Male lip lift revision - can my philtrum be shortened further? (Photos)

Question

I recently underwent a lip lift procedure. I originally asked for a 6 or 7 millimetres reduction as my philtrum was very long, about 2.4 cm, especially in comparison to my rather small chin. However, the doctor declined and performed only 4 mm. While the shape of my lips is definitely improved, my philtrum still appears disproportionately long. I was wondering whether it would be possible to remove additional millimetres? If so, what the maximum safe reduction would be without making my upper lip appear too large? I am aware that my upper lip is already rather thick and I fear ending up with the bunny lip look. in fact I already think that the size and shape of my lips are good but the length of the philtrum just throws off the harmony of the face. I would also like to retain the ability to close my mouth after the revision. would all this be possible?

Anna Chacon, MD, FAAD · Answer

Thank you for sharing these details and your concerns. It’s very understandable to want your philtrum to better balance your facial proportions while maintaining a natural appearance.

Possibility of further shortening:
In many cases, a revision lip lift can be performed to remove additional millimeters. However, the amount that can safely be removed depends on several factors: your existing upper lip thickness, skin elasticity, and how much tissue was removed in the first procedure.

Maximum safe reduction:
Over-shortening can create an unnatural appearance, sometimes called a “bunny lip” look, and can affect function like lip closure and smile dynamics.

Typically, additional reduction is conservative—often 1–2 mm—because going too far risks both aesthetics and function. Exact numbers vary based on your anatomy.

Maintaining function:
One of the most important considerations is preserving your ability to close your lips comfortably and retain normal movement. A skilled revision can improve proportion while maintaining function, but careful planning is essential.

Aesthetic considerations:
Since your upper lip is already full, the goal would be subtle shortening focused on restoring facial harmony rather than dramatically changing lip volume.

Sometimes, softening other surrounding features with filler or contouring can complement the philtrum adjustment to improve balance without removing too much tissue.

Summary:
Further shortening is possible, but the revision would likely be modest to preserve both a natural look and lip function. Your focus on facial harmony and avoiding an overdone appearance is exactly the right approach for planning a safe and aesthetically pleasing outcome.

Male lip lift revision - can my philtrum be shortened further? (Photos)

Answers (1)

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