Fleshy protruding lips/philtrum? (Photos)

I appreciate your concern and while physical exam is optimal, your photos demonstrate that you would most likely benefit from lip reduction surgery. The procedure is done in the office, under local anesthesia, and it takes about one hour. Recovery is usually one week, as postop, the lips are quite swollen. Come see me or another board certified plastic surgeon in our area to explore the best options for you.v