Lip Reduction Between the Philtral Columns

my lip volume is fine, however, I have a straight top lip absolutely with no philtral ridges. I have used filler to augment the two peaks of the bow but its still relatively straight. is it possible to take a small wedge out between where the philtral ridges meet with the two peaks of the cupids bow, i'd like to take out a "U" or "V" shape piece between that to get rid of the straightness of my top lip

Doctor Answers 1

Philtral Column Augmentation - Los Angeles

Hello and thank you for the question.

It is difficult to make any sort of accurate determination without seeing a picture of your upper lip or examining you first-hand.  Generally speaking,  skin excision and soft-tissue rearrangement is reserved for reconstructive cases of the upper lips such as those related t cleft lip repair. 

The philtral columns can be successfully augmented and defined using HA-fillers such as Juvederm.  With repeated treatments, you can expect to see signs of neo-collagenization and hence more long-lasting results. Alternatively autologous fat transfer is also an option in the right patient profiles. 

I recommend you consult with a Board Certified Plastic Surgeon in your area for an evaluation and opinion.

Warmest Regards,

Glenn Vallecillos, M.D., F.A.C.S.

Philtral Column Augmentation - Los Angeles

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Hello and thank you for the question.

It is difficult to make any sort of accurate determination without seeing a picture of your upper lip or examining you first-hand.  Generally speaking,  skin excision and soft-tissue rearrangement is reserved for reconstructive cases of the upper lips such as those related t cleft lip repair. 

The philtral columns can be successfully augmented and defined using HA-fillers such as Juvederm.  With repeated treatments, you can expect to see signs of neo-collagenization and hence more long-lasting results. Alternatively autologous fat transfer is also an option in the right patient profiles. 

I recommend you consult with a Board Certified Plastic Surgeon in your area for an evaluation and opinion.

Warmest Regards,

Glenn Vallecillos, M.D., F.A.C.S.

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.