Can I get a rhinoplasty without making my philtrum look longer?

Rhinoplasty for under projected nasal tips: it is difficult to assess your case without photos, but from the description you give you may have a short Columella. The columella is the strut between the two nostrils which helps support the tip. When the columella is short the dorsum of the nose and the area above the tip may project more than the tip itself. Reducing the projection of the dorsum and the supratip will make the tip appear better and more projected .however this type of nose which commonly is characterized by a short columella and plunging rounded tip will usually not produce a “pointy upturned“ looking tip , but a softer, less pointy, slightly rounder looking tip.

Hi,
Thank you for your question.
It is absolutely not necessary to change the length of the philtrum when one is performing the Rhinoplasty surgery. For this reason, I can confirm, yes it is possible to have a Rhinoplasty procedure without changing the philtrum.

Hello and thank you for your question. Typically the philtrum length will not be altered with a rhinoplasty. Rotating the nasal tip to improve droopiness can expose more of your upper lip but it doesn't lengthen the philtrum per se. I could offer further advice if photographs are provided, with the caveat that an in-person evaluation is the most ideal.

For more information on rhinoplasty, please refer to my link below.

Good luck.

Mark K Markarian, MD, MSPH, FACS
Harvard-trained Board Certified Aesthetic Plastic Surgeon