What caused my philtrum to get big? (Photos)

The upper lip lengthens during the aging process, and with repeated filler injections. Looking at your pictures you might be a good candidate for an upper lip lift. There are many aesthetic features that need to be considered as well, ... to give an expample ... dental show when smiling, ...

The first issue to address is your chronic nasal decongestant spray use as this causes rebound nasal congestion and makes it so your nose is continually blocked (rhinitis medicamentosa). You may potentially have an underlying structural cause for your blockage, but first you'd want to wean off...

Vaseline is good to prevent drying of wound. But if you are a few weeks out of surgery, I recommend applying silicone based scar cream on the incision site. It helps to dimm the scar. Thanks.