Lip lift alternatives? What are my options?

You may wish to consult with an experienced, board certified cosmetic dermatologist filler expert to explore the possibility of a nonsurgical injection lip lift using microdroplets of Botox alone or in combination with the use of a low viscosity, malleable cohesive HA filler to accentuate the vermilion border. In the hands of an expert injector, both procedures if required can be performed in one fifteen to twenty minute treatment session. Hope this helps and best of luck.

Given your history of keloid and hypertrophic scarring, it's important to approach any surgical intervention with caution. Here are some alternative options to consider for shortening the philtrum and subtly enhancing fullness without extensive surgical risk:

Dermal Fillers:
Strategic use of fillers can help enhance the upper lip and create the illusion of a shorter philtrum. By adding volume just above the lip line, you can achieve a more youthful appearance without altering your natural lip shape.

Botox Lip Flip:
A Botox lip flip involves injecting Botox into the muscles around the upper lip, which can cause the lip to roll slightly outward, giving the appearance of a fuller upper lip without adding volume. This may subtly enhance the cupid's bow and reduce philtrum length appearance.

Non-Surgical Skin Tightening:
Treatments such as radiofrequency or laser therapy can help tighten the skin above the lip, potentially reducing the appearance of a long philtrum over time. These treatments are generally less invasive and carry a lower risk of scarring.

Topical Treatments and Silicone Gel Sheets:
If you decide to pursue any minimally invasive procedures, using silicone gel sheets or topical treatments designed to minimize scarring can be beneficial.

It's crucial to consult with a dermatologist or plastic surgeon experienced in treating patients with a history of keloid or hypertrophic scarring. They can help tailor a treatment plan that minimizes risk while achieving your aesthetic goals.