Hello and thank you for your question. It sounds like your main issue is a long distance between your nose and upper lip (the red portion). Although you could potentially do some filler to the upper lip to make it fuller, which might possibly give the perception of a shorter distance, you would ultimately benefit most from an upper lip lift. This is a quick surgical procedure which could be done in the office under local anesthesia, and you would go home the same day right after the procedure. Dr. Donald Groves, our expert facial plastic surgeon, has extensive training and experience with these types of facial aesthetic procedures, so I’d recommend for you to come see him (or another plastic surgeon who is extremely comfortable with facial aesthetics) for a formal consultation to thoroughly discuss your surgical goals, undergo a formal examination, evaluate all your options (surgical and nonsurgical), and decide on the best procedure(s) and type of anesthesia for your specific case. I hope this helps! Dr. Emer