You have exactly the kind of nose that can be de-projected *without* increasing the philtrum. On many projecting noses, the top of the upper lip, where it meets the nose, is pulled onto the bottom of the nose because the nose is so projecting. Then, when the nose is de-projected, that upper lip can relax back, and it can make the philtrum *look* longer. The woman in the short video that I posted with this answer had the tip of her nose de-projected a significant amount, and she shows that effect I just described. But your nose meets your upper lip at a sharp angle, so almost certainly, nothing would happen to your upper lip with the rhinoplasty. But there is another effect to pay attention to. When the tip and bridge are de-projected, it's important to reduce the strength of the bridge up at the top of the bridge, just in front of your eyes, or just below your eyebrows. If that isn't done, your profile would resemble the profile of a Roman statue, where the profile of the forehead slides right down onto the nose, without that little dip we like to see in front of the eyes. Search for Roman statue profile to see what I mean. Your surgeon must pay attention to that, too. I'd love for you to see some excellent professionally-designed morphs of what could possibly be done with your nose. Morphs could also help you set a goal for the rhinoplasty that's accurate for your tastes. (Side note: in my opinion, morphs should always be done by the surgeon, or he should direct an assistant as she makes the morphs. Morphs should be made with a constant eye to what actually *can* be done in surgery, for that particular nose, and only the surgeon has that information and judgment.) Remember also that rhinoplasty is an exquisitely difficult operation to get right, and you should only have surgery if you are able to make yourself very confident in your surgeon's skills. The changes that your nose needs -- a significant tip deprojection and elevation, and attention to the upper bridge -- require advanced techniques, requiring skill that most plastic surgeons don't possess with expertise. For most noses, it's much better to not have surgery than to have inexpertly-performed surgery. Read my essay on how to stay out of trouble while selecting a rhinoplasty surgeon. And for those who have had previous surgery, it also discusses how to tell whether your first surgeon should be performing your revision. Your nose is also a perfect example of why computer imaging is mandatory in rhinoplasty. You need to know exactly what the surgeon is planning to accomplish -- what features he thinks he can change, and by how much he thinks he can change them. I always email morphs to my online rhinoplasty consultations. When you see the surgeon's goals in the morphs, you'll know whether he has an eye for an attractive nose, and whether he shares your opinion of what constitutes an attractive nose. You'll also know whether the changes he proposes are large enough to be meaningful to you, and whether he understands your wishes enough to address all of your priorities. How would you ever get that figured out without the morphs?