Long philtrum and wide nasal base — lip lift or tip refinement?

We have here two different problems, do not mix them and try to handle them separately.

You are on spot regarding the indirect lip lif (aka bullhorn lift), given you gather the optimal conditions:
-long philtrum
-flat upper lip
So you can kill two birds with the same stone, reducing the distance between nose and upper lip plus enhancing the latter; however, the scars of the bullhorn lift are very visible, explicit and for a lifetime, you may need to use concealing make up on them, so you have to think carefully about this decision.

Apart from that, your nose is not completely visible, I perceive an upturned tip, short nose and a severe degree of boxy tip-verticalized lateral cruras, with alar retraction and columellar show; you'd be a good case for a comprehensive structure rhinoplasty, but this has no connection with your plans for the lip lift.

Your concern is a very common one, and you’re not alone in noticing that balance between the upper lip, philtrum, and nasal base — it’s an area that has a big impact on facial harmony.

A longer philtrum (the space between the upper lip and the base of the nose) can make the mid-face appear a bit elongated or less defined, while a wider nasal base can draw attention to that area. The best approach depends on your overall facial proportions and what you’d like to emphasize.

A subnasal lip lift can shorten the philtrum and subtly evert the upper lip, giving a more youthful and balanced look — but it’s important that it’s done conservatively to maintain natural proportions. On the other hand, if the main issue is the width or heaviness at the base of the nose, a nasal tip or alar base refinement could make the nose appear slimmer and improve definition without changing your natural features too much.

In some cases, a combination of both—a gentle lip lift with minor nasal base contouring—provides the most harmonious result. The key is ensuring that any change maintains the natural relationship between your nose, lips, and chin, so your features stay in balance and still look like you.

You would benefit from an eccentric lip lift. This does 4 things: shortens the distance between your nose and upper lip, increases the mucosa of the upper lip, increases the incisor show and pulls up the corners. This takes 1 hour to perform under local anesthesia and costs $4,000.

Best Wishes,

Gary Horndeski, M.D.