Introduction
Philtrum shortening has become an increasingly sought - after cosmetic procedure in New York City. The philtrum, that vertical space from the base of the nose to the middle of the top of the upper lip, plays a significant role in one's facial appearance. In 2025, many individuals in NYC are looking for the best ways to enhance their philtrum, whether through surgery or non - surgical methods. This article will explore the top 5 options for philtrum shortening in the city, along with a detailed understanding of the philtrum, its importance, and the procedures associated with its enhancement.
Understanding the Philtrum
Anatomy of the Philtrum
The philtrum is a unique facial feature that has a distinct anatomy. It is the space between the central aspect of the base of the nose to the central aspect of the vermillion border of the upper lip. There are two key features of the philtrum that contribute to a well - balanced and beautiful appearance to the face: the philtrum length and the philtrum contour.
- Philtrum Length: The philtrum length refers to the measurement of the vertical line from the center of the nasal base to the center of the vermillion border of the upper lip. This measurement can vary based on race, ethnicity, and measurements of important facial structures. With the rise in cosmetic lip surgery, indices such as the philtral labial score (PLS) are used to determine the ideal philtrum length. As we age, the philtrum becomes longer due to factors like gravitational pull downward, weakening of facial muscles and ligaments, and increased elasticity of the skin. An elongated philtrum is often associated with an older appearance, and shortening it can create a more youthful and harmonious look.
- Philtrum Shape: Alongside the philtrum are two elevated vertical columns of tissue that help define the philtrum and give it shape. In recent years, a more defined philtrum has become increasingly desirable, especially with the trend of facial contouring with makeup. Achieving a more defined philtrum can result in a more feminine and youthful appearance.
The Importance of the Philtrum in Facial Aesthetics
The philtrum serves as a centerpiece to the face, unifying the upper and lower parts. Even though it may seem like a small structure compared to other facial features, it has a major impact on one’s overall appearance. Many people are unhappy with the length or shape of their philtrum, and enhancing it can significantly improve facial harmony. For example, a pronounced “V - shape” at the top middle of the upper lip where the philtrum ends is a desired aesthetic for many, especially women.
Top 5 Philtrum Shortening Options in New York City
1. Upper Lip Lift Surgery in Manhattan
Upper lip lift surgery is a popular option for philtrum shortening in Manhattan. This procedure involves the removal of a small piece of skin from either right below the base of the nose or immediately above the vermillion border of the upper lip. The remaining skin is then sutured back together, reducing the philtrum length. The amount of skin removed is individualized based on the current length of the philtrum, other facial structures, and the patient's desired result.
For example, Aristocrat Plastic Surgery offers this procedure. Top plastic surgeon Dr. Kevin Tehrani is the founder and director of the clinic. The lip lift can be performed under local anesthesia, and it shortens the distance between the upper lip and the nose, causing an outward turn of the upper lip which makes it look fuller and lifted. Unlike lip fillers, lip lift surgery delivers permanent results, although it cannot make the lips significantly fuller. It is a great choice for patients looking for enhancement of a cupid’s bow and a subtle increase in lip volume, with minimal downtime and a hidden incision in the nose.
2. Philtrum Contouring Surgery at City Facial Plastics
City Facial Plastics in Midtown, Manhattan, under the management of top - rated plastic surgeon Dr. Gary Linkov, offers a unique procedure called philtrum contouring surgery. This is a new and innovative type of surgery that can be combined with an upper lip lift to help define the philtrum. Similar to upper lip lift surgery, an incision is made below the nasal base. The muscles of the philtrum are then manipulated and sutured in such a way that the vertical columns of tissue alongside the philtrum become more prominent, and the philtrum deepens.
Philtrum contouring can only be done at the same time as an elelyft lip lift because of the exposure needed to manipulate the muscle of the upper lip. The combined lip lift and philtrum contouring result in a plump upper lip, creating a much younger appearance, especially a younger smile. After the procedure, for the majority of patients, changes in the appearance of the philtrum are felt to be permanent. However, if performed on a young patient, there may be a reduction in the amount of contour over time due to age - related changes in the lip musculature and skin elasticity.
3. Bullhorn Lip Lift at LM Medical NYC
LM Medical NYC in Manhattan offers the bullhorn lip lift, a procedure that targets the upper lip and the philtrum. It is used to elevate the upper lip and shorten the distance between the lips and nasal area. A tiny strip of skin is removed, and the upper lip is then raised up. This procedure is suitable for both young patients looking to enhance their lips and lower face ratio and older patients, as the skin above the lip lengthens over time.
Dr. Lesley Rabach, a double - board certified facial plastic surgeon, is one of the only plastic surgeons to elegantly and artistically perform the upper lip lift, including the bullhorn lip lift. The procedure has many benefits, such as balancing symmetry in lips, shortening the distance between the lips and nose, increasing lip show, enhancing the projection of the cupid’s bow, improving “smoker’s” lines or the lines in the skin above the lip, shortening the length of the midface, and reducing the need for lip filler. Lip lifts are done in - office with local anesthesia using a hidden incision beneath the nose, and most patients return to normal daily activities after 4 to 7 days, with minor swelling and bruising that self - resolves within 1 week.
4. Non - Surgical Philtrum Shortening with TipLyft™
Previously, philtrum shortening could only be achieved through surgery. However, an innovative non - surgical option called TipLyft™ has emerged. This nose injection technique developed by Dr. Yu of Premier Cosmetic Surgery can be used for non - surgical upper lip shortening. In many older patients, a long philtrum can give the impression of a long face, an older appearance, or even harshness and aggression. Shortening the philtrum with TipLyft™ offers benefits such as a younger appearance, increased lip thickness and fullness, and correction of the nasolabial angle to increase facial attractiveness.
After a TipLyft™ treatment, the immediate result shows that the nose becomes normal in size and shape. The upper lip appears significantly shorter, and the nasolabial angle, along with the columella veiling, is improved. The philtrum columns have a better relationship with the columella, and the upper lip is better positioned. Overall, the facial profile, balance, and proportion are improved significantly, and there is no downtime associated with this non - surgical procedure.
5. Botox Lip Lift as a Temporary Option
Botox can also be used as a temporary option for philtrum shortening. It works by relaxing the muscles around the upper lip, which can give the appearance of a shorter philtrum and a fuller upper lip. Some individuals find that it can help enhance their lip appearance, especially those who are not ready for a surgical procedure or are in their 45+ age group. However, it's important to note that the effects of Botox are temporary and typically last for a few months. Additionally, some people may experience side effects such as the upper lip dropping and covering the teeth, as reported by some users on Reddit.
Selecting the Right Plastic Surgeon in NYC
Choosing the right plastic surgeon is crucial when considering philtrum shortening procedures. In 2025, New York City has some of the best plastic surgeons in the United States. A useful metric for evaluating plastic surgeons is the Review Growth Index™ (RGI™) by Doctor Marketing, MD™. This index analyzes data from major review platforms like Google reviews to assess a doctor or surgeon's online reputation and performance.
Based on the RGI™ analysis for Q1 of 2024, the top 10 plastic surgery practices in New York included well - known clinics. For example, the Laser & Skin Surgery Center of New York, ranked #1 with 2,572 reviews and a 4.9 - star rating, is co - led by Dr. Lloyd Hoffman and Dr. Stelios Wilson. They offer patients unparalleled surgical expertise combined with a welcoming, spa - like environment. Lexington Plastic Surgeons, ranked #2 with 865 reviews and a 4.2 - star rating, has an elite team of board - certified surgeons including Dr. Michael Jones, Dr. Karan Mehta, Dr. Angel Farinas, and Dr. Kayvan Ross Tin, who offer cutting - edge surgical and non - invasive treatments.
When selecting a plastic surgeon for philtrum shortening, patients should also consider factors such as the surgeon's experience, certifications, patient reviews, and the type of procedures they offer. It's important to schedule a consultation to discuss individual goals, understand the risks and benefits of the procedure, and ensure that the surgeon has the skills and expertise to achieve the desired results.
The Risks and Considerations of Philtrum Shortening Procedures
Risks of Surgical Procedures
Both upper lip lift surgery and philtrum contouring surgery come with certain risks. The risks of philtrum cosmetic surgery are similar to other minor cosmetic procedures. They include bleeding, infection, poor scarring, and an undesirable aesthetic result. When philtrum contouring is added to an upper lip lift, there is a longer recovery period due to increased swelling. There is also a small risk of functional changes as the muscles are manipulated.
However, when performed by a qualified and experienced plastic surgeon, the risks can be minimized. For example, at City Facial Plastics, Dr. Gary Linkov takes all necessary precautions to ensure the safety and satisfaction of his patients. Before the procedure, patients are thoroughly evaluated, and all potential risks are discussed in detail.
Considerations for Non - Surgical Procedures
Non - surgical procedures like TipLyft™ and Botox lip lift also have considerations. While non - surgical options generally have fewer risks and less downtime, the results may not be as long - lasting as surgical procedures. For example, Botox lip lift effects typically wear off after a few months, and patients may need repeated treatments to maintain the desired appearance. Additionally, some patients may not achieve the same level of dramatic results with non - surgical methods as they would with surgery.
Conclusion
In 2025, New York City offers a variety of options for philtrum shortening, whether through surgical or non - surgical means. The top 5 options explored in this article - upper lip lift surgery, philtrum contouring surgery, bullhorn lip lift, non - surgical philtrum shortening with TipLyft™, and Botox lip lift - each have their own advantages and considerations. Understanding the anatomy of the philtrum, its importance in facial aesthetics, and the different procedures available is essential for anyone considering philtrum shortening.
When choosing a procedure and a plastic surgeon, patients should do their research, read reviews, and schedule consultations to ensure they make an informed decision. Whether you're looking for a permanent solution or a temporary enhancement, there are options in NYC to help you achieve a more youthful and harmonious facial appearance.
If you're interested in learning more about philtrum shortening procedures in New York City, we encourage you to schedule a consultation with a qualified plastic surgeon. Share this article with others who may be considering similar procedures to help them make an informed choice.
