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V CLINIC Brno — facelift procedure category

Direct (Sashimi) Lip Lift

Type

Botox & Fillers

Duration

45 min

What's included

5 deliverables in this treatment

  • Direct sashimi lip lift under local anaesthesia
  • Skin excision at the vermillion border for permanent lip enhancement
  • Fine suture closure and post-op care kit
  • Suture removal at day 9
  • Scar massage protocol guidance from week 2

The Direct (Sashimi) Lip Lift at V CLINIC Brno places the incision along the lip's vermillion border — the red-to-skin boundary — rather than beneath the nose. By removing a strip of skin at this border, the philtrum is shortened and the lip's pink edge is optically enhanced, creating fuller-looking lips through permanent anatomical repositioning. Unlike the bullhorn technique, scar placement is at the lip border rather than the nose base, and the effect is slightly more direct in enhancing the lip vermillion. Suitable as an alternative to filler for patients with inverted vermillion, downturned corners, or wrinkles above the lips.

About this treatment

The sashimi lip lift, also termed the direct lip lift, achieves a similar outcome to the bullhorn technique — philtrum shortening and lip vermillion enhancement — but through a different incision strategy. Rather than placing the excision beneath the nose base, the sashimi technique removes a strip of skin directly at the vermillion border: the anatomical boundary between the pink lip tissue and the surrounding skin.

This placement means that when the skin above the excision is advanced downward and sutured, the vermillion border is moved superiorly and slightly anteriorly, directly revealing more pink lip tissue and creating the appearance of a fuller, more defined lip profile. The result is a permanent enhancement of lip architecture — the vermillion shows more, lip color is visible even in profile, and wrinkles above the lip caused by lip inversion are also…

The trade-off compared to the bullhorn technique is scar location: the sashimi scar runs along the vermillion border rather than in the less-visible nose-base crease. This scar is typically well-concealed by the natural colour difference at the lip boundary, but patients are counselled on this difference during consultation so they can make an informed choice between the two techniques. Surgery takes approximately 45 minutes under local anaesthesia, with…

Good to know

Incision location
Vermillion border (lip edge) — alternative to nose-base approach
Effect
Direct vermillion enhancement and philtrum shortening
Result
Permanent
Anaesthesia
Local
Operative time
Approx. 45 minutes

Who is this for?

Fuller-looking lips permanently; inverted lip vermillion; wrinkles above lips; downturned corners; patients wanting filler alternative without repeat treatments

Preparation required

Stop blood-thinning medications 3 weeks before. Arrange transport home. Discuss incision location options (bullhorn vs sashimi) at consultation.

About the clinic

Reviews, team and credentials

Independent review links and clinic-reported team information.

4.9

47 clinic reviews

From independent platforms

Clinical team

V CLINIC Brno is led by Prim. MUDr. Tomáš Ventruba, Ph.D., MPH, LL.M., MBA, a Masaryk University Medical Faculty graduate (2007) and the clinic's founder, who performs over 1,000 facial operations per year and created the patented V Lift technique. Aesthetic gynaecology is headed by Prof. MUDr. Pavel Ventruba, DrSc., MBA — former Head of Gynaecology-Obstetrics at Brno University Hospital, pioneer of IVF in former…

Languages: Czech, English

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