The treatment of an objectively or subjectively, totally or partially long philtrum (valley between nose and upper lip) has to be customized to achieve a proportionate and harmonious shortening of the philtrum.
Best state of the art treatment for the long philtrum is the indirect upper lip lift with philtrum shortening also called as bullhorn lift with incisions at the nasal base which includes a roll out of the red vermilion of the upper lip.