Patient had very thin lips and multiple peri-oral wrinkles despite her being a non-smoker. Her upper lip was elongated (the distance between the base of her nose and her upper lip vermilion), which contributed to her very thin lips. She also had downturned corners of her mouth, which gave her a sad appearance. A bullhorn upper lip shortening along with valentine corner of the mouth lip was performed. Her lip volume was reestablished by bringing her inward turned upper lip back out with the upper lip shortening. Peri-oral CO2 laser skin resurfacing was also done for smoothing out the wrinkles around the mouth. Her before and after pics are shown.