What type of lip lift would I need for my long philtrum, downturned corners? (Photo)

Before jumping into expensive, aggressive, invasive surgeries with their prolonged healing downtimes, you might wish to consider the use of an entirely nonsurgical approach that typically yields immediate, on-the-spot improvement and engenders little to no significant downtime.
At least from the photo provided, an appropriate medium viscosity HA filler can be used to enhance lip volume and projection-- and establish greater harmony and proportionality-- between the upper and lower lips. Additionally, a low viscosity, malleable, cohesive HA filler can be injected along the lengths of vermilion borders of the upper and lower lips, which, in the case of the upper vermilion, would help to diminish the appearance of the elongated vermilion.
Finally, a robust HA lifting filler can be used to elevate and smooth the down-turned angles of the mouth.
In experienced hands, all of the foregoing can be achieved in about a twenty-five minute treatment session.
You would be wise to consult with an experienced, board certified cosmetic dermatologist filler injection expert and best of luck.

Thank you for sharing your question and details — they’re very helpful in understanding your goals. Based on what you’ve described, it sounds like you’re seeking both more upper lip visibility and improvement in the downturn at the corners of your mouth, which are common aesthetic concerns, especially when the philtrum (the area between the nose and upper lip) lengthens with age.

In your case, a subnasal “bullhorn” lip lift would likely be the most effective technique to shorten the philtrum and increase the amount of visible vermilion (the pink portion of the lip). This type of lift removes a small strip of skin beneath the base of the nose, elevating the central part of the upper lip for a more youthful and balanced appearance.

To address the downturned corners, a corner lip lift can be done at the same time or later. This procedure subtly raises the outer edges of the lips, helping soften a resting frown or “sad” expression while maintaining a natural look.

Since you’re also planning a tip plasty, it’s excellent that you’re thinking ahead about sequencing — it’s usually best to have nasal procedures done first, then allow the area to heal before performing a lip lift, as nasal shape changes can slightly influence the philtrum-lip relationship.

Overall, your oily skin and mild rosacea shouldn’t interfere with surgery, but those factors are good to discuss with your surgeon for the best healing plan.