Implants including silicone and alloderm released to augment the fullness with the red lip. The Italian lip elevate is used and described, which does not incorporate an incision under the columella (in the middle), only on the edges. During a bullhorn method, Dr. Jacono cuts an incision beneath the nose https://grok.com/share/c2hhcmQtMw%3D%3D_018ca18a-f7cb-46db-9e7c-5df99389f06b