1VIC

Philtrumplasty

Treatment Effect

Treatment Effects

- Short-term effects: In the immediate period following surgery or treatment, there will be noticeable changes in the shape of the philtrum. For instance, after surgical excision of excess tissue, the philtrum length is shortened and the contour becomes more refined; after dermal filler injections, the philtrum appears fuller and more three-dimensional, initially improving overall facial harmony.

- Long-term effects: As recovery progresses, the results become more natural. For surgical patients, the philtrum shape stabilizes after complete wound healing and can be maintained long-term. The duration of non-surgical filler effects varies depending on the material used, typically lasting from 6 months to 2 years; regular touch-up injections can help sustain long-lasting results.

Is this suitable for me?

Suitable Candidates

This procedure is suitable for individuals with the following concerns:

  • Excessively long philtrum: This can cause disproportion in the lower half of the face, resulting in a lack of refinement.
  • Shallow philtrum: This leads to insufficient facial definition and may give an impression of lethargy.
  • Poor philtrum shape: Issues such as an indistinct philtral groove or an excessively wide philtrum can negatively affect overall facial aesthetics.

Unsuitable Candidates

However, this procedure is not recommended for individuals with the following conditions:

  • Suffering from severe systemic diseases, such as heart disease, diabetes, or hypertension, which make them unable to tolerate surgery.
  • Having infections or inflammation in the facial area or at the surgical site.
  • Having unstable psychological states or unrealistic expectations regarding surgical outcomes.

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Equipment Selection

- Surgical Equipment: Advanced surgical instruments enhance the precision and safety of procedures. For instance, high-quality tools such as fine scalpels and hemostatic forceps minimize tissue damage and reduce the risk of postoperative complications. Some hospitals are also equipped with microscopes to facilitate more delicate surgical operations.

- Non-Surgical Equipment: The quality of syringes used for injectable fillers is crucial, as premium syringes ensure accurate and uniform dosage delivery. Some institutions also utilize ultrasound devices to assist with injections, helping physicians clearly visualize injection layers and outcomes.

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Equipment Selection

- Surgical Equipment: Advanced surgical instruments enhance the precision and safety of procedures. For instance, high-quality tools such as fine scalpels and hemostatic forceps minimize tissue damage and reduce the risk of postoperative complications. Some hospitals are also equipped with microscopes and other devices to facilitate more delicate surgical operations.

- Non-Surgical Equipment: The quality of syringes used for injectable fillers is crucial, as premium syringes ensure accurate and uniform dosage delivery. Some institutions also utilize ultrasound equipment to assist with injections, helping physicians clearly visualize injection layers and outcomes.

Price

Price

The cost of philtrum surgery varies depending on several factors:

Surgical method: The price for surgical excision is relatively high, generally ranging from approximately 900,000 to 3,600,000 KRW, depending on the complexity of the procedure. The cost of non-surgical injectable fillers varies by material; for example, a single syringe of hyaluronic acid filler costs between 360,000 and 1,800,000 KRW.

Regional differences: Medical aesthetic clinics in first-tier cities generally charge more than those in second- and third-tier cities due to higher rent and labor costs.

Doctor's experience: Physicians with extensive experience and high reputations typically charge higher fees.

Expected Outcome

Expected Results

Philtrum surgery can improve the length, depth, and shape of the philtrum, making it more aesthetically pleasing and harmonious, thereby enhancing the overall three-dimensionality and refinement of the face.

However, surgical outcomes are influenced by factors such as individual constitution, surgical technique, and the surgeon's expertise. Generally, the results are natural and long-lasting, but they may not fully achieve the patient's ideal state of perfection. Therefore, patients should maintain realistic expectations.

Combination Therapy

Combined Treatment

Combined with lip augmentation: The philtrum is closely related to the lips. Philtrum plasty can be performed simultaneously with lip procedures such as lip augmentation or lip reduction. This approach ensures better harmony between the lips and the philtrum, enhancing overall facial aesthetics.

Combined with facial lifting: For older patients experiencing facial sagging, philtrum plasty can be combined with a facelift. This not only improves the shape of the philtrum but also addresses facial laxity, achieving superior anti-aging results.

Adverse Effects and Complications

Side Effects and Complications

- Surgical:

- Bleeding and Hematoma: Bleeding may occur during the procedure. If hemostasis is incomplete, a hematoma may form postoperatively, affecting wound healing.

- Infection: If the surgical incision becomes infected with bacteria, symptoms such as redness, swelling, pain, and fever may occur, potentially leading to surgical failure in severe cases.

- Hypertrophic Scarring: Some patients may experience hypertrophic scarring after surgery, characterized by prominent, raised scars in the philtrum area, which affects aesthetic appearance.

- Non-surgical:

- Local Swelling and Pain: Swelling and pain may occur locally after injection, typically subsiding on their own within a few days.

- Allergic Reactions: A small number of patients may be allergic to the filler material, experiencing symptoms such as rash and itching.

- Vascular Embolism: Improper injection may cause the filler to enter blood vessels, leading to vascular embolism and serious complications such as local tissue necrosis.

In addition to the aforementioned side effects and complications, hyperpigmentation may also occur. Especially after surgery or injection, stimulation of the local skin can lead to hyperpigmentation, affecting aesthetic appearance. This condition usually gradually fades over several months, although it may persist for a longer period in a small number of patients.

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Selecting Devices

In addition to the surgical and non-surgical equipment mentioned earlier, some institutions also use auxiliary treatments such as laser devices. For instance, when addressing post-operative scars, fractional laser devices can be employed to stimulate collagen regeneration in the skin, thereby reducing scar visibility and making the skin smoother and more even. When selecting devices, attention should be paid to the brand, performance, and safety of the equipment, ensuring that it has been certified by relevant authorities.

Project Contraindications

Contraindications

Women who are pregnant or breastfeeding are in a special physiological state and are not suitable for philtrum plastic surgery or injectable fillers.

Patients taking anticoagulant medications face an increased risk of bleeding during surgery and should consider the procedure only after discontinuing the medication for a certain period.

Patients with mental health conditions who are unable to cooperate with treatment are not suitable for this procedure.

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- Women who are pregnant or breastfeeding are in a special physiological state and are not suitable for philtrum plastic surgery or injectable fillers.

- Patients taking anticoagulant medications face an increased risk of bleeding during surgery; they should consider the procedure only after discontinuing the medication for a certain period.

- Patients with mental health conditions who are unable to cooperate with treatment are not suitable for this procedure.

Side effects

Side Effects

In addition to the previously mentioned side effects and complications, hyperpigmentation may occur. Especially after surgery or injections, local skin irritation can lead to hyperpigmentation, affecting aesthetic appearance. This condition usually gradually subsides within a few months, but in rare cases, it may persist for a longer period.

Details regarding "side effects and complications" are as follows:

Surgical procedures:

Bleeding and hematoma: Bleeding may occur during the procedure. If hemostasis is not thorough, a hematoma may form post-operatively, affecting wound healing.

Infection: If the surgical incision becomes infected with bacteria, symptoms such as redness, swelling, pain, and fever may appear. In severe cases, this may lead to surgical failure.

Hypertrophic scarring: Some patients may experience hypertrophic scarring after surgery, characterized by noticeable, raised scars in the philtrum area, which affects aesthetic appearance.

Non-surgical procedures:

Local swelling and pain: Swelling and pain may occur locally after injection, but these symptoms typically resolve on their own within a few days.

Allergic reactions: A small number of patients may be allergic to the filler material, experiencing symptoms such as rash and itching.

Vascular embolism: Improper injection technique may cause the filler to enter blood vessels, leading to vascular embolism and serious complications such as local tissue necrosis.

Self-Symptom Check

Symptom Self-Assessment

Observe whether the length, depth, and shape of the philtrum are disproportionate to the overall facial structure. An excessively long philtrum can make the lower half of the face appear saggy, while a shallow one may lack definition.

Check for any noticeable scars, depressions, or other abnormalities in the philtrum area. If present, these may indicate the need for cosmetic improvement.

Select treatment plan

Select a Treatment Plan

Communicate thoroughly with your doctor, who will develop a personalized treatment plan based on your facial features, philtrum issues, and individual needs.

For surgical options, understand the specific procedures, risks, and recovery time; for non-surgical options, learn about the characteristics of the filler materials, their duration, and potential side effects.