What can I do to get my philtrum to be more symmetrical, smoother and less protruding? photos)

If you don't like the depth between your philtral columns, you could have hyaluronic acid fillers placed between them and strategically to make your cupid's bow more symmetric and smooth. Hope this helps!

I recommend a lip lift.  A lip lift 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.Best Wishes,Gary Horndeski, M.D.