Treatment at ICPM: Lip Lift in Valencia

In short

  • 🔑 It is a profile operated on frequently here. It is not a rarity or an adaptation of an operation designed for other people: it has criteria of its own and a technique of its own.
  • 🔑 And a moustache works in your favour, considerably more than people think. If there is hair over the lip, it goes a long way towards hiding the scar — it is the clearest advantage of this profile over a hairless lip.
  • The technique is adapted to that. Where there is a moustache or beard, the incision is bevelled to preserve the follicles, so that the hair keeps growing through the area instead of leaving a bare line.
  • The sutures come out on day 7, and from then on you can shave as normal.
  • 🔑 The aim, though, is different: to correct without changing the character of the face. Here less is lifted than in a female lip, and that is deliberate.
  • The starting anatomy is different. A morphometric analysis of 226 imaging studies found that the distances between upper lip reference points are greater in men than in women in every age group.
  • And the ageing differs too: women typically have more pronounced perioral lines, so the male reason for consulting tends to be length and dental show rather than lines.
  • 🔑 A beard changes matters in both directions. It can help disguise the scar, and at the same time it means the direction of the follicles has to be taken into account when drawing and suturing.
  • ⚠️ And there is a specific risk that has to be named: overshooting feminises. A short upper lip with a lot of visible vermilion is a feature associated with female proportions. It is the underlying reason for the previous point.

It is a small, real niche, and one practically unserved in Spain. And it has a peculiarity worth stating at the outset, because it shapes everything else:

Almost all the literature that exists on the lip lift in male anatomy pursues the opposite aim from the one a man who wants to go on looking like a man is after.

The problem with the evidence

It deserves explaining properly, because it is the most honest thing that can be said on this subject.

Search for literature on the lip lift in men and what comes up falls into two blocks:

1. Facial feminisation surgery. That is the bulk of it. There are reviews, series and technical papers on lifting the lip in patients assigned male at birth — and their stated aim is to feminise: to shorten the cutaneous lip and increase visible vermilion and dental show because those are features associated with female proportions.

2. General studies of male aesthetic surgery, which describe trends in demand but not this operation in particular.

⚠️ What there is not is a series of aesthetic lip lifts in cisgender men with criteria of their own for male proportions. And a 2024 review of lip feminisation acknowledges besides that, even in that field, the specific data are scarce and often extrapolated from broader research or from cisgender populations.

🔑 The operative conclusion is not “it cannot be done”. It is that the reference millimetres in the available literature do not apply here, and that the indication depends more than ever on the surgeon’s judgement about the proportions of the particular face in front of them.

The available evidence measures the opposite aimTwo facing panels joined by an arrow. The left one, with a reddish border, describes the origin of the literature in facial feminisation surgery. The right one, in purple, describes the aim of a male patient.The available evidence measures the opposite aimAlmost all of it comes from facial feminisation surgeryWhere almost all the literature comes fromFacial feminisation surgeryIt is the context in which the lip lift on male anatomyhas been studied most.Its stated aim is to feminiseShortening and everting the lip is part of that aim,not a side effect.What a man consulting here is afterCorrecting a lengthened lipWithout changing how the lower third reads as male.The aim is the oppositeAnd therefore the criteria for how much to lift do notcarry over.It is not that the evidence is poor: it is that it measures something else. A study that counts “having feminised” as success cannot tell youhow much to lift in someone who does not want to feminise anything. Hence the indication here is more conservative and more individual.A simplified diagram for explanatory purposes; it does not reproduce real anatomical proportions.
There is a problem with the evidence here that is worth saying out loud: almost everything published on the lip lift in male anatomy comes from facial feminisation surgery, where shortening and everting the upper lip is part of the aim. Those papers are well done and measure what they say they measure — but what they measure is success in feminising. Carrying their criteria for how much to lift across to a man who wants to go on looking like a man is using a map of somewhere else. The practical consequence is that in this profile the indication runs more conservatively and is decided case by case. Diagram produced by the Instituto de Cirugía Plástica del Mediterráneo.

The starting anatomy is different

This is not an impression: it has been measured.

A morphometric analysis of 226 imaging studies with ten reference points found that the distances between points are greater in men than in women in every age group. The male upper lip is, from the outset, longer.

🔑 And that changes the point of reference. A philtrum that in a woman would be strikingly long can be perfectly proportionate in a man. Applying the same yardstick produces exactly the result nobody wants.

The ageing differs too. The 2025 review of lip ageing notes differences by sex, with perioral lines typically more pronounced in women. In practice, the male reason for consulting tends to centre on length and the disappearance of the tooth rather than on vertical lines.

🚨 The specific risk: overshooting feminises

It is the central warning of this page and it is not an aesthetic opinion: it is the logic of the literature itself.

In facial feminisation surgery, the lip lift is used precisely to feminise: shortening the cutaneous lip and increasing the vermilion and dental show are changes the literature describes as associated with female proportions.

🔑 That is: the same manoeuvre that in a woman restores a proportion can, in a man, shift one.

The practical consequence is that the margin here is narrower. And it adds to the rule that governs this whole operation at any sex and any age: falling short can be adjusted; overshooting cannot. Excised skin cannot be put back.

⚠️ So in this profile, a surgeon who proposes lifting clearly less than you expected is doing their job.

The beard: it helps and it complicates

It has effects in both directions and both are worth knowing.

In favour: the incision falls in an area with hair. A moustache or a beard can disguise the scar considerably, whereas on a hairless lip it has nowhere to hide beyond the crease at the base of the nose itself. It is a real advantage of this profile.

Against, and this is what needs discussing in the consulting room:

  • The incision crosses the follicle zone. Their direction determines the line and the suture.
  • The scar can end up as a hairless line within an area that has hair, which on a thickly covered lip can show — the absence of hair stands out against a full background.
  • If you shave daily, there is a week in which you will not be able to do so over the wound: until the sutures come out, on day 7. From then on, as normal.

✅ And here the technique is modified: where there is a moustache or beard, the incision is bevelled to preserve the follicles.

🔑 It is worth understanding why, because it is exactly the remedy for the hairless-line problem. A cut perpendicular to the skin severs the follicles in its path. A bevelled cut — oblique — passes beneath them and spares them, so the hair keeps growing through the area and the scar ends up covered rather than drawn.

⚠️ It is not a guarantee that nothing will show, and that is worth saying. It is a technical decision that works in your favour, and on a thickly covered lip it is the difference between a scar that is disguised and one that reads.

What a beard changes about the incisionA schematic front view of a mouth with fine strokes representing the hair of the upper lip, and a thick stroke marking the path of the incision crossing that area. On the right, two points explain the advantage and the drawback.What a beard changes about the incisionThe hair disguises the scar, and also complicates the cutThe incision crosses the folliclesThe hair of the upper lip grows exactly where the linegoes. That has two sides, and both matter.In favour: the hair helps disguise the scar once it isclosed.Against: if the cut severs the folliclesperpendicularly, a hairless line can remain. That iswhy the incision is bevelled, to preserve them.It is a point of technique that almost nobody publishes and that in this profile decides the result: the direction of the cut, not just itspath.A simplified diagram for explanatory purposes; it does not reproduce real anatomical proportions.
On a lip with hair, the line of the lip lift passes through where the hairs grow, and that works in both directions. In favour: once closed, the scar sits among the hair, which is the best camouflage there is. Against: a perpendicular cut severs the follicles and can leave a bare line exactly where the suture is, which draws more attention than the scar itself. The solution is technical and simple to state: a bevelled incision, angled, to cut between follicles rather than through them. Diagram produced by the Instituto de Cirugía Plástica del Mediterráneo.

What to look for, then

What this profile tends to describe in the consulting room:

  • “My teeth do not show when I talk.” It is the most frequent reason and the most objectively measurable.
  • “There is a lot of space between my nose and my mouth.” It can be constitutional or acquired, just as in anyone.
  • “My mouth has gradually closed up over the years.” The vermilion rolled inwards.

And what is worth being clear about from the start: the reasonable aim in this profile is to correct without it showing that anything has been corrected. Not a fuller lip, not a different mouth — the same face with the proportions it used to have.

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Frequently asked questions

Is it a different operation in men?

The technique is the same. What changes is how much is lifted and against what reference of proportion, as well as the handling of the hair. It is a difference of judgement, not of procedure.

Will the scar show with a beard?

It can be disguised a good deal, and that is an advantage of this profile. The nuance is that the scar itself may grow no hair, and in a full beard a hairless line does show. It is a point worth discussing beforehand.

When can I shave again?

From day 7, when the skin sutures come out. Until then the area is stitched and is not touched. It is a week, not a month — and it is usually one of the first questions from anyone who shaves daily. The rest of the calendar is in lip lift recovery.

Will I look more feminine?

It is the risk that has to be managed and that is why this page names it. A measured lip lift does not feminise; an excessive one can, because a short lip with a lot of visible vermilion is a feature associated with female proportions. Restraint in the amount is the answer.

Do many men have this done?

It is a minority. And it is worth knowing that the literature specific to this profile is scarce, which means any figure anyone gives you about results in men probably does not come from studies in men.

And if what bothers me is the lines?

That is another problem and this surgery does not solve it. It is covered in upper lip lines and the barcode — although, according to the literature, it is a less frequent reason for consulting in men.

Sources

  • Rusu LC, Beschiu LM, Iacob F, Zaharia C, Neuwirth K, Bulut O, Ardelean LC. A morphometric anthropometric analysis of the upper lip in adult Western Romanian population — a retrospective study. Scientific Reports, 2025. PMID 40425617. — Retrospective study of 226 imaging studies with ten reference points, five hard tissue and five soft tissue, divided into six subgroups by age and sex; the distances between points were greater in men than in women in every age group; strong correlation between right and left distances; positive association between the skeletal contour of the maxilla and the contour of the upper lip.
  • Nassar A, Naba J, Demian J. Lip feminization: A review. JPRAS Open, 2024. PMID 39188659. — Systematic review of surgical and non-surgical lip feminisation techniques; of 28 initial publications, 21 remained; the data specific to lip feminisation proved scarce and frequently extrapolated from broader facial feminisation research or from studies in cisgender populations; the authors call for procedure-specific research.
  • Sturm A. Lip Lift. Otolaryngologic Clinics of North America, 2022. PMID 35750522. — It describes the perioral area as a relevant feature in the expression of femininity and characterises the female lip by a shorter distance between the nasal base and the border of the vermilion, fullness of the vermilion and a few millimetres of dental show; it also lists the technical keys to the procedure, including determining the amount of lift appropriate to the patient’s anatomy.
  • Sun F, Liu Y, Zhang T. Aging of the Human Lip: Current Knowledge and Clinical Implications. Journal of Cosmetic Dermatology, 2025. PMID 40735924. — There are differences by sex in how lip ageing shows, with perioral lines typically more pronounced in women.

Book your consultation

If you recognise yourself in “my teeth do not show when I talk” and you want to correct it without it showing that you have had anything done, that is exactly the conversation to have at an in-person assessment: how many millimetres of margin there would be in your case and how many are best left alone. With a beard, besides, part of the plan depends on your hair and can only be seen in person.

Clinical confirmation by the surgeon

Portrait of Elena García Vilariño
Dr Elena García Vilariño
Specialist in Plastic, Aesthetic and Reconstructive Surgery
Registration no. 46/4624503
Portrait of Abel Llinás Porte
Dr Abel Llinás Porte
Specialist in Plastic, Aesthetic and Reconstructive Surgery
Registration no. 46/4623604
Portrait of Enrique Salmerón González
Dr Enrique Salmerón González
Specialist in Plastic, Aesthetic and Reconstructive Surgery
Registration no. 46/4624077

Last reviewed: 6 September 2026. This content is for information only and does not replace an individual assessment by a healthcare professional.

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