Is it possible to increase the distance between the base of the nose and the lips? (Photo)

Thank you for sending images.Rhinoplasty can not only be used to change the shape of the nose, but also to change the distance between the nose and the upper lip. In addition, it can be combined with surgery to the chin area to reshape the lower third of the face.While it is impossible to make an exact diagnosis based on a single image, it does appear you have some crowding in the upper lip area. There are a variety of techniques to both tilt the nose up as well as elevate the base, both of which create a more open upper lip. There are a variety of ways to reshape the chin from augmentation to lengthening to reduction depending on your goal. I would recommend consulting with a board certified facial plastic surgeon who regularly performs rhinoplasty and chin  surgery to explore your options.

 A columella-plasty can accomplish reduction of the hanging columella, which will give the illusion that there is a longer upper lip, since the nose is become shorter in the vertical dimension. For many examples, please see  the link and the video below