Is there any surgical way to elongate the philtrum? (Photo)

Thank you for the question and picture. This is an unfortunate effect of the commonly performed lip lift. It tends to lift the central lip the most and the lateral lip very minimally. I always explain this possibility to my patients as well as the way to fix this. The is no good way to lengthen the philtrum. What I would recommend is to lift the lateral parts of the upper lips with a "vermilion lift". What this is, is a scar placed right on the vermilion border, which is where the pink part or your lip meets the skin above. The excess skin above this line is removed, lifting the pink part of the lip to match the central part of the lip which has already been lifted.