How do I flatten my philtrum? (Photo)

Question

I wanted to know if there is a way other than a lip lift where I can flatten or even shorten my philtrum. My philtrum is long and very prominent so it makes me look like the grinch lol. A plastic surgeon put filler in the middle part of my philtrum to fill the deepness but it just made it pop out more. I just don’t like the way it stands out so much:( plus I have a long face and it doesn’t look cute. A lip lift is something I thought of but I have enough teeth showing already. Please help!!!

John L. Burns Jr., MD · Answer

Attempting to surgery alter the philtum would be deforming and likely turn out worse.  Personally, I find your lip attractive and would suggest doing nothing.  You have very nice lip elements.  However, if it bothers you I agree with the approach that you could inject around the philtral columns to lessen the contrast between them and your normal lip elements.  I would always us a hyaluronic acid based filler which is reversible in case you didn't like that look.

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