How can I shorten my philtrum when I'm already showing teeth?

Hello Victoria,Thank you for your question. This is a difficult problem and from the limited photos without a formal exam, it is tough to give a specific recommendation in your case.
There are several factors involved with the lip position and size. First we can't just assume it is the skin that needs to be removed to reduce the height of the lip. The size of the lip along with the position of the teeth and bone is also a factor. I suggest being evaluated by a craniofacial plastic surgeon can help in your situation as they deal with all of the structures and will guide you in the best possible solution. If the height of the upper lip is reduced too much by the typical lip reduction procedures, this can lead to a gummy smile. Sometimes the "easy" procedure is not the best procedure in every case. All the bestEric Payne, MD