City Facial Plastics Logo

© 2022 City Facial Plastics. All Rights Reserved.

Philtrum Contouring Lip Lift

HomePhiltrum Contouring Lip Lift

Philtrum surgery is a cosmetic procedure performed on and around the philtrum. Philtrum lip lift can target both the philtrum length and shape.  A new and innovative type of surgery known as philtrum contouring surgery is performed at City Facial Plastics in Midtown, Manhattan under the management of a top-rated plastic surgeon, Dr. Linkov. Philtrum cosmetic surgery can be combined with an upper lip lift to help define the philtrum.

Philtrum Contouring Lip Lift
  • Top-rated New York facial plastic surgeon

What Is the Philtrum?

The philtrum is the vertical space from the base of your nose to the middle of the top of your upper lip. This natural contour may already be narrow or flat before your Elelyft procedure, but the lip lift will most likely intensify those negative features. Many patients, especially women, are looking for a pronounced “V-shape” at the top middle of their upper lip where the philtrum ends.

As the connection between the nose and the lips, the philtrum plays a major role in one’s appearance. While it may seem like a small structure compared to other facial features, the philtrum serves as a centerpiece to the face, unifying the upper and lower parts. Many people are unhappy with the length or shape of their philtrum, and both of these aspects can be enhanced with philtrum cosmetic surgery.

How Can Philtrum Contouring Make Me Look Younger?

You will not need to exaggerate the contour of your upper lip with excessive makeup after philtrum contouring with Dr. Gary Linkov in UES, Manhattan. While you are undergoing an Elelyft lip lift procedure, the revolutionary new philtrum contouring can be added on to help give you that feminine, upper lip contour you desire.

The plump upper lip result of the combined lip lift and philtrum contouring helps to create a much younger appearance, especially a younger smile.

How Is This Contouring Done?

Philtrum contouring can only be done at the same time as an Elelyft lip lift, because of the exposure Dr. Linkov will need to manipulate the muscle of the upper lip. With precision contouring of the upper lip, not only will you see a younger smile in the mirror, but you will also enjoy that classic contour in the upper lip that many women desire and most lip lift procedures tend to blend away.

What Is the Philtrum Anatomy?

The philtrum 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.


Dr. Linkov is an excellent physician and surgeon with superb bedside manners. He cares deeply about each and every one of his patients and makes you feel comfortable. His skills are unparalleled. He empowers me each time I meet with him and he is truly one of the best.
Jonathan Harounian

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. Research studies suggest an ideal philtrum length of 11-13mm for females and 13-15mm for males to offer the most proportionate, youthful appearance to the face. This measurement, however, may vary based on race, ethnicity, and measurements of important facial structures. Given the increase in cosmetic lip surgery, other indices such as the philtral labial score (PLS) are used to help determine the ideal philtrum length.

Philtrum length over time

As we age, the philtrum becomes longer. Reasons for philtrum elongation with time include:

  • Effect of gravitational pull downward
  • Weakening of facial muscles and ligaments
  • Increased elasticity of the skin

As such, an elongated philtrum is a sign of aging and shortening the philtrum can result in a more youthful and freshened look. Further, people who are born with a long philtrum often appear older than their actual age, so reducing the philtrum length can create a more harmonious appearance.

Philtrum shape

Alongside the philtrum are two elevated vertical columns of tissue that help define the philtrum and give it shape. In recent years, with the trend of facial contouring with makeup on the rise, a more defined philtrum has become increasingly desirable to achieve a more feminine and youthful appearance.

What Is the Essence of Philtrum Cosmetic Surgery?

Cosmetic surgery performed on and around the philtrum can target both the philtrum length and the shape of the philtrum. Certain types of upper lip lift surgery can reduce the length of the philtrum. A new and innovative type of surgery known as philtrum contouring surgery can be combined with an upper lip lift to help define the philtrum.

Upper lip lift surgery

Upper lip lift surgery in Manhattan, NY 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. Removal of this skin reduces the philtrum length. The amount of skin removed is individualized based on the current length of your philtrum, other facial structures, and your desired result.

For detailed information on types of lip lift surgery, goals, risks, and complications you can visit Dr. Linkov’s comprehensive guide to the lip lift here.

Philtrum contouring surgery

Dr. Linkov is one of the first and only plastic surgeons in the United States to perform philtrum contouring surgery. 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.

How long do the results of philtrum contouring surgery last?

For the majority of patients, changes in the appearance of the philtrum are felt to be permanent after philtrum of lip surgery. If performed on a young patient, there may be a reduction in the amount of contour over time given age-related changes in the lip musculature and skin elasticity.

What are the risks of philtrum contouring surgery?

The risks of philtrum cosmetic surgery are felt to be similar to other minor cosmetic procedures. Risks are minimal and include:

  • Bleeding
  • Infection
  • Poor scarring
  • Undesirable aesthetic result

However, compared to upper lip lift surgery alone, there is a longer recovery period when philtrum contouring is added, due to increased swelling. There is also a small risk of functional changes, as the muscles are manipulated.

Can I get a philtrum of lip surgery?

If you are tired of applying makeup to your upper lip to achieve a contoured philtrum and desire a more permanent result, philtrum of lip surgery or short philtrum surgery may be right for you. To learn more about whether or not you are a candidate for philtrum surgery, please schedule a consultation with Dr. Linkov in NYC to discuss your individual goals today.

What Are the Risks Involved?

The risks involved with the Elelyft procedure and philtrum of lip are no more than with any other minor surgery. This is a safe and effective surgery with wonderful results. Patients may see a little more swelling due to the additional manipulation of the lip muscle along with the lip lift, but other minor surgical side effects are common and usually disappear quickly.

The best way to learn more about this new procedure, the first of its kind in the U.S., is to schedule a consultation appointment with Dr. Gary Linkov in New York City. He can explain the procedure in detail as well as share what results you should expect to see. To schedule this consultation, contact City Facial Plastics in Manhattan’s Upper East Side today. We can’t wait to see what we can do for you.

Philtrum Surgery Before and After


Schedule Consultation

If you have any questions for the best-in-class facial plastic surgeon in New York, Dr. Gary Linkov, or would like to make a philtrum cosmetic surgery consultation, please feel free to contact our City Facial Plastics office, located in Manhattan, NYC.


Dr. Linkov is a highly trained doctor who made me feel comfortable the minute I walked in. I came to Dr. Linkov for a mole removal procedure. I was super nervous but Dr. Linkov went through all the steps and addressed all my concerns. He was thoughtful, honest and attentive with his approach in answering all my questions. During the procedure, Dr. Linkov was delicate and took his time. He made sure I was doing okay every couple of minutes. After the procedure was completed, Dr. Linkov called me the next day to check on the healing process. Because of Dr. Linkov’s expertise and care for his patients, I highly recommend this doctor. I am happy with the results and thankful for Dr. Linkov!
Monika Mannan

Dr. Gary Linkov, MD

Dr. Linkov is a double board-certified by the American Academy of Facial Plastic and Reconstructive Surgery and the American Board of Otolaryngology-Head & Neck Surgery. A native of New York, Dr. Linkov graduated as a salutatorian from Cornell University and received his Medical Degree at Columbia University College of Physicians and Surgeons. Dr. Linkov conducted advanced head and neck cancer research at the world-renowned Memorial Sloan Kettering Cancer Center. Dr. Linkov is a former Adjunct Assistant Professor at New York University (NYU), where he taught Rhinoplasty.

Dr. Linkov is a top-rated facial plastic surgeon in New York who specializes in lip lift, facelift, rhinoplasty, and hair transplant. He has been named one of the top 5 lip lift surgeons in the United States, is listed in the prestigious SuperDoctors New York™ registry, and has appeared on the Dr. Oz Show, where he discussed the state-of-the-art hair transplantation procedure.

Page Updated on Jan 20, 2023 by  Dr. Gary Linkov  (Facial Plastic Surgeon) of  City Facial Plastics in New York.
Fill out the form below Schedule Consultation

City Facial Plastics 635 Madison Ave #1402E New York, NY 10022 (212) 439-5177