- Oberhöchstadter Str. 8, 61440 Oberursel
- 06171 591 91
- Am Salzhaus 6, 60311 Frankfurt am Main
- 069 920 380 90
The Bullhorn Lip Lift – named for the characteristic shape of the incision, which resembles a bull’s head – is a minor surgical procedure in which a crescent-shaped strip of skin is removed directly below the nose. Lifting the upper lip shortens the philtrum, reveals more of the white part of the lips, and lifts the entire lip area.
The result: a naturally lifted, expressive upper lip with long-lasting results—without the use of foreign materials and without the need for regular touch-ups.
The procedure usually takes only 45 to 60 minutes and is performed on an outpatient basis under local anesthesia or twilight sedation.
Geeignet ist der Eingriff vor allem dann, wenn der Abstand zwischen Nasenbasis und Lippenrot vergleichsweise lang ist, ein Merkmal, das mit zunehmendem Alter deutlicher wird. Eine Unterspritzung verändert daran nichts: Sie gibt Volumen, verkürzt aber den Abstand nicht. Die Narbe liegt unmittelbar an der Nasenbasis und ist bei sorgfältiger Schnittführung meist unauffällig, bleibt aber sichtbar. Weil die Veränderung dauerhaft ist, wird das Maß vorab genau festgelegt.
Advantages · Who is it for? · Bullhorn vs. Other Lip Lifts · Procedure · Aftercare Timeline · Risks · Costs · Alternatives · Team · FAQ · Date
Maybe you know the feeling: The distance between your nose and upper lip has become too great. The white part of your lips is barely visible anymore, and your lips look droopy—even though you feel young and full of life. Creams don’t help. Lipstick just masks the problem. And hyaluronic acid fills in the lines, but it doesn’t lift them.
„Ich wollte keine dickeren Lippen. Ich wollte einfach wieder dieses Lächeln, das ich früher hatte – offen, frisch, lebendig.“ – So beschreibt eine unserer Patientinnen ihr Gefühl vor der Behandlung.
The Bullhorn Lip Lift isn't about conforming to a beauty ideal. It’s about reversing a change that often happens gradually—and that can’t really be corrected with any non-surgical method. The result is permanent, natural, and subtle—a smile that suits you again.
We’ll be with you every step of the way—with surgical precision, aesthetic sensitivity, and the goal of leaving behind a scar that no one will see.
Medically reviewed ✓
Written by Dr. med. Zeynep Potente
Board-Certified Specialist in Plastic and Aesthetic Surgery
✓ Member of the DGPRÄC (German Society of Plastic, Reconstructive, and Aesthetic Surgeons)
EBOPRAS – European Board of Plastic, Reconstructive and Aesthetic Surgery - ebopras.eu
✓ Over 20 years of experience in plastic surgery
✓ Specialization: Facial Surgery and Lip Aesthetics
📅 Last updated: 11. August 2026
⭐⭐⭐⭐⭐ 5.0 on Google · over 300 more reviews on Jameda
✓ Member of the DGPRÄC (German Society of Plastic, Reconstructive, and Aesthetic Surgeons)
✓ Our own certified operating rooms in Frankfurt and Oberursel
✓ Lasting results – No need for additional injections or touch-ups
✓ More visible white on the lips – The upper lip is lifted, and the natural color of the lips stands out
✓ Shorter philtrum distance – The proportions between the nose and mouth are balanced
✓ Natural effect – Kein „aufgespritzt“-Look, sondern ein verjüngter Ausdruck
✓ The scar is hidden under the nose – The fine scar is located right at the base of the nose and is barely visible
✓ Can be combined – Ideal with hyaluronic acid for added volume or with other facial treatments
✓ One-time procedure – One surgery, a lasting result
✓ Overall Rejuvenating Effect – The face looks fresher, more alert, and more expressive
If the distance between the nose and the upper lip is too great
As we age, the philtrum—the area between the base of the nose and the edge of the upper lip—lengthens. At the same time, the upper lip loses projection and turns inward. The white part of the lip disappears, and the lip appears narrow and pulled downward. An ideal philtrum measures about 11 to 13 mm in women—if it is longer than that, a lip lift can significantly rejuvenate the face.
When hyaluronic acid is no longer sufficient
Dermal fillers plump and contour—but they don’t lift. If you want your lips to be not just fuller, but higher and more prominent, fillers have their limits. The Bullhorn Lip Lift permanently solves this very problem: It shortens the distance that no gel in the world can replace.
If you want lasting results
Sie sind müde von halbjährlichen Auffrischungen, laufenden Kosten und dem ständigen Schwanken zwischen „zu viel“ und „zu wenig“? Ein Lip Lift ist eine einmalige Investition mit dauerhaftem Ergebnis – und lässt sich wunderbar mit einer kleinen Menge Hyaluron kombinieren, wenn gewünscht.
When is a medical evaluation advisable?
If you are prone to scarring (keloids or hypertrophic scars), we will discuss in advance whether the procedure is appropriate. Female smokers should consistently avoid nicotine for at least 4 weeks before and after the surgery, as it impairs wound healing. If you have an active cold sore, we will postpone the surgery and recommend antiviral prophylaxis.
| Aspect | Bullhorn Lip Lift | Corner Lip Lift | Italian Lip Lift | Subnasal (Direct) Surgical Lip Lift |
|---|---|---|---|---|
| Main Objective | Shorten the philtrum, reveal more of the white part of the lips | Lift the corners of your mouth | Shortening the Philtrum with Two Incisions | Direct Lifting of the Lip Line |
| Cutting Technique | Crescent-shaped mark right at the base of the nose | Small triangles at the corners of the mouth | Two separate incisions under the nostrils | Right at the edge of the lip |
| Scar | Right under your nose (well hidden) | At the corners of the mouth | Under the nostrils (well hidden) | At the edge of the lip (more visible) |
| Suitable for | Long philtrum, little white on the lips | Downward-turned corners of the mouth | Very long philtrum, thin lip | Unclear lip contour |
| Swelling | Moderate (1–2 weeks) | Low | Moderate (1–2 weeks) | Moderate |
| Anesthesia | Local / Twilight Sleep | Local | Local / Twilight Sleep | Local |
| Duration of surgery | 45–60 minutes | 30–45 minutes | 45–60 minutes | 45–60 minutes |
| Recovery time | 1–2 weeks | 1 week | 1–2 weeks | 1–2 weeks |
| Can be combined with hyaluronic acid | Yes, very good | Ja | Ja | Ja |
| Costs starting at | 1.800 € | 1.200 € | 1.800 € | 1.500 € |
We take the time to listen to you. During a detailed consultation, we analyze the proportions of your face, measure your philtrum, and discuss which technique will achieve the most harmonious result for you.
What we'll discuss:
Preparation:
The incision line is marked precisely—directly at the base of the nose, tailored to the individual shape of your nostrils. This marking is crucial for the final result and for ensuring the scar is inconspicuous. Local anesthesia is administered and takes effect within a few minutes.
The procedure:
A crescent-shaped strip of skin—usually 3 to 8 mm wide, depending on the desired shortening—is removed directly below the nose. The remaining skin is pulled upward and closed with very fine, self-dissolving sutures. The external skin suture is made with non-absorbable suture material and removed after 5 to 7 days. Thanks to the precise incision at the base of the nose, the scar is hidden in the natural skin fold.
Aesthetic fine-tuning:
After closing the wound, we assess the result while the patient is in a relaxed position with a smile. Minor adjustments are made immediately to ensure optimal symmetry.
Combination with other treatments:
If desired, the Bullhorn Lip Lift can be combined with a small amount of hyaluronic acid during the same session—to add volume while the lips are already lifted. A Corner Lip Lift can also be performed during the same session if needed.
Where does the treatment take place?
In our own certified treatment rooms at Valentine Plastik—on an outpatient basis, discreetly, and in a trusting atmosphere.
Local anesthesia: This is standard for the Bullhorn Lip Lift—you’re awake but feel nothing. Many patients prefer this option because they can go home right away afterward.
Twilight Sleep: Auf Wunsch möglich – für Patientinnen, die den Eingriff bewusst „verschlafen“ möchten, ohne eine Vollnarkose zu benötigen.
Our anesthesiologist, Dr. Livia Köhler, will personally care for you throughout the entire surgery.
The First 24–48 Hours: Rest and Cooling
Immediately after the procedure, the upper lip area will be swollen and slightly numb due to the anesthesia. Gently cool the nose and lip area with a soft cooling pad. Sleep with your upper body slightly elevated. Avoid vigorous facial movements, wide grins, and strenuous chewing for the first 24 hours.
Days 3–7: Swelling subsides and sutures are removed
The swelling subsides a little more each day. Small bruises around the nose are possible and normal. After 5 to 7 days, the external stitches will be removed—a quick, painless procedure. From that point on, you can gently cover the incision and apply light makeup.
Week 2: The results are becoming visible
Most of the swelling has subsided. You can now see the lifted result—your new lip line. The scar is still reddish at this stage, which is completely normal. You can resume light office work starting in week 2.
Weeks 3–6: Daily Life and Scar Care
Starting in week 3, you can return fully to your normal daily routine. Scar care begins: apply scar ointment or silicone gel daily, and gently massage the scar once it has fully healed. The scar will become less noticeable with each passing week.
Exercise, Sun, and Sauna: Take a 2–4-week break
You should avoid strenuous exercise for 2 to 3 weeks, as high blood pressure can interfere with healing. Avoid saunas and swimming pools for at least 3 weeks. Very important: Consistently protect the fresh scar from UV radiation with SPF 50+ sunscreen for at least 12 months—sun exposure significantly slows down the fading process.
Scar Care Starting in Weeks 2–3
Once the wound has completely healed, intensive scar care begins. Applying special scar ointments (e.g., Contractubex, Dermatix) or silicone gel daily, along with gentle scar massages, promotes healing. Professional scar treatments such as laser therapy or microneedling can further optimize the results—please ask us about these options.
The final result after 6–12 months
The final result—including a completely faded scar—becomes apparent after 6 to 12 months. The lifted lip position is permanent, and the scar fades to a barely visible, light-colored line right at the base of the nose.
As with any surgical procedure, there are potential risks associated with the Bullhorn Lip Lift. We will discuss these with you in detail:
Common (temporary):
Rare:
Very rare:
Important: The quality of the scar depends largely on the precision of the incision, the suturing technique, and consistent scar care afterward. We use the finest suture materials and provide you with a detailed scar care plan to take home.
The costs depend on the option chosen, the extent of the procedure, and any combinations.
| Performance | Costs starting at |
|---|---|
| Bullhorn Lip Lift | 1.800 € |
| Corner Lip Lift | 1.200 € |
| Italian Lip Lift | 1.800 € |
| Bullhorn + Corner Lip Lift (combined) | 2.500 € |
| Combination with Hyaluronic Acid for Lips | + 350 € |
| Combination with Hyaluronic Acid for Lips | + 350 € |
| Twilight Sleep (upon request) | individual |
| Consultation | free |
What's included in the price?
Cash acquisition?
The Bullhorn Lip Lift is a cosmetic procedure and is not covered by public or private health insurance. We would be happy to advise you on financing options.
Alternatives to the Bullhorn Lip Lift
Depending on your situation and preferences, other options may also be the right choice:
Useful Combinations
The Bullhorn Lip Lift is most effective when used as part of a harmonious overall treatment plan:
We provide honest, personalized advice—only what truly suits you and enhances your natural beauty.
Permanent. The removed skin does not regrow. The philtrum remains shortened and the upper lip remains lifted—even as the natural aging process continues. This is the key advantage over fillers: a one-time procedure with permanent results.
Nicht unsichtbar – aber sehr gut versteckt. Die Narbe liegt direkt an der Nasenbasis, in der natürlichen Hautfalte zwischen Nase und Oberlippe. Mit konsequenter Narbenpflege verblasst sie innerhalb von 6 bis 12 Monaten zu einer kaum sichtbaren, hellen Linie. Viele Patientinnen berichten, dass sie Freunde und Familie nach der Behandlung gefragt haben „Was hast du gemacht? Du siehst so frisch aus!“ – ohne dass jemand eine Narbe bemerkt hat.
Typically 3 to 8 mm—depending on how much the philtrum needs to be shortened. We determine the exact amount on a case-by-case basis during the consultation, based on your facial proportions. Less is often more: We prefer a natural-looking result over overcorrection.
Yes—after a short adjustment period of 2 to 4 weeks, during which the lip is still somewhat tight, full mobility returns. The scar softens, and facial expressions remain completely intact.
During the procedure, you won’t feel a thing thanks to the local anesthesia—at most, you might feel a brief prick from the needle. After the procedure, a slight feeling of tightness is normal and can be easily managed with over-the-counter pain relievers. Most patients describe the recovery period as very manageable.
Please avoid blood-thinning medications such as aspirin, ibuprofen, or vitamin E for 5 to 7 days before the procedure (unless medically necessary). You should avoid alcohol for 24 hours beforehand. Smokers should abstain from nicotine for at least 4 weeks before and after the surgery. If you have a history of cold sores, we recommend starting antiviral prophylaxis 3 days before the procedure.
Yes—and that’s actually a very popular combination. The lip lift lifts and defines, while the hyaluronic acid fills and rounds out the lips. Together, these two treatments produce a result that neither could achieve on its own. The injection can be administered during the same session or 4 to 6 weeks after the procedure.
For patients with a strong tendency to form keloids, active cold sores, heavy nicotine use without a willingness to quit, or unrealistic expectations. Even if the philtrum is already very short, further shortening would not be advisable—other techniques may be more suitable in such cases.
There is no strict age limit—it all comes down to proportions. Many patients undergo the procedure in their mid-30s to 40s, when the age-related lengthening of the philtrum becomes more noticeable. For younger patients, there may also be an anatomical indication (a naturally long philtrum). We’ll provide you with personalized advice.
Duration of treatment: 45–60 minutes
Anesthesia: Local anesthesia (twilight sleep upon request)
Hospitalization: Outpatient – no hospital stay required
Incapacity for work: 5–10 days (a break from social activities is recommended)
Sport: after 2–3 weeks
Socially Acceptable: after 1–2 weeks (with light makeup)
Suture Removal: after 5–7 days
Result visible: immediately – permanently after 6–12 months (scar)
Shelf life: Permanent
Can be combined with: Hyaluronic Acid, Corner Lip Lift, Botox
Costs: Starting at €1,800 (Bullhorn), starting at €1,200 (Corner)
Acquisition of a pharmacy: None (cosmetic treatment)
Follow-up inspection included: Yes, after 5–7 days (stitches) and after 2 weeks
Write to us! We will be happy to advise you!
