Can a V-Y lip lift decrease the length of the philtrum?

It is very difficult to find out what is exactly what you need, based on these photos. Traditional lip lift with scar placed between the lip and nose, partially hidden inside the nose sill, should be a lift procedure you may consider. However, issue with pigmented scar, what is something you may expect considering your skin type is also to be considered. A V-Y lip lift or elongation procedure is occasionally used to address lip high in cleft lips and can be used in esthetic lip lift procedure only in very selected patients. Lip reduction may be something to consider as well? Hope this helps.

Hello, hope you are well. Thank you for posting your background information and questions. The philtrum is not shortened with a V-Y procedure. It can only be effectively shortened by removing skin which requires a subnasal lip lift. If you have favorable anatomy, the scar can be concealed very well and made relatively inconspicuous.

Best,
Dr. Tower

A V-Y lip lift, also known as a V-Y advancement, is a surgical technique primarily used to add volume and projection to the lips. It involves making an incision in the shape of a "V" and then advancing the tissue to create a "Y" shape. This procedure is often used to enhance the fullness of the lips but is not specifically designed to shorten the philtrum (the distance between the base of the nose and the upper lip).

If your main concern is the length of the philtrum and the droopiness of the lips, a more appropriate procedure might be a direct lip lift, such as a bullhorn lip lift. This type of lift involves removing a strip of skin just beneath the nose, which shortens the philtrum and can also elevate the upper lip to create a more youthful appearance. However, as you mentioned, one of the main drawbacks is the potential for a visible scar.

Here are a few options and considerations for addressing your concerns:

1. Bullhorn Lip Lift:
- Pros: Effectively shortens the philtrum and lifts the upper lip.
- Cons: Potentially visible scar just beneath the nose.

2. Corner Lip Lift:
- Pros: Lifts the corners of the mouth, which can reduce the appearance of droopy lips.
- Cons: Does not significantly shorten the philtrum and involves scars at the corners of the mouth.

3. Lip Augmentation with Fillers:
- Pros: Non-surgical option to add volume and support to the lips, potentially reducing the appearance of a long philtrum.
- Cons: Temporary results and does not actually shorten the philtrum.

4. Subnasal Lip Lift (Modified Bullhorn Lift):
- Pros: A variation of the bullhorn lift that can be tailored to minimize scarring.
- Cons: Still involves some degree of scarring.

5. Laser Resurfacing or Microneedling:
- Pros:* Can improve skin texture and elasticity around the lips, potentially reducing the appearance of droopiness.
- Cons: Not effective for significantly shortening the philtrum.

6. Consultation with a Skilled Plastic Surgeon:
- Pros: A personalized evaluation can provide you with the best options tailored to your specific anatomy and aesthetic goals.
- Cons: Consultation fees and the need to find a highly skilled and experienced surgeon.

Additional Tips:
- Scar Management: If you opt for a surgical procedure, discuss scar management techniques with your surgeon. These can include topical treatments, laser therapy, and proper post-operative care to minimize scar visibility.
- Patient Photos and Reviews: Look at before-and-after photos of patients who have undergone the procedures you are considering, and read reviews or testimonials to gauge satisfaction and outcomes.

Ultimately, the best approach is to have a detailed consultation with a board-certified plastic surgeon who has extensive experience in facial procedures. They can assess your unique facial structure, discuss your goals, and recommend the most suitable procedure, along with strategies to minimize scarring.