Hi Conder, You have identified the distance from your nose to the colored part of your lips as being too long. Aesthetically, this proportion is commonly pleasing when the length of the base of the nose to the top of the red portion of the lip is about one half of the length of the distance from the border of the lower lip to the bottom of the chin. Additionally, the lip vermillion (red portions) are pleasing in a proportion of at least 1/3 upper lip to 2/3 lower lip or at least half as full as the lower lip. Although lip proportions are genetic, the aging process tends to cause lengthening of the upper lip distance and thinning of the vermillion show as it rolls inward. Because the vermillion show of your upper lip is relatively thin, a lip lift would not only shorten the height of lip to nose, but allow more vermillion to show. You may still benefit from some filler to add volume into the lip though. You could try conservatively adding some volume to the upper lip first, to see if like the improvement in lip proportions before committing to a more permanent surgical change that actually shortens the lip to nose distance. If you are contemplating rhinoplasty for other changes to the nose, adjustments can also be made to the base of the nose at the columella.
Greetings,It does seem in your pictures that your upper lip may be slightly longer than is ideal. Rather than change your nose or augment your lips, you might consider a lip lift as has been mentioned. A recommended physician with experience with this procedure in Palo Alto is Dr. David Liberman. See the link for more information. Good luck
