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

Question

I will be undergoing septorhinoplasty because of also slightly croked bridge of the nose to the side and probably drooping columella. Unfortunatly I have full lips and short philtrum, wchich causes chin to philtrum ratio of 3:1 and midface ratio of 1:1,1 and nasolabial angle of less than 90° facial convexity of 180* . I'm afraid that putting incisors more outwards as they should be will cause philtrum to be even shorter and upper lip fuller. What should be done to improve looks of my face.

Eric M. Joseph, MD · Answer

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

Gary M. Horndeski, MD · Answer

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.

Richard G. Reish, MD, FACS · Answer

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

Mats Hagstrom, MD (license on probation) · Answer

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

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

Answers (4)

Answer: Philtral length

Answer: Philtral length

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

Answers (4)

Answer: Philtral length

Answer: Philtral length

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Recommended reading

Everything you need to know about Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.