The aging process is, in part, characterized by thinning lips, This is antithetical to our culture, which idolizes youth and the plump, full lips associated with youthfulness. Because the appearance of aging lips is not desirable, and many times aging face techniques accentuate the thinning, techniques have been developed to augment aging oral labia. Substances such as fat tissue and bovine collagen are among the choices for use in injectable augmentation. Use of these products will temporarily fill thinning, wrinkled lips, as well as other perioral structures. The use of Gore-Tex provides more permanent enhancement, but is limited as to results. Vermilion border cheiloplasty is a permanent surgical procedure to augment labial tissue that can create lips of virtually any size or shape, as well as excise perioral rhytids. Herein we review 65 lip-lifts (cheiloplasty), with or without corner lifts, where the incision extends beyond commissure. These procedures may be performed together or independently on both the upper and lower labia. However, poor scar formation, asymmetries, and prolonged healing make this a procedure for those who fail lesser techniques.