference. So would this have any result like, as you get older, the sides of your mouth tend to sort of droop down a little bit. There or not really? 

Dr Goh 

Yeah, so what you’re really addressing is the commissure, the corners of the mouth, and there really isn’t a fantastic way to fully treat the corners of the mouth and an upper lip lift doesn’t lift up entirely the corners of the mouth. There are other procedures like corner lift lifts, which I’ve tried in the past, which I don’t really do anymore, where you can try to lift up the corners of the lip there. Also during a facelift procedure, you can cut the muscle that drags the corners of the lip down to try to elevate the corners of the mouth but a lip lift on its own I said patients will not effectively lift up entirely the corners of the mouth. As well as say the central two thirds of the upper lip so the corners of the mouth, you can’t really kind of lift it up as much as the central two thirds.

Trish 

But would they make it so then if that doesn’t, if it would make it look worse? 

Dr Goh  

No, it won’t make it look worse. The overall your lips, your upper lip length will be shorter. Again, this depends on the width of the nose, how much you can elevate the corners of the lip. But because the distance from the nose and some people, the distance from the nose to the corners of their lip is quite far in these patients, they won’t lift up the corners of the lip that much. So in essence, Trish, I guess what I’m trying to say is that it’s not a procedure that’s designed to lift the corners of the lip up because that the corner of the lip is a zone where you have multiple multiple muscles coming into play, you have muscles that depress it muscles, that elevated muscles district stretches sideways, upwards and downwards. So these muscles are still in action. And you know, when you’re laughing, when you’re smiling and animating your corners of your lips move up and down and sideways so those muscles are still very active. And there’s no real good way of elevating and other than, say, surgically dividing the muscles or putting Botox in those areas. You can’t really shorten it by carefully lifting up the corners of the mouth by cutting out the skin.

Trish  

Yeah, that makes sense. I was thinking like, yeah, I was thinking I had to do that. Just my mind. I was thinking, Oh, would you stick a stitch up there and put it underneath or something? But yeah, I couldn’t even work out. What could possibly be done for that?

Dr Goh  

The corners of the mouth or otherwise called the modiolus or the commissure, It’s a very interesting area and there’s no really good way of loosening it up. What has been tried in facelift procedures is cutting the muscle that depresses or pulls down the corners of the mouth. But I found that when I did that, it kind of permanently gave the patient his Joker smile, which sort of, the patient loses their ability to animate as well so we don’t routinely do that in the face of procedure anymore but a lip lift, yeah, that’s one of the limitations is a corner of one patient aspect is going to lift up two corners of their mouth. I would generally tell them though. 

Trish   

Yep. And so going back to when you have it done, so you it’s some it’s not a long procedure, is it? And is there anything to do the day before, like, I guess you wouldn’t take blood thinners and stuff like that, because you’re gonna have a procedure. Yeah, is there anything to do before surgery?

Dr Goh   

I have a good night’s sleep, don’t get too worried or stressed about it, I will take my time with an upper lip lift and under local anesthesia in your office. I will usually tell patients, the time that we’re going to spend on them will be 45 to 60 minutes but that’s not because the procedure would take that long, I would take my time in terms of designing the skin removal as well as interacting with the patient so that we mutually decide this is how much we’re going to remove this is how much we’re going to leave behind and this is what’s coming off the upper lip and then this is important injecting with small needles with local anesthetic that’s been balanced out with alkaline solution so it doesn’t sting as much and then giving it plenty of time, let the patient just chill there for 15 minutes allow the local anesthetic to work. Because the last thing you want is not to feel any pain throughout the procedure and allow the patients that time to chill, this sort of relaxes them a little bit more, drops the heart rate down a little bit more and then before you know the procedure is over, and then patients got an ice pack on their on their lip and on the way home. So I usually will say to patients, you know, it’ll take us about 45 to 60 minutes, but the actual procedure itself is probably a little bit shorter than that.

Trish  

Okay, and you’re just saying about putting an ice pack on so is that some like how long are like say for example, come up, have it done on the way home do you have to keep eyes on the whole time?

Dr Goh 

Well, as much as possible. You know, on the way home you may not be able to pop an ice back on but as soon as you get home, lie down, sit down, put a small ice pack with some tape or a strap to the face and that would just help reduce the swelling and much of that.

Trish   

So the ice pack is just to stop the swelling?

Dr Goh 

Yeah, exactly. So reduce the inflammation, reduce the swelling, reduce the bruising and don’t be surprised the next day, it’s grossly swell.

Trish  

Yeah, right. Okay. All right. So, day one and day two, like, sorry, they went up to day four is when it starts to swell and then get your stitches taken out at date taken out at day seven.

Dr Goh 

Yeah, so probably about 89% of the swelling is gone. It’s still swollen, for sure and by about the end of week two, I think probably 90 to 95% of the strongest scar.

Trish   

Okay, I’m just trying to work out how long I have to go on holidays with my husband so that I can get it done anyway, no. Okay.

Dr Goh

Just put a mask on facemask.

Trish   

Oh my god, that’s a good idea. This is the perfect time to get it done, isn’t it? You know what in hell crazy I never even thought of that because I’d just be so paranoid about people looking at it, you know, because it’d be so like, yeah, but anyway, so alright. 

Dr Goh 

This just be COVID safe, that’s all. 

Trish  

Exactly, 24/7. So with that, so roughly two weeks before this, the swelling is completely gone. You just look normal, except you will have a bit of a skyline there, will you because, 

Dr Goh 

Yeah, so this is the important thing. This is probably the the the only thing when I was started doing this many years ago, the only thing that kind of I had doubts about whether there’s a good or bad procedure, whether it’s going to be a procedure that I want to do was scarring, potential scarring, and the potential for adverse scarring, which is rare. Of course, in a patient who’s genetically predisposed to bad scarring, they’re going to get good or bad scars so always ask about that. Do they have a history of keloid scar, do they have a history of hypertrophic scar anywhere else from any other procedures, and if they do, then that they stand a higher chance and a higher risk of scarring, we do try to hide the scar in the crease between the nose and the lip, patients would have come across different terminology for an upper lip lift, such as a bull horn, lip lift, or an Italian lip lift. These are all variations of the design of the lip lift. The way I like to explain to patients is that if you have a nice strong crease between your nose and your lip, I’m going to go along that crease where they look like a bullhorn or Italian. But if a patient doesn’t have a strong crease, then you design and make that crease where it’s going to be the least conspicuous. Once it’s healed, the scar will fade over time and it can take six to 12 months to fade up to a level where it’s difficult to see from a conversational distance. But for those first six weeks, it’s pretty obvious that there is a scar there but after that, there are patients that are free to use makeup over that area and most patients are okay with a scar that continues to fade.

Trish 

Okay. And you know, you were saying that some people have laser treatment to help the scar. How long after the treatment would you do that? Because it will still be uber uber sensitive, won’t it?

Dr Goh 

Yeah, so the best time to come in for some laser therapy is actually when it’s still red. Once the wounds healed, laser practitioners will say yep, we can do lasers as long as it’s healed. And that’s usually three weeks, four weeks, and then you start the laser. It’s better to start it earlier when it’s still a little bit red and hasn’t fully matured yet and so when it’s just starting to mature the scar and scars starting to develop that’s the best time to hit it with the laser.

Trish 

And what sort of laser like when you say because I love this laser laser laser. 

Dr Goh 

Sure, yeah and I leave it up to the laser practitioners what type of laser they’re accustomed to. The specifics I realise coming into the market every month so I usually leave it up to the practitioners. They usually know what strength and how frequent lasers they need to have.

Trish   

Yeah, and on that as well. So can you use stuff for the scar as soon as you can? I’m a real avid fan of Strataderm and Stratamark, can you use this for scars as well? 

Dr Goh 

For sure for sure. And that’s what most of my patients would do. So I usually just use an ointment in the first few weeks in the initial phase, like a Vaseline type ointment. And then once it’s healed, they can rub scar gel such as Strataderm and Stratamark, anything that is silicone based into the wound. I don’t send all my patients off to have lasers. Some of them go off by themselves to see the laser practitioners and I said, that’s fine, that’s okay but most patients will heal up just fine with conservative scar therapy management, including silicone based ointments and gels and yeah, giving it time for the scar to fade.

Trish  

Okay. And I have asked this question, but how long before you’d be able to have a really big passionate kiss?

Dr Goh 

Oh, look, again, that’s, uh, this is my instructions for patients when it’s healing the first four weeks or so. I don’t want that warning to stretch and so for about a month, I say no big hamburgers, no big laughs, no comedy festivals, no chicken drumsticks and no big, long kisses.

Trish   

So keep your mouth shut as much as you can for about a week so this could be a weight control thing as well.

Dr Goh 

Could be. Yeah, that’s the other thing is I tell him to eat small bites and don’t stretch them out that much when it’s here in the first four weeks. Yeah. Just got to stretch the way.

Trish     

Yeah, that’s fair enough. And could the patient take things like Arnica drops or anything like that to like, would that be beneficial? Or is that not really?

Dr Goh 

Arnica tablets? Supplements are good terms of reducing the bruising and swelling. Yeah, it works.

Trish   

Okay, okay. So, probably four weeks for the scar, we can start to do kissing and eating hamburgers and stuff like that? And then how long do you reckon like, it’s a solid, like three months before like, if I was getting done, I wouldn’t be self conscious thinking people are looking at my lip?

Dr Goh 

I think it’d be shorter than that just because by about four to six weeks, you can actually see the swelling is mostly gone and you can actually put makeup over that area to hide the redness of the scar. And so the only time when you see it is if you have absolutely no makeup on, and the scar is still there a bit red and that’s up to about the four to six week mark from there on. So six weeks, about one and a half months from then on, it starts to fade quite nicely but before then, you can certainly put a punch to hide the scar if you like.

Trish  

Okay. All right. Awesome. So probably. Yeah. I mean, it doesn’t seem like it would take long. I guess it’s just about for me, it’s about not nobody knowing, certainly care people know, but it’s more about not looking too obvious and looking presentable, yeah. And I guess that’s where you put your hand in the faith that a Surgeon is not going to take too much that you’re not going to be left with this, like, I guess your teeth showing? Is that possible? Yeah.

Dr Goh 

Yeah. Yeah. So I think that there’s certain parameters of no amount of millimeters that I stay within. Again, that depends on whether the patient wants a full, really natural result or a more stylised result. And I always say to patients, I stay fairly conservative and it does stretch out one or two millimeters. So I tell patients in the first maybe three to four weeks, it may look a little bit tight, but it will stretch out a millimeter, or millimeter and a half. So yeah, it’s not too bad.

Trish   

Yep, because I remember having a chat with one of your patients about it, because she loves it and I remember seeing when it first got done, and I could notice it and then last time I saw it, it was like you would not even know at all but it was noticeable to me at first because I knew she’d had it done. I thought I see you’ve had it done, because I know you’ve had it done, I can see it. But then the next time I saw her I thought you would never even know and that was a really short time, like it wasn’t a long time.

Dr Goh 

That’s right. So different patients will heal differently and most patients because the lip is such a vascular area, there’s so much blood in that area, that it’s a very good healing area. And so by the time I see patients for one week, most patients can’t remove the stitches and put ointment on by the time I see them at two, three weeks. It’s good and I see them at four to six weeks just to reassure them that scars get worse before they get better. But you know, it’s a very speedy recovery, quick healing and things like infection. I mean, touchwood I’ve never seen one, in my experience. It’s always possible, but because it’s such a vascular area and they heal so well, that infection is such a low risk in that area.

Trish  

Yep, yep. Awesome. So yay, tonight, like is not going to take long to earn it doesn’t, you’re not going to be like, when you have a prejudice brought out and then just take days off work so it’s not like that, hey,

Dr Goh 

No, no in terms of when patients can go back to work. It all depends on the patient’s type of work. If they don’t want anybody to know or see that they’ve had a lip lift, then you do have to wait two weeks, your stitches out. By the end of the second week, most of the swelling has gone down and we can put makeup on. But if the patient is working at home or they don’t mind people seeing stitches then that after the initial swelling has gone down, after a few days to go back to work, that’s not a problem.

Trish   

Yeah. And like you said, just just wear masks. 

Dr Goh

Hey, perfect time. 

Trish   

Makes sense. Yeah. Awesome. And just just before we finish up, I’ve kept you for so long but it’s just so interesting. This is probably my favorite all time procedure but what I was going to ask you was oh, yeah. Are you noticing that more and more people are wanting this done? Because the first time I got an enquiry on our website, I was like, what is a bolt on lips? And nobody was doing it in that time, that is about like eight years ago, nobody was doing it.

Dr Goh

Yeah. Yes, yes, I’m finding it a good bang for bucks kind of procedure because it’s an in- office. It’s a local anesthetic procedure and I’m comparing to say a major facelift, D plan or smash facelift but it takes three hours or four hours. Whereas smaller procedures such as upper blepharoplasty, upper eyelid lift, and upper lip lifts, these are small procedures where downtime is low, recoveries quick,  risk relatively, lower than the bigger procedures. But you do get an improvement and it’s a natural, subtle improvement, where you look at the before and after, and you say, Hey, you look better and it and you cannot pinpoint exactly. If someone didn’t know you have the procedure. It’s like they cannot pinpoint exactly but they just said hey, you look better. Not quite sure why but it’s all about the balance and the heart harmony of the face. Where if your upper lip is long, and in comparison to your lower lip, you’ll view as the brain subconsciously will say, hey, this face looks old. Whereas once you get that bounce, fixed up and more harmonious where the upper lip is now shorter than the lower lip, the brain subconsciously will look at that face and say, hey, that looks more balanced, that looks more useful but it doesn’t necessarily say, hey, that’s a face that’s had a lip lift, it just looks better.

Trish 

Yeah, that’s so true and you know what, I think the favourite thing for me about it is, it will just push that top lip just just that little bit, like, kind of, you know, makes it a little bit pouty which I don’t have a lot of people don’t have without doing anything to it as well so it’s just makes it that little bit sort of.

Dr Goh 

Some patients, especially the younger patients saying, the 20s and 30s, then already for a facelift and then I didn’t have the job that I have the loose neck skin, but there’s something about them, that just makes them look a little bit drawn out in terms of their their upper level a little bit older and then now, that the lip lift or upper lip lift has come to more people’s attention. They look in America, hey, I think it’s my upper lip and then women come in to see me, I’ll confirm that and so yeah, your upper lip is quite long and if we improve that it will make you more bounced and that is that might be all that they need doing because they’re not old enough for a facelift or an upper blepharoplasty or a brow lift but it could be the only thing that’s just making them look older than their age. 

Trish  

Yep, I’ve definitely seen that, exactly what you’re saying, someone who’s really young or 22 year old the other day, and she was actually complaining and didn’t know what she could do. She just felt like she looked like about 35 and that were and that was one of the things that she brought up cuz she had a long lip and what I mean, I didn’t notice that until she said I was like, oh my god, it’s I can see what she says now, but she mentioned it so you wouldn’t know and for people that don’t know and don’t want to do it great but once you know, and it’s just there in your head, it’s just really hard to get it out. Yeah, yeah. You’re awesome. Just one quick question before we go, so the only time you see the patient is after the one week mark?

Dr Goh 

And I, myself or my nurse would see them at once to remove stitches. Yep, that’s usually when I see them as well and then I’ll usually catch up with them at the six week mark, and often in between the one and six week mark as well.

Trish  

Okay, awesome. So once those six weeks are done, they’re pretty, they’re just gonna heal, and it’s gonna look better and better and better at six weeks, correct? Okay, cool. So if you’ve got a big event coming up, you want to make sure you do this a couple months before. Awesome, thank you. That’s been so insightful. This is one of my, like I said, one of my favourite procedures, because I think it’s like you said, great bang for your buck, because it’s not a lot of time. It’s not a lot of downtime. It’s not a huge expense, and it can have a really dramatic impact on the way you look at it, if that’s something that you don’t like.

Dr Goh 

Yeah, absolutely. It needs to be planned carefully and planned precisely, executed precisely. And everything is done from a technical perspective in terms of making sure that there’s deep suspension of the deeper layers of the skin so that the skin closure is not tight, they will optimize the healing and the scar formation. The patient needs to make sure that we do everything we can to help her heal nicely and for the scar to be as faint as possible and there needs to be a frank discussion as well between the Surgeon and the patient in terms of what they desire. Too much is no good. Too little is good and I always say to patients, it’s better to stay conservative, because we can always cut out more but you can’t put back once you’ve taken out.

Trish

Exactly. Oh, sorry. One last question. So I was already having a procedure. Is this something that they could get done while they’re?

Dr Goh 

Absolutely. I do this very commonly, say for example, someone who’s having a rhinoplasty or breast procedure, or other procedure, and whilst they’re under anaesthesia, they can easily have this procedure done. It’s not something that needs the patient to be awake. So if they’re asleep, then they don’t feel anything at all. 

Trish

Yep, yep. That sounds great. Oh, look, thank you so much for covering that with us today. It’s just so I’m so insightful and so interesting. I’m so close. I just keep on why not and I’m scared but the more I hear about it, the more frightened I get as well. So that’s awesome.

Dr Goh 

It’s my pleasure, Trish and listeners, if you have questions about this procedure that have been answered and I hope that it’s been informative and certainly if anyone has any questions on this procedure, they can feel free to reach out to me. I’ll be more than happy to have a chat with them.

Trish

Fantastic. Thank you so much for joining us today.

Dr Goh 

My pleasure Trish.

Trish

And listeners look if you do want to find out about Dr. Goh honestly he is the bomb like he does amazing noses, he does amazing boobs, he also does amazing lip lifts as well so do look him up. So it’s Dr. Raymond Goh from Valley Plastic Surgery in Brisbane. So thank you so much for joining us today Dr Goh.

Dr Goh 

My pleasure, Trish.

Trish

Awesome. Bye bye

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Well, like all good quickies it's time to dust off and get back to our day jobs! If you liked the podcast please rate us because we need the validation for our fragile hearts. If you have a story to share or have a burning question you would like us to cover please slide into our DM’s on Instagram at @transformingbodiespodcast. Stay positive, keep your boobs and chins high until we chat again xoxo Trish