Dermal Fillers and Botox for Short Philtrium?

I have a slightly short Philtrum. It dose not close when I aleep nor at rest. What could I use to lower my upper lip.Will dermal fillers or Botox work? I read on this site that Botox can flaten the lip if injected higher and dermal fillers might weigh it down.

Doctor Answers 3

Long face syndrome

Dear Tally,

It sounds like you have what is known as long face syndrome. This condition involves an excess of the upper jaw bone. In other words, the problem is more than skin (philtrum) deep. A consultation with a board certified plastic surgeon will determine whether this is the case and can guide you towards a treatment plan. I wouldn't plan on dermal fillers weighing down your lip and Botox may flatten lip wrinkles, but usually shortens the lip. Good luck!

Manhattan Plastic Surgeon
4.6 out of 5 stars 47 reviews

Fillers and Botox

Dear Tallyho

The option of fillers with or without BOTOX is a good option for lengthening the upper lip and philtral columns. This can be done on a progressive basis- 2 to 3 month intervals. The nice advantage is if you do not like the result it will resolve or if HAs are used then the product can be dissolved.

With Warm Regards,

Trevor M Born MD

Trevor M. Born, MD
Toronto Plastic Surgeon
4.9 out of 5 stars 115 reviews

You Need a Good Permanent Fix

The reasons for a short upper lip are numerous and the exact diagnosis is very important to make the appropriate treatment. Although fillers and Botox could potentially be beneficial it would have to be done very delicately.

I think the best long term solution would be surgery. Often a lip lengthening can be performed. Or perhaps other surgery could be necessary. So see a Board Certified Plastic Surgeon and perhaps a craniofacial surgeon at that.

Christopher L. Hess, MD
Fairfax Plastic Surgeon
4.4 out of 5 stars 33 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.