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Simple, take a ruler in millimeters and measure the distance between the base of the nose and lip vermilion (pink). The normal distance for women is 11-13 mm and men 13-15 mm.
I use a fine caliper in the office to provide accurate measurements and that is how I plan for how much skin to remove. An in-office consultation is the way best way to get an accurate measurement.Gary Linkov, MDLip SpecialistManhattan