Can Anything Be Done to Set Back the Philtrum Where It Connects to my Nose?

The soft tissue at the junction of your nose and lip can be resected allowing more posterior positioning and changing the angle.  The nasal spine can be reduced.  You should consider a chin implant to balance your face.

Best Wishes,

Gary Horndeski, M.D.

You are referring to decreasing the nasolabial angle. This angle area can be reduced by removing the anterior nasal spine of the maxilla and shortening the lower end of the caudal septum. This will allow this angle area to recess back in. The overhanging corners of the mouth can be improved by a simple small procedure known as a corner of the mouth lift. This is where a small triangle of skin is removed just above the downturned corners to allow them to be repositioned at a more horizontal level.