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Can I shorten philtrum without enlarging upper lip? (Photos)

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conmom7Nov 25, 2022
I have very full lips, naturally, with no filler (and don't want any). However, as I age, I can see that my philtrum is growing longer. I'm interested in potentially doing a lip lift at some point, however, I do not want that kind of flipped look that causes the upper lip to seem larger. I prefer the natural poutiness that I have with a slightly larger lower lip. Is there a way to have this procedure done without that upper lip looking top-heavy? My philtrim is almost 2cm long.

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Gary M. Horndeski, MD profile photo
Dr. Gary M. Horndeski, MD
Board Certified Plastic Surgeon
4.6 | 319 Reviews
Answered on Dec 1, 2022
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Gary M. Horndeski, MD

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.

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David M. Kowalczyk, MD, MBA, FACS

Good Afternoon! It's hard to say why the nose would be runny after a lip lift unless something has drastically changed within your nose. Vasomotor rhinitis is a condition that can occur at any time. It is when the nose becomes "runny" or "leaky" similar to what you're describing. I often trial...

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Jason Emer, MD

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...

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