Lip Reduction

Thailand Lip Reduction at Bangkok's Best Hospitals and Performed by Board Certified Plastic Surgeons.

Lip Reduction

  • Thailand Cosmetic SurgeryCheiloplasty
  • Thailand Plastic Surgery HospitalsIn-Patient/Out-Patient
  • Thailand Cosmetic Plastic Surgery in BangkokPlastic Surgery
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Thailand Lip Reduction Surgery in Bangkok Hospitals

Not all of us may want larger, fuller lips.  Many people believe that their lips are too big, and want them reduced.  Many younger patients are often plagued by insecurities brought on by having larger than average lips and are sometimes teased by their classmates.  Although one should wait until their mid to late teens to have their lip size reduced due to maturing of the facial features.

This procedure really isn't incredibly invasive but there are risks and complications so please read through all of the information before agreeing to commit to any surgery.  But for such a small procedure it truly can make a big difference.

Best Candidates for Lip Reduction

First and foremost, an individual must be in good health, not have any active diseases or pre-existing medical conditions and must have realistic expectations of the outcome of their surgery.  Communication is crucial in reaching one's goals.  You must be able to voice your desires to your surgeon if he/she is to understand what your desired results are.  Discuss you goals with your surgeon so that you may reach an understanding with what can realistically be achieved.

You must be mentally and emotionally stable to undergo an cosmetic procedure.  No surgeon would agree to work on a mentally unstable person.  At least he should not.  Surgery is not getting a cavity filled.  This is an operation which requires patience and stability in dealing with the healing period.  There is sometimes a lull or depression after surgery and if there is already a pre-existing emotional problem, this low period can develop into a more serious issue.  Please consider this before committing to a procedure.

If you find that your lips are too large and may interfere in speaking or don't like them in general, you may wish to consider this procedure.  It is not a rather invasive procedure but it will cause discomfort and swelling and you will have to take it easy for a proper result so consider all of the above before deciding if this may be a viable option.

What Lip Reduction Can Do

Lip Reaction, also called reduction cheiloplasty, is the procedure to remove excess lip tissue to reduce the appearance of overly large lips.  The procedure can be performed under local and or regional anesthesia although some surgeons may choose to perform it under Light Sleep anesthesia.  The procedure takes only about 15 to 30 minutes and takes about 2 weeks to heal. Swelling can be an issue so please know this beforehand.  Also asymmetry is possible so please choose your surgeon wisely.  Although a fairly simple procedure, complications can and do happen.

Lip Reduction Overview

A lip reduction procedure normally takes about 20 to 40 minutes to perform. First, you will be given your choice or your surgeon's preference in anesthesia as discussed prior to your surgery date. For this operation it is often simply injections of Lidocaine, epinephrine (as vasoconstrictor) and possibly bicarbonate to neutralize the acidity of the preservative in Lidocaine. This will cut down on the sting of the Lidocaine.

If you had been given an oral sedative or valium prior you usually could care less what they are sticking in you. if you are planning to have other work performed, they will more than likely insert an IV for a saline drip to keep you hydrated and have a vascular doorway should the need arise. If you haven't been given a sedative, it is more stressful for some patients. Having an IV inserted feels sort of like blood being drawn, but for a shorter period of time. It's the initial placement of the IV that may sting a bit. After the needle is injected into the vein it is pulled out and a little plastic tube is left in your vein. This is called a catheter, which is taped to your skin so it is not knocked out and is ready to be used as a sort of entryway for anything the surgical team deems suitable for your body. This is usually done before you get into the actual O.R. nurse and you have a saline bag hooked up to you. The medications will usually be given with a drip system with this saline. The saline will keep you hydrated both during and post-operatively.

Some people get their IV placed in the crook of the elbow, some the hand. I dislike the hand ones as it's a nasty place for a bruise to be, at least with the arm you can hide it, it all depends upon your veins though. So if your veins are not very prominent this can be a problem. You are then brought to the O.R. if you aren't on the table yet.

If you have chosen an IV Liquid Sedative, they will insert a hypodermic into your tube that you are attached to or they attach the bag of it with a drip system to add a few drops every few seconds and when they spring open the stopper and it starts heading towards your body. The the effects of the anesthesia are felt soon after injection or opening the stopper. It feels like heat going into you veins then creeping up your arm - then it jumps from your shoulder to a metallic-like taste under your tongue and then you are blissfully anesthetized.

Your surgeon will make an incision the length of your lip inside of your mouth and will remove a strip of skin from one or both lips, depending upon your desires.

The surgical team then performs a sponge and instrument count and your surgeon then closes your incisions with, more than likely, a non-dissolvable type suture. Some surgeons may use a dissolvable type though, it truly depends upon preference. You may have an antibiotic-soaked piece of gauze placed between your lips and your gums at first. Of course there may be differences in surgical technique depending upon the preference of your surgeon.

You are then gently awakened and brought into the recovery room where the recovery nurse will monitor your vital stats until you are ready to be released. This is dependent upon the individual but may take up to two hours. Your lips and mouth may feel tight and quite tender as the anesthesia wears off. You may even feel emotional or upset - this will depend upon your body's reaction to anesthesia. You may also experience rigors or shivering. This may feel uncontrollable and is usually from the medications -- more than likely epinephrine that is used as a vasoconstrictor. The recovery nurse usually has wrapped you in a warm blanket but if not, request one. It certainly makes things more tolerable.

Some patients feel nothing different although if you have had General you may feel a little sick -- hopefully your surgeon gave you something to lessen this. Your prescribed medication should alleviate this pain and discomfort. However, if you believe your pain to be out of the ordinary once you get home, call your surgeon or the on call staff immediately. You will be driven home by your spouse, significant other or friend as you will not be able to see, much less drive yourself home.

Lip Reduction Results

Although your swelling should resolve within two weeks, the final results may not be seen for approximately three to four months postoperatively. Once the recovery is complete your results will be permanent.

Recovery After Lip Reduction

You may be groggy from the anesthetic and or oral medications and probably won't remember much of the first day or two if you were under Light Sleep sedation or deeper. You will have to take it easy and sleep on two pillows to keep your head elevated for 7 to 14 days -- or however long your surgeon suggests. When you wake up you will notice that your face will look even more swollen in the first 3 days. But, as the days go on the swelling will dissipate. There may be bruising, but this will go away, as well. So make a mental note of this or you may be shocked into a depression. Bruising and swelling are a normal occurrence in most surgeries.

You will more than likely experience some discomfort for several weeks -- having had intraoral incisions your diet may be restricted. You should ascertain all fresh fruits and vegetables have been washed, no raw fish (sushi), very rare meat or other types of foods that may contain high amounts of bacteria. Eating foods such as this may increase your risk of infection due to the incisions being in the mouth. You may be instructed to rinse with Listerine several times a day. DO NOT PICK or tongue your incisions or sutures!

Although any discomfort should be alleviated by your prescribed pain medication if you have excessive pain, redness, pus or other symptoms that do not appear normal, contact your surgeon immediately! Take your temperature regularly. An elevated temperature could mean an infection. Take those antibiotics on time. Also, don't forget if you are a female taking birth control pills that some antibiotics can interfere so in the event that you do have relations, use another form of protection as well.

Your sutures will more than likely be taken out by your surgeon at a week to 10 days postoperatively if your sutures were the non-dissolvable kind. Even though you may feel better, you must take it easy for the first 3 weeks. Be careful not to bend over or lift heavy objects. And be careful not to raise the blood pressure for at least 3 weeks as this could cause internal bleeding at your treatment area. Your blood vessels dilate to allow increased blood flow when you raise your heart rate. This may cause problems at internal wound sites. Do not participate in contact sports for at least 6 to 8 weeks -- although ask your surgeon what he recommends specifically.

Your swelling will subside within a few weeks, although usually the end result will be seen at 3 months postoperatively. You may notice a change in your smile, odd sensations of hollowness, tingling, the sporadic sharp pain, or pulling, burning, and cold sensations. These usually subside within the first few weeks.

Lip Reduction Post Operative Care

Care must be taken to avoid facial expressions as much as possible in the days immediately following procedure. Post-operative swelling and discomfort are considered normal for 3 to 5 days following treatment. Oral antihistamines such as Claratin, and ice packs can reduce this to a manageable level.

For two weeks following injections you should only have very brief exposures of the treated areas to sunlight or excessive heat. You should also avoid handling or massaging the treated area. Make up and standard skin care is resumed the day after treatment.

Possible Lip Reduction Risks

Unfortunately, all surgery has risks and complications. With lip reduction, these include allergic reaction to the anesthetic used and infection. There is the chance of asymmetry, dissatisfaction, hematoma, seroma, infection, and general dissatisfaction.

Numbness is possible, it usually subsides within the first few weeks but it may become a permanent issue. Excess scar tissue and lumps are possible as well, but are usually rare. The possibility of asymmetry can be corrected easily so this should not worry you extensively but should be considered.