You are a clear case for custom design upper lip reduction aiming to:-reduce slightly the projection and size so it fits better to you facial balance and with the lower lip size-perform assymetrical resection so that the corners are flatter and the center more voluminous-flatten the currently protruding and folded philtrum, therefore creating an expansion effect of larger visibility on it, also sought by you; keep in mind your philtrum is not that short, it just happens it is lifted by the huge upper lip and folded, only needs flattening (not total) and exposureThis is made with a customized upper lip reduction of bermillion, submucosal salivary glands and trimming the underlying orbicularis oris marginal fibers; it is NOT a question of bermillion resection only, the whole thickness of the lip has to be touched.A very safe procedure feasible under local and sedation.If you wish better grounded opinion please do post or send privately well lit, focused and standard images: frontal, both lateral and both oblique views.
