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Philtrum Reduction for a Shorter Midface and a Youthful Appearance

MIHO Plastic Surgery · 미호성형외과의원 : 전문의 4인의 눈 코 바른성형 · March 29, 2025

Philtrum reduction for a shorter midface and a youthful appearance When the midface is long, it creates a more mature appearance and can make you look older than your actual age. ​...

AI translation notice

This page is an English translation of a Korean Naver Blog archive entry. For exact wording and source context, verify against the Korean archive original and the original Naver post.

Clinic: MIHO Plastic Surgery

Original post date: March 29, 2025

Translated at: August 17, 2026 at 5:39 PM

Medical note: This translation does not guarantee medical accuracy or suitability for treatment decisions.

Philtrum reduction for a shorter midface and a youthful appearance

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When the midface is long, it creates a more mature appearance

and can make you look older than your actual age.

In addition, as we age,

the lips tend to roll inward,

which can cause the philtrum to become longer.

As a long philtrum becomes more noticeable,

it can also make a person look older and frailer.

For this reason, more people are using philtrum reduction

to shorten the midface while emphasizing

a youthful and vibrant overall appearance.

Today, we will introduce the points to consider

when shortening the midface

and balancing the proportions of the lower face.

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"Changes That Occur with Age"

Because we are affected by gravity,

sagging is unavoidable when the elasticity

of the skin and tissues decreases.

The philtrum is no exception,

so the distance between the nose and lips

can become longer with age.

At the same time, the lips may roll inward

and the corners of the mouth may droop,

making it easy to create a sad and tired appearance

while the loss of elasticity becomes noticeable.

Philtrum reduction can lift and secure

sagging tissue while also restoring

the shape of the lips to its original state,

which can lead to high patient satisfaction.

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"Considering Congenital and Acquired Factors"

People who are born with a naturally long philtrum

may choose to undergo philtrum reduction

at a young age, before the aging process begins.

Since the skin is still elastic,

positive changes can be expected,

and there is also a greater likelihood

that the sutured area will heal cleanly.

There are also people whose philtrum becomes longer

after undergoing jaw surgery or orthodontic treatment.

It is known that prosthetics attached to the upper teeth

can continuously irritate the skin

and cause the tissues to change.

In practice, many people seek to restore their original facial appearance

by lifting tissue that has sagged downward

due to physical forces.

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"Paying Attention to the Shape of the Nose and Lips"

When adjusting the shape and proportions of the philtrum,

special care must be taken to prevent

the nose from drooping downward

or the lips from being pulled upward

and losing their volume

as the skin is pulled.

If the nose begins to be pulled downward,

it may be mistaken for an upturned nose

whose nostrils are clearly visible from the front.

Conversely, if the lips are pulled upward

and the C-shaped curve extending

from the philtrum to the lips becomes flat,

the side profile may look unnatural.

In addition, changes in the shape and proportions of the lips

can significantly alter the overall impression

or lead to disappointing results.

Therefore, careful planning that considers

the shape of both the nose and lips

is necessary.

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"What Is the Golden Ratio for a Youthful Appearance?"

If your goal is to create a youthful appearance

that looks younger than your actual age,

it may be advantageous to adjust the philtrum

to approximately one-third the length of the chin.

Of course, it is also necessary to consider

the overall size and shape of the face,

as well as the length of the nasal bridge

and the size of the lips.

Depending on the height and shape

of the corners of the mouth,

an optical illusion may make the philtrum

appear longer or shorter than it actually is,

so the height of the mouth corners should also be considered.

By carefully performing philtrum reduction

while considering not only the distance

between the nose and upper lip

but also the height and direction

of the mouth corners,

significant synergy can be expected.

This is because it can make the mouth area look natural

while also creating a lively impression.

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"Preventing Visible Scarring"

To lift the broad area of skin and tissue

between the nose and lips,

an incision and suturing are required.

Many patients feel concerned about having an incision,

but fortunately, this area has the advantage

of being relatively easy to suture

without making the scar noticeable.

The area directly beneath the prominently raised nose

naturally forms a shadow and a crease,

so the sutured area is not easily visible.

Even when an incision is made above the lips,

the suture marks can be concealed

behind the full Cupid’s bow,

which reduces concern about scarring.

Of course, through meticulous suturing,

the medical team may also help ensure

that the marks are not prominent,

regardless of where the sutures are placed.

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"Can the Size of the Incision Be Reduced?"

As the incision becomes smaller,

concerns about scarring are reduced,

while bleeding and swelling may also decrease,

which tends to help the treated area heal more easily.

For this reason, the medical team carefully assesses

the patient’s physical characteristics

before determining the incision range.

In particular, by closely examining the shape of the nose

and limiting the sutures to an inconspicuous area,

such as inside the nostrils,

concerns about scarring may be reduced.

The procedure can be performed with special care

so that the result does not look unnatural

when the head is raised or tilted backward.

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"At a Clinic with Extensive Rhinoplasty Experience"

As interest in philtrum reduction continues to grow,

more people are considering where to undergo the procedure.

Because the philtrum is connected to the nose,

it may be advisable to seek help

from a clinic with extensive rhinoplasty experience.

In particular, choosing a clinic that is skilled

in adjusting the height of the nasal wings

or reducing the width of the nostrils

may help achieve positive changes.

At our clinic, experienced medical professionals

with more than 20 years of clinical experience in rhinoplasty

are available,

making it possible to preserve the shape of the nose efficiently

while adjusting only the length of the philtrum.

We can also provide sufficient assistance

for those who wish to correct

the philtrum, lips, and nose at the same time.

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"In an Environment You Can Feel Safe In"

If you decide to adjust the length of your philtrum,

you should receive treatment at a place

where the medical team has sufficient time

to focus on each patient.

In particular, if the medical team is involved

not only in the consultation and procedure

but also in postoperative care,

you can receive consistent and stable medical services.

Even if a procedure is considered highly safe,

you should still check whether the facility

has a real-time monitoring system

and emergency equipment

in preparation for unexpected situations.

Choosing a place with the ability

to respond calmly in any situation

may allow you to pursue a change

toward a more youthful appearance with confidence.

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As interest in a youthful appearance continues,

various methods for making the midface look shorter

are emerging.

Among them, philtrum reduction is appealing

because it can adjust the shape of the nose and lips together

while also pursuing harmony between the midface and lower face.

If you would like to adjust the line extending

from the nose to the lips

to look youthful and vibrant,

please feel free to ask for assistance at any time.

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