Lip lift or fat graft to shortening & making a more prominent philtrum? (Photos)

Question

Hi! I have a long philtrum where the philtrum columns are undefined. I considering doing either a lip lift or a fat grafting to the lip and philtrum area in order to make it shorter and more defined. I'm not sure which route is the best one to take in regards to my own anantomy. What I want to achieve is a more feminine philtrum and lip area, and also more upper lip/philtrum projection. I've heard that lip implants are suitable for making the philtrum columns more defined.

Nelson Lee Novick, MD · Answer

From the photos provided, it would appear that an appropriately cohesive, low viscosity HA filler can be used to enhance the definition of the philtrum (a rather commonplace procedure these days). Likewise, an appropriate HA filler can be used to achieve not only greater upper lip augmentation, but to achieve greater volumetric symmetry been the right half of your upper lip and the left. As to which physician to consult, you have your choice these days. While over 95 percent of all the nonsurgical rejuvenation procedures, such as Botox and fillers, were develoiped by cosmetic dermatologists, these procedures were subsequently taught to other core specialties, such as facial, general, opthalmic and ENT plastic surgeons. So, you have a wide array of choices. Just be sure to vet whomever you choose well, as many inexperienced doctors, non-physicians and medspas have entered this arena. Best of luck.

Randal Haworth, MD, FACS · Answer

You would be a great candidate for a lip lift. To me.

The use of upper lip lifts can accomplish three objectives: Firstly, they decrease the gap between the nose and upper lip, which tends to elongate as a person ages. Often, upper lip lifts are conducted simultaneously with facelifts to address this concern. Secondly, they increase the visibility of upper teeth. It is common for fashion magazines to feature young models whose upper teeth are visible (approximately 4-5 mm) when their lips are slightly parted in a natural position. Finally, they can expose more of the red area of the upper lip, which can enhance its appearance. This effect is not dramatic, and it will not produce an excessively plump pout like that of Angelina Jolie's lips on its own. Upper lip lifts are also suitable for individuals who have previously undergone rhinoplasty and are dissatisfied with the appearance of their upper lip.

Lip lift or fat graft to shortening & making a more prominent philtrum? (Photos)

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Everything you need to know about Lip Lift

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Lip lift or fat graft to shortening & making a more prominent philtrum? (Photos)

Answers (2)

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Recommended reading

Everything you need to know about Lip Lift

Our mission is to create a world where every investment in modern beauty is Worth It.