
Hello, I am the director of 21성형외과.
| Recently, youthful-looking faces with shorter midfaces and lower faces have been drawing attention, and more people are seeking philtrum reduction because they are concerned that their philtrum looks long. |
For those with these concerns,
we will explain in order what philtrum reduction is, incision-site scars,
and how to care for yourself after surgery.
Why More People Are Seeking Philtrum Reduction
The facial shapes drawing attention these days often have shorter midfaces and lower faces,
particularly a shorter philtrum that creates a youthful appearance,
so more people are becoming interested in these proportions.
As people age, changes such as sagging of the philtrum and upper lip
can make them appear older than their actual age.
As a result, more people are seeking philtrum reduction,
hoping that shortening the philtrum and adjusting facial proportions
will help them look more youthful.

What Is Philtrum Reduction?
Philtrum reduction is a surgical procedure that shortens the distance between the nose and upper lip
and refines the area so that the philtrum appears shorter and more balanced.
It may be considered when the philtrum becomes elongated or sagging with age,
or when it is naturally long.
The method involving an incision along the line beneath the nose
is widely used because it allows the length of the philtrum to be adjusted by a relatively noticeable amount.

Philtrum reduction may be considered
in the following cases.
• The philtrum between the nose and lips is long,
making the facial proportions appear heavy or cramped
• The philtrum and upper lip have become elongated and sagging with age
• The upper lip is also thin, making the philtrum appear even longer,
and you want to refine its length

| Q. Is the scar from an incision beneath the nose for philtrum reduction noticeable? The incision beneath the nose is made along the boundary where the nose and upper lip meet, which is also an area with a natural facial crease. Because the incision is positioned along this boundary, it is relatively unnoticeable from the front, although the final appearance of the scar may vary from person to person. |

How Should You Care for Yourself After Philtrum Reduction Surgery?
Postoperative care after philtrum reduction can be summarized as follows, depending on the timing.
| Timing | Care instructions |
|---|
| Day of surgery to the following day | Rather than remaining lying down, move around lightly or sit up; elevate your pillow when sleeping |
| Until the stitches are removed | Apply a thin layer of ointment to the scar area 3–4 times a day, and gently wipe away any discharge with gauze |
| Postoperative days 3–4 | This is when swelling is usually at its most severe, so managing swelling during this period is important |
| After the stitches are removed | Continue applying ointment for about two more days; washing your face with water is permitted |
| For one month after surgery | Avoid heat treatments and saunas, alcohol and smoking, and it is also advisable to reduce overexertion and stress |
Immediately after surgery, the nostrils may be swollen
and appear asymmetrical,
or a small amount of blood may be visible from the nose,
but these symptoms will naturally subside over time.

Things to Check Before a Philtrum Reduction Consultation
If you are considering philtrum reduction, it is advisable to review the following points in advance and discuss them during your consultation.
• Determine whether the philtrum appears long because of skin laxity
or skeletal characteristics
• Discuss the extent of the incision beneath the nose and scar-care methods
in detail with your medical provider
• Recognize that the recovery period and degree of swelling
may vary from person to person
Located between Gangnam Station and Sinnonhyeon Station,
21성형외과 evaluates the length of the philtrum and the condition of the upper lip together
and explains the extent of reduction using the incision-beneath-the-nose method
during a consultation.
Surgical results and the course of recovery may vary from person to person,
so it is advisable to make a decision after a thorough consultation.
Because philtrum reduction is a procedure that should be decided carefully
with consideration for overall facial proportions,
it is advisable to identify the method that is right for you
through a thorough consultation.
Thank you.




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