Age, 50, my philtrum is super long & my lip curls in - would lip flip, lip lift or fillers be best? (Photos)

I recommend a lip lift because the distance between your nose and upper lip is great. 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.

From the photos there appears to be significant volume deficit in the upper lip (as compared to the lower lip), which more ideally should be about one-half the volume of the lower lip. The use of an appropriate HA filler to volumize the upper lip can not only help establish a more ideal proportionality between the upper and lower lips, but would likewise somewhat diminish the length of the philtrum. Additinally, the use of a less robust, cohesive HA filler injected along the vermilion border of the upper lip would not only lend greater overall definition to the upper lip, but further improve the philtrum issue. Make sure to consult with an experienced, board certified cosmetic dermatologist. Best of luck.