The Endonasal Lip Lift: What It Is, How It Works, and What to Expect

When it comes to facial aesthetics, the lips play a starring role. A youthful upper lip has a gentle curve, balanced proportions, and just the right amount of tooth show when you smile. Over time—or simply due to genetics—the upper lip can lengthen and flatten, making the face appear older and less balanced. A lip lift is a surgical procedure that shortens the space between the upper lip and the base of the nose, restoring youthful proportions and a brighter, more attractive smile.

Dr. Ross Clevens was honored by the American Academy of Facial Plastic and Reconstructive Surgery—the international governing body of facial plastic surgeons—to create the Academy’s official teaching video on the lip lift procedure. Through this video, Dr. Clevens has taught hundreds of surgeons worldwide how to properly evaluate patients, choose the right lip lift technique, and perform the procedure with artistry and precision.

Why a Wholistic Approach Matters

Every face is unique, which means no single technique works for everyone. Dr. Clevens stresses the importance of a wholistic evaluation when planning a lip lift. This means carefully studying your facial features, proportions, and goals to determine the best surgical approach for you. With expertise in multiple techniques, Dr. Clevens tailors each surgery to achieve the most natural and balanced result.

What Is an Endonasal Lip Lift?

The endonasal lip lift is a refined surgical option that shortens the distance between the upper lip and the base of the nose without leaving a visible scar. Much of the incision is hidden inside the nostrils, making this technique especially appealing for patients who want scar-free results.

Benefits of the Endonasal Lip Lift

The endonasal approach offers several distinct advantages for the right patient:

This approach can:

• Enhance the shape and position of the upper lip
• Reveal more tooth show when smiling, creating a youthful look
• Improve harmony and balance of the midface

How the Endonasal Lip Lift Works

• Careful Planning – Dr. Clevens measures the ideal distance between the upper lip and nose based on your facial proportions, gender, and aesthetic goals.
• Hidden Incisions – Small incisions are placed inside the nose, concealing the surgical work.
• Precise Lifting – A small amount of tissue is adjusted to gently elevate the upper lip, improving its contour.
• No External Scar – Because the incision is tucked away within the nostrils, recovery is discreet.

Most patients enjoy a quick recovery, with swelling resolving in the first week or two. Results continue to refine over the following weeks, creating a naturally youthful smile.

Choosing the Right Surgeon

The success of a lip lift depends on choosing a surgeon with the right training and artistic eye. Dr. Clevens is board-certified in facial plastic and reconstructive surgery, specializing exclusively in procedures of the face. His recognition by the American Academy of Facial Plastic and Reconstructive Surgery as the educator of record for lip lift surgery reflects his leadership in the field and his dedication to teaching other surgeons worldwide.

The Takeaway

An endonasal lip lift offers a subtle, natural rejuvenation with the added benefit of no visible scar. When performed as part of a wholistic treatment plan, it can restore harmony, highlight your smile, and refresh your overall appearance.