Should I shorten my philtrum? (Photo)

Question

I want a shorter philtrum and nose job to fix my side profile to the ideal standard Of beauty. I've considered lip augmentation, and a nose job. But a shorter philtrum with a nose job is permanent. Please help!

Bahman Guyuron, MD · Answer

The upper lip is enormously influenced by the shape and projection of the nose tip. You may consider having a rhinoplasty to increase the projection of your nose tip, to narrow the tip, to adjust the columella width and eliminate the pollybeak tip configuration. After the nose heals then you and your plastic surgeon can reassess the upper lip. My sense is that you may not the lip surgery.

R. Stephen Mulholland, MD (retired) · Answer

Dear dani.andrzejewska,

Thank you for your clinical post and photograph.  Analysis of your photos and your concerns
shows some very attractive facial features, a smooth forehead, nicely shaped
eyebrows, big eyes, nice cheekbones and jawline.  You do have a long face and so a slightly
larger and more dominant nose can be supported with your craniofacial skeleton.  However, your nose is slightly long for your
face.  There are some slightly wide areas
and the nose might be slightly over projected. 
A reduction rhinoplasty can help create a more feminine looking nose and
I would recommend you seeking the advice of a physician that offers computer
imaging so you can review the simulations and have a good sense of what the
nasofacial balance and proportion will be following your reduction
rhinoplasty.  I’ve been performing
cosmetic rhinoplasty for over 20 years and was fortunate to train in both
plastic surgery and ear, nose, throat, otolaryngology and head and neck
surgery.During the computer imaging I
would show you the type of nasal tip reduction and shortening of the link to
the nose with modulation and improvement of the nasal tip and how these changes
will reflect on the shape and appearance of your facial anatomy.  You might find after nasal reduction that the
actual Philtrum column and lip looks more appropriate or even longer.  Certainly any kind of aesthetic lip procedure
should be withheld until after the nose is completely healed and you’ve had a
chance to assess your nasofacial balance and proportion.

I hope this information has been of some assistance and best
of luck.

For more information, please review the link below.

R. Stephen Mulholland, M.D.

Certified Plastic Surgeon

Yorkville, Toronto

Should I shorten my philtrum? (Photo)

Answers (2)