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What's the best way to reduce philtrum length when I have a lot of tooth show? (Photos)

ahnsoheeJun 25, 2022
I was interested in a lip lift when I got my rhinoplasty, but I already have a lot of teeth showing. My surgeon told me to just get lip fillers instead, but I didn't really like them. They made my lips fuller but didn't add much height, so the philtrum looked pretty much the same. I also tried a Botox lip flip, which I actually liked, but it still didn't make a big enough difference. Is there a better way to shorten my philtrum that won't show too much teeth?

Answers (1)

From board-certified doctors and trusted medical professionals
Dr. Akshay Sanan, MD, FACS
Board Certified Facial Plastic Surgeon
Answered on Jul 1, 2022
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Gary M. Horndeski, MD

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. The lip lift should not pull the nose down and should not widen it. Best Wishes, Gary Horndeski, M.D.

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Jacob Tower, MD

Hello, hope you are well. First of all, it may be helpful to know that a 'gummy' smile is rarely exaggerated by lip lift surgery. Based on your measurement, and the second photo you provided (in repose), you do appear to have sufficient length to consider a lip lift. Whereas in older patients...

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Jeffrey H. Spiegel, MD

This is one of those unique procedures that I do. We can remove lip under the nose and from inside the mouth to improve lip show and shape.

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David K. Isaacs, MD, FACS

These are 2 completely different procedures. You appear to have a long philtrum (distance between nose and upper lip), but you have nice upper and lower lip volume. A Lip Lift will shorten the distance, enhance the volume of your upper lip, and can increase your tooth show. It does leave a...

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David K. Isaacs, MD, FACS

It’s difficult to comment without a photo. Generally speaking, fillers are more likely to make your upper lip protrude than a lip lift. A lip lift will shorten the distance between your nose and your upper lip, and can give you more tooth depending on the case. Best of all, it can avoid the n...

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Anna Chacon, MD, FAAD

When considering rhinoplasty, especially in conjunction with procedures like buccal fat pad removal and a lip lift, it's crucial to evaluate how these changes will harmonize with your facial features. Here are some points to consider: Facial Harmony: A skilled surgeon will assess your facial...

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