Age 25, female - very long philtrum and general harmony of the face, lip lift? (Photos)

This is my expertise and a huge portion of my practice. Asymmetry is normal and expected. Buccal fat pad gives slimming not symmetry. Masseter botox will make you slimmer and make the jawline more loose. Fillers help give shaping and contouring. If you want perfect or close to perfect symmetry you need maxillofacial surgery or implants customized. I suggest seeing an expert to go through all options. Most of my younger clients use fillers to give them shaping especially on the cheeks, jawline, and chin which make the face look more slim and tight; and threads such as PDO or Instalift can build collagen and support the facial shaping and skin looseness over time, slowing down the aging process and given the face a more “snatched” look; and morpheus8 or PiXel8 deep microneedling RF can tighten crepe skin especially on the neck and jawline and is great for long term tightening of the full face, neck and chest; its often used to give the face a slimmer more sculpted look because it tightens the skin and gives lift. an early face lift can be performed as well even in younger clients if they want a different facial shape, maxillofacial surgery with bone breaking or shaving can also be done. For facial slimming a combination of treatments are always needed. Options include: 1. Buccal fat pad removal to reduce fat on the lower face 2. Factite or Renuvion/J Plasma to tighten the lower face, jawline, and chin to reduce fat and give the jawline and neck tightening and shaping. 3. Botox to the masseter to reduce the muscular size of the jaw giving the face an illusion of being more slender 4. Fillers to the jawline, chin, cheeks, temples and brow help to shape the face and make it more angled and defined Always use at home derma rolling (see link to Emerageskin x anteageMD roller plus stem cells/hyaluronic acid ampules) and peels like emeragecosmetics enlighten or aerify that can be used to improve skin quality and tighten the skin while improving wrinkles, pigmentation, acne, and Melasma. See an expert who does facial shaping with surgical and non surgical methods to get a comprehensive option. Best, Dr. Emer.

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. You would benefit from a lip lift.

Best Wishes,

Gary Horndeski, M.D.

Dear nebulosa96,Thanks for asking this question. You are a good candidate for a lip lift with corner lift. A lip lift will help shorten the distance between the base of your nose and the top of your lip. It would also increase the dental show at rest. A lip lift is done under local anesthesia (~60-90 mins), or can be done with sedation. It is a permanent procedure. The incision is placed under the nose and heals very favorably if done by an expert. Social downtime is 1-2 weeks because of lip swelling. The results are immediate. Notably, 1) shorter distance from the base of the nose to the top of the lip, and 2) increased red lip show at rest. I recommend you see a board-certified facial plastic surgeon like myself. For your nasolabial folds, you can consider filler to soften the folds. I hope this helps!
All the best,Dr. Sanan, MDAkshay Sanan MD Facial Plastic SurgeryDouble Board Certified