The philtrum is the first feature the eye settles on at the center of the face, and its length is a key factor determining your overall impression and a youthful look. Beyond simply shortening the philtrum, Dr.Tak Plastic Surgery closely analyzes each person's facial proportions and features to find the most harmonious, ideal ratio down to a 1mm difference. Drawing on rich clinical experience and aesthetic sense, we deliver natural beauty as though it had always been your own face. Philtrum reduction is not merely about becoming shorter — it is a delicate process of completing the face's golden ratio.
Completing the ideal facial ratio

Facial beauty begins with the balance and proportion of each feature. Philtrum length in particular has a major effect on overall facial proportions — especially the lower face running from the nose to the lips and chin. A long philtrum can make the midface look relatively long and give an older impression. To solve this, Dr.Tak Plastic Surgery closely analyzes each person's golden facial ratio to find and design the most ideal philtrum length. Under the philosophy that a 1mm difference governs the balance of the whole face and a youthful image, we deliver the most harmonious, refined facial line.
The key to a youthful look: looking younger and brighter
There are many conditions for a youthful face, but a short, defined philtrum is one of the important factors. A long philtrum can make you look older or your expression flat. Dr.Tak's philtrum reduction goes beyond simply shortening — it adds dimension and vitality to the whole face for a younger, brighter impression. The upper lip's C-curl comes alive and the mouth becomes defined, naturally completing a lively, youthful face.
Why Dr.Tak chooses an external incision
There is more than one way to shorten a philtrum. Dr.Tak Plastic Surgery uses an external incision, for a single reason: to put the effect of the surgery precisely where it belongs — on the philtrum and the lip.
| Advantage | What it means |
|---|---|
| Precise control | The amount of philtrum shortening and of upper-lip show can be adjusted directly. |
| A stable design | The mouth shape you want can be realised more accurately and more reliably. |
| True to the point of the surgery | It is the approach most faithful to what this operation is actually for: the philtrum and the lip. |
An honest word about the scar
Because the incision is external, the scar cannot be nothing at all. That said:
- the incision is placed at the border where the nose meets the philtrum (under the nose), designed to sit where it is not readily noticed,
- it fades gradually over time,
- and in many cases it settles to a level that make-up covers comfortably.
Giving up the real result — the philtrum and the lip — in order to avoid a scar is not Dr.Tak's direction. Get the result right first, then minimise the scar with refined suturing and aftercare — that is the standard we hold to.
Designing the upper-lip show (lip line) precisely
As the philtrum shortens, the upper lip lifts naturally, and how much of the upper teeth shows — the lip line — changes both at rest and when you smile. The advantage of the external incision is precisely that this degree of upper-lip show can be adjusted with precision.
- We design around the change in your mouth both with a neutral expression and while smiling.
- For those who want the bright impression of the upper teeth showing slightly, we plan for exactly that,
- and for those uncomfortable with a large change or with gum show, we keep the range restrained.
Even within the same philtrum reduction, how much of a change to the mouth someone wants differs from person to person. Dr.Tak designs only after sketching out the mouth you want, together with you, in a thorough consultation.
No more worrying about scars — micro-suture know-how
The scar is what those considering philtrum reduction worry about most. Dr.Tak Plastic Surgery has concentrated all its skill and know-how into "clean, seemingly invisible suturing." Heartfelt praise from clients — "I was surprised the scar was so clean," "the suturing is truly delicate" — proves the excellence of our micro-suture technique.
Considering even the finest details hard to see with the naked eye, we suture meticulously, stitch by stitch, with a craftsman's spirit. By minimizing skin tension and optimizing the healing process, the scar fades naturally so that it becomes barely noticeable over time after surgery.
Dr.Tak's own 'ligament-hook fixation method'
Not only satisfaction with the result but also safety and longevity are very important. Dr.Tak Plastic Surgery's proprietary 'ligament-hook fixation method' is a core strength that sets us apart. Client feedback — "the surgery feels safe and sturdy, so I trust it" — shows the effect of this method.
Unlike conventional simple suturing, it firmly anchors the skin tissue of the philtrum area to the surrounding ligaments. This firm fixation markedly lowers the risk of the surgical site sagging or deforming over time. As a result, you can maintain stable, lasting beauty for a long time without worrying about revision surgery.
How the surgery proceeds
- 1:1 detailed consultation & design — we analyse facial proportions, philtrum length, the state of the upper lip and the mouth you want, then plan the incision line and how much to shorten. Any history of nose surgery or other procedures is checked at this stage.
- Safe anaesthesia — performed under local anaesthesia to keep the burden minimal.
- Incision & philtrum shortening — we incise along the planned line at the border where the nose meets the philtrum (under the nose) and shorten the philtrum by the designed amount.
- Ligament-hook fixation — the shortened tissue is anchored firmly to the surrounding ligament to secure stability and durability.
- Micro-suturing — we close with refined suturing that keeps tension to a minimum. Where required, combined procedures such as a C-curl or a corner lift are performed at the same time.
Recovery and downtime
This varies from person to person, but the usual course is as follows.
- Suture removal: usually around 5–7 days after surgery.
- Swelling and bruising: early swelling begins to subside within a few days, and most people recover to a level that does not seriously disrupt daily life.
- Return to routine: with a mask, a relatively quick return is possible, though recovery speed differs from person to person.
- Scar maturation: the scar may look red and firm at first, but it usually softens and fades gradually over six months or more.
For your exact recovery schedule and precautions, please follow the guidance our medical staff gives you after surgery.
Scar-care guide after surgery
We recommend the following to keep the scar as clean as possible. (The details differ by procedure and are explained to you directly at the clinic.)
- Taping: taping in the direction that draws the incision line together helps with scar care. Usually recommended for 3–6 months; stop if dermatitis develops.
- Massage: once you are into the recovery phase, light massage along the incision line can help. Apply ointment and work gently.
- No smoking: smoking is very bad for scar healing. We recommend six months without smoking if possible, three months at minimum.
- Pigment care: the area around the lips tends to retain redness, so pigment can be managed with a laser if needed.
- Raised-scar care: if the scar becomes firm or raised, it can be managed with injection treatment and similar options.
Synergy procedures that pair well
Philtrum reduction delivers an excellent change on its own, but combining it with other procedures to maximize the harmony of the whole face produces even more remarkable synergy.
• C-curl surgery (Philtrum Contouring / Definition (C-Curl)): makes the philtrum look concave; often performed as an option with Lip Lift.
• Lateral Lip Lift: brings out the rolled-in outer part of the upper lip.
• Corner lip lift: lifts the mouth corners for a bright, positive impression.
• Cupid's bow surgery: makes the lip line defined and attractive.
• Mucosal advancement (lip augmentation): boosts upper-lip volume for fuller lips.
What if it is lip volume, not philtrum length?
Patients often come in thinking "my philtrum looks long," but on examining the actual oral and skeletal structure the cause is sometimes not philtrum length but the lip being rolled inward or looking thin. In that case mucosal advancement (V-Y lip augmentation) may suit better than philtrum reduction.
Dr.Tak does not recommend by length alone. We look at the skeletal and lip structure together and propose the procedure that actually fits. Where the lips look thinner after orthodontics, two-jaw surgery or facial contouring, this distinction needs particular care.
Recommended for
• Those whose philtrum is long, making the face look long overall
• Those whose philtrum has lengthened with age, looking older
• Those whose upper lip looks relatively thin and who want more volume
• Those who want a youthful image
• Those whose philtrum and lip line look disharmonious and heavy in profile
• Those whose upper teeth barely show when smiling and who want a brighter mouth
The limits of the effect — honestly
Lip Lift generally allows about 3–5mm of shortening; even if you want more, we limit it to an appropriate range for safety and naturalness. Excessive shortening can instead look unnatural. Dr.Tak comprehensively analyzes your facial proportions and bone structure to recommend the most suitable length.
