Philtrum is currently 20mm and I have absolutely no tooth show. Lip lift? (photos)

Question

I am planning to get a lip lift and I'm wondering what to expect in terms of how much lift I should be wanting. My philtrum is currently 20mm and as you can see, I have absolutely no tooth show.

Nelson Castillo, MD · Answer

Thank you for sharing your question and photograph. You look to be a good lip lift candidate to reduce the distance from nose to lip margin. This will improve your tooth and lip "show."  Seek out a specialist for the best advice.

Gary M. Horndeski, MD · Answer

The normal distance is approximately 15mm and you would need about 5mm removed. Also, you need your corners pulled up as well. I recommend a lip lift. A lip lift does 4 things: shortens the distance between your nose and upper lip, increases the mucosa of the upper lip, increases the incisor show and pulls up the corners.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Farhad Rafizadeh, MD · Answer

It is not possible to tell you how much of your philtrum needs to be removed without examining you to see how high your teeth are, but based on the ratio between your philtrum and the skin show under your lower lip, it is possible that as much as 10 mm would have to be removed. The balance and harmony is important in any plastic surgery procedure, but it is critical in lip lifting. You should also consider chin augmentation. Again, an in person examination or at least a virtual visit is a must before validating these recommendations.

Vipul Gargya, MD · Answer

Hi,
You are a great candidate for lip lift. I have found leaving 13-14mm behind looks great, you can estimate what that looks like by pressing on the skin below your nose and measuring the distance!

Philtrum is currently 20mm and I have absolutely no tooth show. Lip lift? (photos)

Answers (4)

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