Philtrum Shortening - Is a Botox lip flip an option?

Question

I would like to know what my options are to shorten my philtrum. I am 30 and have read that being young and having keloid scarring is not a good combination for that procedure. I do not have a gummy smile and do not want a procedure that will reduce upper teeth show. I don't like the idea of fillers to shorten it because I have read that fillers can weigh down the upper lip, which would lengthen the philtrum even more in the long run. Is a botox lip flip a good option?

Jason Emer, MD · Answer

I would highly recommend getting a formal evaluation with and treatment from a board-certified cosmetic dermatologist and expert in facial sculpting. An experienced physician will be able to determine which technique will give you the result you're looking for. See an expert. Best, Dr. Emer

Nelson Lee Novick, MD · Answer

A Botox lip lift, performed by an experienced physician injector, can help to diminish the appearance of a long upper lip and philtrum, without affecting the smile and teeth show. Likewise, an appropriate filler, such as Belotero Balance, can be used to enhance the vermilion border (the border between the red and white lips only) without affecting the body of the lip itself. Make sure to consult with an experienced, board certified cosmetic dermatologist injector. Best of luck.

Anthony Farole, DMD · Answer

I think your lip shape and relationship to your nose is beautiful. I wouldn’t touch it. If you really want to shorten your philttum a lift lip will work. I don’t have an opinion regarding Botox tightening.

Christine Bokman, MD · Answer

Botox is a great option to help flip the upper lip up. To achieve this effect, Botox is injected just above the vermilion border in about 2-3 areas per side of the upper lip. It will not shorten the philtrum, but with the lip flip effect, it will make it look like the philtrum is shorter. I agree that filler would achieve the opposite effect and pull the philtrum down, especially if it is injected in the wrong place and too much filler is injected. Surgery is another option to shorten the philtrum, a procedure called a lip lift, for which the incision in hidden under the nose. If you have a history of keloid formation after surgery, I would recommend against a surgical option at this point in time.

Philtrum Shortening - Is a Botox lip flip an option?

Answers (4)

Answer: Botox lip flip

Answer: Botox lip flip

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Philtrum Shortening - Is a Botox lip flip an option?

Answers (4)

Answer: Botox lip flip

Answer: Botox lip flip

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Everything you need to know about Botox

Our mission is to create a world where every investment in modern beauty is Worth It.