Which procedure can be done to prevent a shorter philtrum and fuller upper lip after septorhinoplasty?

Based on your singular profile photo, you appear to have a long nasal appearance with an overprojected tip and excessive nostril show with a hanging columella. In general, computer Imaging may be helpful for establishing goals after rhinoplasty surgery. I hope this helps. Sincerely, Dr Joseph

Your photograph is very limited. You do have a hanging columella. When the columella is elevated higher, this may give increase the distance between the nose and upper lip and improve the situation. Also, you need the angle slightly increased as well.

Best Wishes,

Gary Horndeski, M.D.

Hello and thank you for your question. Elevating your your tip slightly should solve this issue for you. Based on your photograph, you are a great candidate for rhinoplasty. Maneuvers for your surgery would include dorsal hump reduction, tip refinement, nasal tip deprojection, tip elevation, among other maneuvers.. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

I don’t think you’re gonna find a good procedure that lengthens the philtrum. If attempted any surgery is more likely to create scar tissue that will contract overtime reducing any potential gain. The contour of this area is so important that the risk of unintended side effect make surgical attempts risky IMO.
You could consider a standard lip lengthening procedure, though it is more aimed at the soft tissues on inside the lip rather than the exterior dermal surface.
As we age, the upper lip tends to lengthen so with time you’ll be ahead of the gang, though that may take a few decades.
Somethings don’t have good surgical solutions and are better left alone.
Best,
Mats Hagstrom MD