What options are there for shortening my long philtrum after rhinoplasty? (Photos)

Lip lift for the long upper lip. Since I have done male to female TG surgery for 40 years this is a common procedure which I do under local anesthesia with or without twilight anesthesia depending on much of a mental issue the patient has with being awake while surgery is done. Recovery needs 6 days for suture removal and camouflage make up is rarely needed. You be swollen but people won’t notice. See an experienced lip lift surgeon who does these frequently. 

the upper lip lengthens during the aging process, and with repeated filler injections. Looking at your pictures you might be a good candidate for an upper lip lift. There are many aesthetic features that need to be considered as well, ... to give an expample ... dental show when smiling, curvature from a lateral view, facial proportions related to chin and nasal width. Before undergoing surgery it is best to wait until most of the previously injected filler has disappeared. A lip lift is usually performed under local anesthesia and is well tolerated. I hope this helped.

With the different angles I cannot fully appreciate if the upper lip lengthened after surgery, however, this happens to all of us as we age.Sometimes lip fillers applies in the correct plane can help decrease the vertical height of the lip, but in case, that may not be possible.A modified lip lift is procedure that decreases the length of the upper lift and can roll out the red lip, giving the illusion it is bigger. Sometimes patient's need lip filler or fat injections into the actual lip to give the plump appearance.The downside is that there are visible scars in the center of your face and there is a lot of tensions on those incisions (as it is around your mouth... which is an area we use all the time). However, with sutures used deeper than just the skin, a lot of the tension is placed deep the the "scar" and results and less noticeable scarring.