Lip Reduction (Sexy Lip Surgery)

Orientals commonly have thick lips that lack shape. Considering peripheral structures such as upper lip protrusion or short chin, it is rare for orientals to have congenitally esthetic lips, and lip plastic surgeries should often be conducted to attain perfect results. The physician should consider the degree of lip remodeling after the accurate evaluation of the facial organ proportion individually to avoid complications such as enlarged tooth crevice or difficulty in closing the mouth, which may arise from excess lip flesh resection. Sexy lip surgery provided by Dr. Chuang comprises lip reduction, which resects the thick or disproportionate lip flesh and reduces the lip within the golden ratio to redress the extroverted lip, and lip sculpturing, which trims the flab at the upper and lower lip margins to create an M-shaped lip margin and lip bead. According to Dr. Chuang’s experience, an overwhelming majority of patients undergoing lip plastic surgery need to receive the aforementioned two procedures to attain a perfect result, and the reduction degree of lip flesh should be discussed and determined in light of individual conditions and requirements.

Generally, the part to be excised is first demarcated at the border of the outer lip (pale red crease) and inner lip (red mucosa), and then, the thick lip skin and subcutaneous tissues are directly resected; this is first-stage lip reduction. The labial muscles, nerves, and blood vessels should be preserved to prevent postoperative labial atrophy or paresthesia. The excision of proper skin is second-stage lip remodeling, which involves sculpting and stitching of the incision in line with the preoperative plan, and shaping of the lip bead to create a lip shape expected by patients. Despite the surgery seeming to be simple, conservative resection should be employed for patients with mouth protrusion or osseous snaggletooth to avoid side effects such as difficulty in closing the mouth or incisor tooth exposure induced by excessive lip reduction.

Patients with a thin lip do not need to undergo the surgery but can consider the simple injection of low molecular weight hyaluronic acid (Restylane) to plump up the lip shape or an injection to the lip margin and lip bead to sculpt Cupid’s curve on the projected lip, which rapidly improves the lip proportion and reinforces the sexy expression of the lips.

Surgical conditions


0min (single lip)
  • Type of anesthesia: IV sedation + local anesthesia
  • Type of incision: At the border of the inner and outer lips
  • Recovery: 3–5 days
  • Removal of stitches: No

General instructions

No food and water on the day of surgery

  • Avoid smoking, alcohol, and irritating foods for 1 month postoperatively, and avoid laughing or singing or other overt mouth opening behaviors.
  • Abstain from licking the lips to prevent the secondary thickening of the lip flesh.

Ideal candidates

  • Patients with a congenitally thick lip
  • Those with a poor upper/lower lip ratio
  • Those with lip extroversion due to mouth protrusion or snaggletooth
  • Those whose lips are flat like a sausage
  • Those with excess skin creases at the lips
  • Those with gradually thickened lips due to the habitual licking of the lips or long-term stimulus of a mechanical force
  • Those with a lip deformity or asymmetry as a result of prior trauma or surgery

Possible complications

  • Excess reduction
  • Tooth exposure
  • Difficulty in closing the mouth
  • Scar contracture
  • Recurrent lip thickening
  • Temporary or permanent paresthesia

Surgical advantages

  1. The surgery radically resolves thick lips, with distinct and long-lasting results.

  2. It sculpts a sexy lip shape to enhance attractiveness and convincingness when speaking.

  3. It effectively reduces the exposure of red labial flesh (inner lip) to redress extroverted lips.

  4. It customizes different lip shapes based on patients’ requirements.

  5. It reduces the visual area of the lips which is unproportional to the other facial organs.

Surgical drawbacks

  1. The lips may present temporary or long term numbness.

  2. The scar at the lip margin may become tight due to the habitual licking of the lips.

  3. The lip flesh may show secondary hypertrophy due to the habitual licking of the lips.

  4. Excess lip resection may cause tooth exposure or difficulty in closing the mouth.

  5. Once resected, the lip flesh is difficult to be restored.

Before & After

These photographs represent typical results, but not everyone who undergoes plastic surgery will achieve the same.

Upper And Lower Lip Reduction – Female

Upper Lip Reduction – Female

Upper And Lower Lip Reduction – Male

Upper Lip Reduction – Male

Lower Lip Reduction – Male 

Asymmetry Lip Correction – Female

After One Week