
Hello.
This is Lee Won, the CEO and chief surgeon of 21 Plastic Surgery~
Have you ever looked in the mirror lately
and felt like your face looks long???
In many cases, people first think of the jaw or forehead,
but in fact, the issue of facial length is not simply caused by the jaw or forehead.
Quite often, it is determined by the length of the philtrum,
that is, the area between the nose and the mouth.
In philtrum reduction surgery,
not only the length, but also the clarity of the philtral ridge,
the angle connected to the lips, and the natural curve below the columella
should all be considered together
to 기대 a more refined result!
So today,
I will explain philtrum reduction surgery,
which plays an important role in changing facial proportions.^^

The philtrum is the area located between the nose and the upper lip,
and it is a structure that affects the balance of the midface and overall impression.
In particular, when the philtrum appears long,
the midface can also look elongated,
creating an overall sense that the face is drooping.
That makes it harder to achieve the youthful image
that many people want,
and as people age, the lips also become thinner,
which can make the philtrum look even longer...
When an elongated, long philtrum is properly refined,
the distance between the nose and mouth becomes more balanced,
and a midface reduction effect can be expected.

In this patient’s case,
the upper lip was thin and drooped downward, making the philtrum
relatively long.
From the side or during facial expressions,
the distance between the nose and mouth looked long,
creating the impression of a long midface.
In cases like this, rather than simply reducing the philtrum,
the surgery is performed in a way that naturally restores balance
while considering the position and shape of the lips as well!!
[Surgical Plan]
Philtrum reduction (3 mm)

After surgery, the philtrum length was refined without being excessive,
the distance between the nose and mouth became shorter,
and the midface changed to a shorter
and more balanced proportion.
In addition, as the upper lip naturally lifted,
a softer and more lively change appeared.
And one of the concerns many people have about philtrum reduction surgery
is the scar...
Because philtrum reduction surgery involves an incision along the base of the columella
or the base of the nostrils,
early on there may be some redness.
However, as time passes,
the scar gradually fades and blends naturally with the skin folds,
and in many cases becomes less noticeable~~
In particular, because the incision location and suturing method are important,
a delicate approach tailored to each person’s skin condition and structure is necessary!

In other words, philtrum reduction surgery
is not simply a procedure that corrects a single area,
but one that must consider the entire center of the face,
including the nose, lips, and chin.
Also, if the philtrum is reduced too much,
the upper lip may look overly lifted,
or the impression from the front may look unnatural,
so rather than making it excessively short,
designing it within a natural range is also an important factor
in minimizing scars.
Therefore, what matters most in the end
is a design that matches the overall facial structure
and an appropriate correction without overdoing it.
At 21 Plastic Surgery, through an accurate diagnosis tailored to your own face,
we can adjust it to an appropriate length
and create a more natural and balanced
facial proportion.
If you have any additional questions,
please feel free to contact us anytime~
We will do our best to guide each and every one of you!
Thank you.^^




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