Implants like silicone and alloderm introduced to enhance the fullness in the red lip. The Italian lip elevate is employed and described, which would not incorporate an incision underneath the columella (in the middle), only on the perimeters. During a bullhorn process, Dr. Jacono cuts an incision beneath the nose https://grok.com/share/c2hhcmQtMw%3D%3D_018ca18a-f7cb-46db-9e7c-5df99389f06b