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Philtrum Elongation Solutions: Philtrum Reduction Surgery in Korea for Shorter, Youthful Appearance

Philtrum Elongation Solutions: Philtrum Reduction Surgery in Korea for Shorter, Youthful Appearance
Saturday, Oct 4, 2025

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The philtrum is the vertical groove in the center of your upper lip, running from the base of the nose to the top of the lip. In humans, this infranasal depression is largely vestigial, unlike in other mammals where it's involved in carrying scent molecules.

Philtrum elongation is when the distance between the base of the nose and the upper lip border is more than two standard deviations above the average, or appears noticeably longer than typical. For women, the ideal philtrum length ranges from 11-13 millimeters, while men usually have a slightly longer measurement. At these proportions, the upper teeth should be faintly visible when the lips are relaxed. Still, these guidelines are flexible—the key to good aesthetics is facial harmony, not strict measurements. Many factors, like nose length and individual features, play a part, so the best assessment is always customized to each person.

It's common to hear philtrum elongation described as "long philtrum," "abnormality of the philtrum," or "long upper lip distance to nose." While it's often a cosmetic concern, a long philtrum can also be a feature of certain genetic syndromes such as Aarskog-Scott syndrome, KBG syndrome, Fryns syndrome, and EZH2-related overgrowth. For example, Aarskog-Scott syndrome includes various distinctive facial features, including a long philtrum. Recognizing that philtrum elongation might signal a broader syndrome is crucial—consulting a healthcare professional for a full evaluation is important before considering cosmetic treatment. In other cases, a long philtrum may simply be hereditary or develop as part of the normal aging process.

Aesthetic Impact of Philtrum Length

Philtrum length notably affects facial aesthetics. A long philtrum can make a face look older or less lively, partially due to reduced visibility of the upper teeth when smiling. It might also make the upper lip appear thin or flat, disrupting the harmony of facial proportions. The central location of the philtrum means that even subtle changes influence overall facial balance. Therefore, correcting philtrum length isn't just about shorter measurements, but about restoring a youthful, proportionate, and engaging appearance.

Philtrum Reduction Surgery: The Procedure Explained

Philtrum Reduction Surgery

What is Philtrum Reduction Surgery (Lip Lift)?

Philtrum reduction surgery, often called an "upper lip lift" or "subnasal lip lift," is a cosmetic surgery that shortens the distance between the nose and the upper lip. This well-established procedure aims to enhance facial balance, creating a more youthful and attractive look.

Benefits and Goals of the Procedure

Philtrum reduction surgery offers several advantages:

  • Enhanced Youthfulness: By shortening the philtrum and exposing more of the upper lip, the face regains a rejuvenated look.
  • Balanced Features: The surgery helps bring harmony between the upper lip and the rest of the face, often refining the nasolabial angle and subtly improving the nose's appearance.
  • Improved Smile: More upper teeth show when smiling, making expressions warmer and more inviting.
  • Fuller Lips: The procedure lifts the pink part of the lip, creating a fuller, more defined shape without the need for fillers.
  • Lasting Results: Unlike injectables, surgery offers a permanent improvement.
  • Boosted Confidence: Many patients report feeling more attractive and satisfied with their appearance.

The procedure is popular because it creates a comprehensive aesthetic improvement—and its permanence makes it a compelling choice for long-term rejuvenation.

Overview of Surgical Techniques

Philtrum reduction surgery is tailored to each person's anatomy. The most common technique is the Bullhorn Lip Lift (Subnasal Lip Lift), where a bullhorn-shaped incision is made under the nose. A strip of skin and tissue is removed, the skin is lifted, and the incision is closed, resulting in a shortened philtrum. The scar is well-hidden along natural nasal creases.

Other techniques include:

  • Corner Lip Lift: Lifts downturned mouth corners by removing small triangles of skin, improving a frowning appearance.
  • Italian Lip Lift: Uses two small incisions under each nostril for subtle, symmetrical lifting (less effect on the Cupid’s bow).
  • Direct Lip Lift (Gullwing Lip Lift): Involves an incision along the lip border for more dramatic results but with more visible scarring.
  • Endonasal Lip Lift: Moves part of the incision inside the nose to further hide the scar, although this carries a risk of nasal shape distortion.
  • Extended Perialar Lip Lift: Extends the incision around the nostril, lifting the upper lip broadly and reducing nasolabial folds, but with more scarring and downtime.

These options underline the importance of working closely with an experienced surgeon to choose the best approach for your goals.

Philtrum Reduction Surgery vs. Lip Fillers

Here’s a side-by-side look at how philtrum reduction surgery (lip lift) and lip fillers differ:

AspectLip Lift Surgery (Philtrum Reduction)Lip Filler
PurposeShortens philtrum, lifts pink lip, boosts tooth visibilityAdds lip volume
Philtrum ShorteningYesNo—may worsen long philtrum appearance
Pink Lip VisibilityIncreases vertical displayAdds horizontal volume only
Results DurationPermanentTemporary (6-12 months)
Volume AdditionIndirect through lip eversionDirect volume increase
Risk of MigrationNonePossible (can cause "duck lip")
MaintenanceNone neededRequires repeat treatments
TypeSurgicalNon-surgical injection

Fillers are ideal for those seeking volume in the pink part of the lips. Philtrum reduction surgery is suitable when the concern is a long philtrum or insufficient upper tooth show. Choosing the right approach based on your goal helps prevent disappointment and unnecessary procedures.

Best Clinics in Korea for Philtrum Elongation

Listed below are the best clinics in Korea for philtrum elongation:

Clinic NameKey FeaturesSpecial Techniques
Haru ClinicNon-invasive, design-driven care for philtrum elongation and refined upper‑lip proportions; led by Dr. Jeong (Merz official research physician and educator of advanced filler techniques); emphasis on harmony and balance tailored to each face; transparent communication, customized service, safety and satisfaction; long-lasting results with minimal downtime; personalized attention from consultation to post-care; innovative approaches that respect individual anatomyAdvanced filler-based contouring; state-of-the-art lifting methods to address philtrum aesthetics without surgery
THEPLUS Plastic SurgeryWorld-class, research-driven clinic in Garosu-gil, Gangnam, Seoul; harmony-first philosophy (balance, proportion, natural beauty); integrated four-floor facility (consultation, surgery, post-operative skincare); leadership at the highest level (President of the Korean Society of Plastic Surgeons); deep midface expertise (rhinoplasty, revision rhinoplasty, facial contouring); internationally awarded research and authorship of “Rebuilding Nose”; academic and educational impact; veteran team with global society ties (including ASPS); precision planning for natural results; comprehensive, patient-centered care; consistent peer recognitionProportion-driven design and precision planning for natural results; functional–aesthetic integration; expertise spanning rhinoplasty, revision rhinoplasty, and facial contouring; research background including 3D implant research
Okay Plastic Surgery ClinicPhilosophy grounded in sincerity, precision, and fully individualized care; led by a renowned female plastic surgeon with extensive experience; comprehensive facial expertise (rhinoplasty, lifting, eye surgery, hairline/forehead refinement) to harmonize the midface and perioral region; dedicated Scar and Keloid Clinics; Petit/Skincare services for adjunctive care and maintenance; strong revision capabilities; empathy and meticulous follow-upCutting-edge techniques to adjust upper-lip length and dental show for natural, balanced results; strategic incision planning and scar optimization; approaches that align nose, lips, and chin for aesthetic harmony

Haru Clinic

Haru Clinic in Gangnam, Seoul is a premier choice for patients seeking philtrum elongation and refined upper‑lip proportions through non-invasive, design-driven care. Led by Dr. Jeong—an official research physician at Merz, the renowned company behind Belotero Filler, and an educator of advanced filler techniques—the clinic emphasizes harmony and balance tailored to each face. With transparent communication, customized service, and an unwavering focus on safety and satisfaction, Haru delivers natural, refreshed outcomes that respect individual anatomy.

Through comprehensive non-invasive procedures, Haru achieves transformative, long-lasting results with minimal downtime, offering advanced filler-based contouring and state-of-the-art lifting methods to address philtrum aesthetics without surgery. Under Dr. Jeong’s meticulous guidance, patients receive personalized attention from consultation to post-care, benefiting from innovative approaches that overcome the limits of traditional techniques—making Haru a trusted destination for those pursuing elegant, proportional philtrum enhancement in Korea.

You can check out their website here: Haru Clinic Website

Our non-surgical philtrum shortening lift can help you achieve a more balanced and youthful facial appearance.   🌈

THEPLUS Plastic Surgery

THEPLUS Plastic Surgery in Garosu-gil, Gangnam, Seoul, is a world-class, research-driven clinic led by internationally recognized surgeons whose philosophy centers on balance, proportion, and natural beauty—exactly the principles that determine superior outcomes in philtrum elongation. Spanning four purpose-designed floors that streamline consultation, surgery, and post-operative skincare, THEPLUS combines deep academic rigor with meticulous aesthetic judgment. With a team that routinely publishes, presents at global symposiums, and trains peers through annual educational programs, the clinic brings unmatched expertise in facial harmony—linking the nose, lips, and chin—to deliver refined, individualized results for patients seeking precise philtrum lengthening.

Why THEPLUS is the best choice for Philtrum Elongation:

  • Harmony-first philosophy: Dr. Kim’s belief in facial balance and enhancing existing features directly guides philtrum planning, ensuring the upper lip, nasal base, and chin align in natural proportion.
  • Leadership at the highest level: Dr. Jeong serves as President of the Korean Society of Plastic Surgeons, reflecting peer-recognized authority and a commitment to the highest standards of care.
  • Deep midface expertise: THEPLUS is renowned for rhinoplasty, revision rhinoplasty, and facial contouring—disciplines that demand mastery of midface anatomy and aesthetics, essential for elegant philtrum elongation.
  • Internationally awarded research: Dr. Kim is a board-certified plastic surgeon with awards for 3D implant research and authorship of “Rebuilding Nose,” underscoring advanced structural understanding that translates to precise soft‑tissue planning.
  • Academic and educational impact: Surgeons lead regular educational sessions and sit on panels at major industry forums, continually refining techniques and setting best practices adopted by other specialists.
  • Proven surgical pedigree: Dr. Jeong’s global lecture circuit and panel roles on functional–aesthetic integration mirror THEPLUS’s approach to combining beauty with robust anatomical function.
  • Integrated, four-floor facility: From personalized consultation to post-operative skincare, the clinic’s environment supports seamless, attentive care tailored to each patient’s facial proportions and healing needs.
  • Veteran team with global society ties: THEPLUS surgeons actively participate in leading medical societies (including the American Society of Plastic Surgeons), present live surgeries worldwide, and bring over a decade of hands-on expertise.
  • Precision planning for natural results: Emphasis on proportion-driven design minimizes overcorrection and aims for subtle, lasting changes that complement each patient’s unique features.
  • Consistent peer recognition: Director doctors Dr. Jeong Jae Yong and Dr. Kim Taek Kyun are widely respected in Korea and internationally, reflecting trust from both patients and fellow surgeons.
  • Comprehensive, patient-centered care: Clear communication, individualized surgical roadmaps, and meticulous follow-through form the clinic’s core philosophy for safe, satisfying outcomes.

You can check out their website here: THEPLUS Plastic Surgery Website

THEPLUS Plastic Surgery before and after image

Okay Plastic Surgery Clinic

For patients seeking philtrum elongation in Korea, Okay Plastic Surgery Clinic stands out as the best choice thanks to a philosophy grounded in sincerity, precision, and fully individualized care that aligns each patient’s anatomy, function, and aesthetic goals. Led by a renowned female plastic surgeon with extensive experience, the clinic employs cutting-edge techniques to adjust upper-lip length and dental show with natural, balanced results—never a one-size-fits-all approach. Their comprehensive facial expertise across rhinoplasty, lifting, eye surgery, and hairline/forehead refinement enables true harmony of the midface and perioral region, ensuring the nose, lips, and chin work together aesthetically. Safety and healing are further supported by dedicated Scar and Keloid Clinics for strategic incision planning and scar optimization, as well as Petit/Skincare services for adjunctive care and maintenance, while strong revision capabilities offer confidence for complex cases. More than a procedure, patients receive a guided transformation rooted in empathy and meticulous follow-up—an integrated standard that makes Okay Plastic Surgery Clinic the premier destination for philtrum elongation in Korea.

You can check out their website here: Okay Plastic Surgery Clinic Website

The Journey to Philtrum Reduction in South Korea: Step-by-Step

Philtrum Reduction Surgery

South Korea is a top destination for cosmetic procedures, offering advanced medical care and attractive prices.

Pre-Procedure Preparation

The process starts with one or more detailed consultations, often with free services and translation support for international visitors. The surgeon evaluates your anatomy and clarifies your goals. You’ll be advised to avoid food, drink, and certain medications ahead of surgery, and ensure previous lip fillers (if any) are dissolved for accurate planning. A pre-op shower and some medical tests may be needed.

Day of Surgery

On surgery day, final markings are made and questions addressed. The procedure usually uses local anesthesia with sedation; general anesthesia is sometimes used for combined surgeries. Your hands and feet may be secured, and an IV set for medication.

During the surgery, a precise incision is made (commonly under the nose). The surgeon removes the necessary tissue, sometimes adjusts muscle for better contour, and carefully closes the incision to promote minimal scarring. Most surgeries last about an hour.

Post-Operative Recovery in Korea

A special bandage protects the area post-surgery. You might experience some chills, discomfort, mild headaches, or facial swelling—these are normal and managed with medication. Stitches are removed around 7 days post-operation, and you’ll need to avoid strenuous activity and follow aftercare protocols. Swelling and bruising typically subside in two weeks; complete healing and scar fading may take up to one year. Most medical tourists plan to stay in Korea for a week after surgery to attend follow-ups and ensure proper healing.

Cost Considerations: South Korea vs. Other Countries

South Korea’s blend of expertise, technology, and affordability makes it a favorite for cosmetic surgery.

Typical Costs in South Korea

Philtrum reduction surgery in South Korea typically costs between $1,500 and $2,500 USD, while an upper lip lift is about $2,000 USD. This equates to roughly 2,180,000 to 3,640,000 KRW. Clinics usually require a 10% deposit to reserve your surgery date.

What Can Affect Cost?

Several variables influence the total:

  • Clinic Reputation and Surgeon Experience: Higher fees reflect proven expertise.
  • Surgical Technique: More complex or customized techniques may cost more.
  • Procedure Complexity/Combo Surgeries: Additional procedures raise total costs.

Focusing on surgeon quality rather than just price helps ensure a safer and better outcome.

What’s Included in the Price

South Korea's transparent pricing often covers:

  • Consultations: Usually free or included.
  • Surgical Fees: Covers the procedure itself.
  • Post-Operative Care: Visit and stitch removal follow-ups included for the first week.
  • Hospital Stay: Not typically required, unless needed for combined surgeries.
  • Taxes/Hidden Fees: Minimal; Korean clinics are known for clear billing.

Global Cost Comparison

Here's a snapshot of lip lift/philtrum reduction surgery costs worldwide:

CountryProcedureCost Range (USD)Notes/Considerations
South KoreaLip Lift (Philtrum Reduction)$1,500 - $2,500Includes consultations/follow-up; transparent pricing
United StatesLip Lift$5,000 - $10,000Excludes some fees; not usually insured
TurkeyLip Lift$1,500 - $3,250All-inclusive; check provider's credentials
ThailandLip Lift$1,479 - $3,551Often bundled procedures; verify clinic standards
AustraliaLip Lift$2,100 - $7,000Price varies by extras/fees

Factor in your travel, accommodation, and living costs when budgeting for a trip to Korea. Some clinics offer all-inclusive packages to help make arrangements easier.

Patient Experiences and Outcomes: What to Expect

Philtrum Reduction Surgery

Satisfaction and Aesthetic Improvements

Philtrum reduction surgery (lip lift) generally receives high praise from patients—over 91% of reviewers on RealSelf rate it as "Worth It." Most patients are pleased with the resulting youthfulness, lip fullness, and enhanced smile. This surgery often greatly boosts self-confidence.

Durability and Aging

The changes from philtrum reduction surgery are designed to last. However, natural aging continues, and the upper lip may eventually sag slightly again. Some patients choose to have a minor touch-up years down the line, but the original results are considered permanent.

Recovery Experience

After surgery, you'll notice immediate improvement, though expect swelling, bruising, and some discomfort—typically manageable with painkillers. Most visible swelling resolves in two weeks; minor stiffness can linger much longer. This is all a normal part of recovery, with final results revealed as healing completes over 6-12 months.

Potential Risks and Complications

As with any surgery, philtrum reduction carries risks:

  • Scarring: Usually minimal and concealed, though in rare cases can be more visible.
  • Asymmetry: Minor unevenness can happen.
  • Impaired Mouth Movement: If too much tissue is removed, closing the lips can become difficult—a rare but serious risk.
  • Nasal Distortion: Incorrect technique may change nose shape, especially with certain incisions.
  • Under-correction: Might need revision if not enough tissue is removed.

Most complications are avoided by choosing an experienced, skilled surgeon.

Choosing a Surgeon and Setting Expectations

Picking the right surgeon is the most important choice you'll make. Find a board-certified facial plastic surgeon with a track record specifically in lip lifts. Avoid scheduling with clinics where you don't meet the surgeon until the day of surgery. Take time to learn about the procedure, ask questions, and set realistic expectations for your recovery and results.

Conclusion

Philtrum elongation, or long upper lip distance to nose, can noticeably affect facial aesthetics and perceived youthfulness. Philtrum reduction surgery (lip lift or subnasal lip lift) offers a safe, permanent solution that revitalizes appearance and confidence when performed by a skilled surgeon. South Korea is a top destination for this procedure due to its blend of expertise, advanced care, and transparent pricing. By thoroughly researching providers, prioritizing surgeon skill, and understanding the process, patients can achieve satisfying results and a refreshed look.

References

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