Once the patient approves the facial markings, Dr. Gary Linkov will shift forward with local anesthesia to numb the higher lip so the remainder of the method is usually very easily tolerated. 3 months post elelyft lip raise. Starting philtral size: 13mm. Pores and skin excised: 4mm. Even quick philtrums https://grok.com/share/c2hhcmQtMw%3D%3D_150f7684-8e37-4948-be04-1d2f388f485c