Too much space between upper lip and nose: fillers are still a good idea? (Photos)

Question

I have never liked the space between my philtrum and nose and I think that stress diets (a lots of!), are to blame. I had fillers on lips(juvederm etc), and I like myself better but still I think, when I look at my face, something is “missing”. Are fillers still a good idea, or you think the gap is beh big? I tend to make a strange thing with my upper lip, pretending to have bigger lips (like “pouting” them, you will get a better idea just from pictures)... just to “fix” this gap I don’t like.

Michael P. Morrissette, DDS, FACS · Answer

You might consider a lip filler such as Volbella to increase the prominence or natural anatomy of the lip. However, it sounds like you are more concerned with length of your philtral columns. A "lip lift" is an excellent procedure to diminish the length or distance between your nose and lip. The incision is well hidden directly beneath the nose. In addition, it provides more exposure of the middle portion of the lip. The results are permanent. Fillers cannot shorten this distance.

Daniel Barrett, MD · Answer

Dear MatiLove,I typically use Juvederm for my lip sculpting. There are two main focuses of lip injections, adding volume and actually sculpting the shape. Both involve injecting the filler in different areas of the lips and patterns.
I would recommend finding a plastic surgeon to perform you lip injections.Most of my patients have results that last at least 6 months.Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Jason Emer, MD · Answer

You would get a nice improvement with lip fillers (Volbella, Restylane, Juvederm). Nova threads can be used to improve lift and shape. Implants or fat are alternatives. I recommend getting a formal evaluation with a facial sculpting expert to go over your desired results. Best, Dr. Emer

Shaun Patel, MD · Answer

It's hard to tell without seeing a photo your entire face (to assess face proportions) or evaluating you in person. I think you have nice lips to start with. Lip filler treatment may help improve proportions. I would also consider chin filler to try and elongate the chin and improve proportions as well.

Oleh Slupchynskyj, MD, FACS (retired) · Answer

Based upon your photos, you could be a candidate for filler in the upper lip to increase volume there and reduce the gap a bit or you could be a candidate for a Bull Horn Lip Lift, which lifts the upper lip towards the nose.  You do have nice lip shape and size however.  To learn of the best options for you, I recommend consulting with a board certified plastic surgeon who can properly evaluate your facial features and proportion.  Best,Dr. S.

Too much space between upper lip and nose: fillers are still a good idea? (Photos)

Answers (5)