Can a philtrum injection define the philtrum lines without accentuating the upper lip? (Photo)

You do have nice, full lips. Dermal filler such as Juvederm can be placed in the philtral columns without adding any volume to the red portion of your lip or changing the lip line. I hope this information is helpful for you.Stephen Weber MD, FACSDenver Facial Plastic Surgeon

Injecting the philrum of the lips is part of the technique we call the Paris lip injections to accentuate the philtrum and cupids bow. Belotero is a great filler for this purpose. Sincerely, David Hansen,MD

Some people, even in youth, naturally do not have a well-defined philtrum; others lose the philtral columns with age-related volume loss of the upper lip. Happily, fillers, my favorite for this being Belotero Balance, can be used to define and recreate (or create entirely) the philtrum. I prefer Belotero, since it has little likelihood in giving rise to the unwanted, bluish discoloration known as the Tyndall Effect when injected superficially. Restylane L is another good choice for this area, since it possesses a very good lifting capacity. Appropriately performed, treatment of the philtrum should not in any way affect the lips proper. Expertise is required for injecting this area and shaping and angling the columns upward appropriately, so be sure to seek the services of a board certified core aesthetic physician.with the requisite experience.

It is very easy to define the columns, seek someone who has experience.  Sometimes this makes or breaks the lips final apperance. I wish you the best of luck, Dr. Emer.

Yes, I like to use Juvederm in the upper lip and Juvederm Ultra does a nice job of defining the philtrum lines. For very sleight devinition, Belotero is a good option.