What can I do about a deep philtrum? (Photo)

Question

I have a very long and deep philtrum that makes my upper lip area appear dark because of how pronounced it is, especially in shadows and this photo is taken with flash so it isn't as deep as it usually looks. Is it possible to inject filler between the philtrum to help make it appear less harsh? Or. is the only option to lessen the appearance a lip lift?

Nelson Castillo, MD · Answer

Thank you for sharing your excellent question and photograph.  You appear to have very nice, youthful lips with well-defined philtral columns.  Although you could place filler to lessen the depth of the philtrum I would not recommend any treatment as your columns will lessen with age and are currently very attractive on you.  Hope this helps.

Chase Lay, MD · Answer

Hello, most patients are asking for more philtrum columns like yours. You may place filler there, but could also make the area appear more heavy. If the nose to upper lip length is elongated, then a lip lift could be a more appealing solution.  Consult with a board-certified plastic surgeon and or experienced injector to make the best decision. Thank you,Chase Lay, MD

Stephen M. Davis, MD, FACS · Answer

Thanks for writing,You have a great philtrum and Cupid’s bow. People pay me to create that looks. If you think it’s too deep a little filler placed there can help. Good luck Stephen M. Davis, MD, FACS
Certified: American Board of Plastic Surgery
Member: American Society for Aesthetics Plastic Surgery
Member: American Society of Plastic Surgery
Member:RealSelf Hall of Fame

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What can I do about a deep philtrum? (Photo)

Answers (3)

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