Introduction
The philtrum, the vertical space from the base of the nose to the middle of the top of the upper lip, plays a significant role in one's facial appearance. Many individuals in New York City are interested in philtrum shortening procedures to achieve a more youthful and aesthetically pleasing look. This article will explore both public and private hospitals in New York City that offer philtrum shortening, along with detailed information about the procedure, the surgeons, and other related aspects.
Understanding Philtrum and Its Importance
Anatomy of the Philtrum
The philtrum is a unique facial feature. It is defined as 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 elements of the philtrum - its length and contour. The philtrum length is the measurement of the vertical line from the center of the nasal base to the center of the vermillion border of the upper lip. This measurement can vary based on race, ethnicity, and other facial structure measurements. For example, certain ethnic groups may naturally have different average philtrum lengths. The philtrum contour is also crucial, as a well - defined contour can enhance the overall attractiveness of the face. Alongside the philtrum are two elevated vertical columns of tissue that help shape it. In recent years, with the popularity of facial contouring, a more defined philtrum has become highly desirable for a more feminine and youthful appearance.
Changes in Philtrum with Age
As people age, the philtrum tends to elongate. This is due to several factors such as the effect of gravitational pull downward, the weakening of facial muscles and ligaments, and the increased elasticity of the skin. An elongated philtrum is often considered a sign of aging, and individuals with a long philtrum may appear older than their actual age. Therefore, shortening the philtrum can result in a more youthful and freshened look.
Philtrum Shortening Procedures
Upper Lip Lift Surgery
Upper lip lift surgery is a common method for philtrum shortening. In New York City, surgeons like Dr. David Cangello are well - known for performing this procedure. This surgery 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, which effectively reduces the philtrum length. The amount of skin removed is customized based on the patient's current philtrum length, other facial structures, and their desired result. For instance, if a patient has a very long philtrum, more skin may be removed to achieve a more significant shortening. This procedure can be conducted with local anesthesia, and in some cases, sedation can be administered if the patient desires. After the surgery, patients typically experience mild discomfort and swelling for the first 48 to 72 hours, which can be managed with medication and cold compresses. They are advised to rest, eat soft foods, and avoid strenuous physical activity for the first week. Stitches are usually removed after about a week, and the swelling gradually subsides over the next two weeks.
Philtrum Contouring Surgery
Dr. Gary Linkov at City Facial Plastics in Midtown, Manhattan, 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. However, in addition to shortening the philtrum, this procedure manipulates and sutures the muscles of the philtrum in such a way that the vertical columns of tissue alongside the philtrum become more prominent, and the philtrum deepens. Philtrum contouring can only be done at the same time as an elelyft lip lift because it requires the exposure to manipulate the muscle of the upper lip. This combined procedure can give patients a more feminine and youthful upper - lip contour. The results of philtrum contouring surgery are generally permanent for most patients. However, if performed on a young patient, there may be a reduction in the amount of contour over time due to age - related changes in the lip musculature and skin elasticity. The risks of philtrum cosmetic surgery are similar to other minor cosmetic procedures, including bleeding, infection, poor scarring, and an undesirable aesthetic result. Additionally, compared to upper lip lift surgery alone, there is a longer recovery period when philtrum contouring is added due to increased swelling, and there is a small risk of functional changes as the muscles are manipulated.
Public Hospitals in New York City for Philtrum Shortening
While specific public hospitals in New York City may not be as commonly associated with philtrum shortening procedures as private clinics, they still play an important role in providing general plastic surgery services. Some public hospitals may offer philtrum shortening in certain cases, especially if it is part of a reconstructive surgery due to trauma or congenital conditions. However, the availability of cosmetic philtrum shortening procedures in public hospitals is limited. This is mainly because public hospitals focus on providing essential and emergency medical services to a large population. The surgical teams in public hospitals are often occupied with treating patients with critical medical needs, such as those recovering from accidents or dealing with life - threatening conditions. In cases where philtrum shortening is related to a reconstructive purpose, public hospitals have well - trained plastic surgeons who can perform the necessary procedures. These surgeons are often associated with academic institutions and have a wealth of experience in various surgical techniques.
Private Hospitals and Clinics in New York City for Philtrum Shortening
City Facial Plastics
City Facial Plastics, located in Midtown, Manhattan, is a well - known clinic for philtrum shortening procedures. Dr. Gary Linkov, a top - rated plastic surgeon at this clinic, offers a unique procedure called the elelyft upper lip lift. This is a variation of the bullhorn lip lift surgery that incorporates traditional upper lip lift techniques with a modern and individualized approach. Special surgical ink is used to mark the incision, ensuring the exact amount of skin is removed and the skin closure is precise. The elelyft procedure also includes additional steps such as deep release and undermining of the remaining skin to reduce tension, leading to more optimal wound closure and minimal scar formation. Dr. Linkov has extensive experience in facial anatomy and wound - healing science, which allows him to provide excellent results. Patients who are candidates for the elelyft procedure can expect a faster recovery time as it can be performed under local anesthesia. The initial downtime is only seven to ten days, and although there may still be some redness at six weeks, patients will look more refreshed and rejuvenated.
Cangello Plastic Surgery
Dr. David Cangello at Cangello Plastic Surgery in New York City is also an expert in upper lip shortening procedures. His upper lip lift surgery can help patients achieve a more shapely pout and a more youthful appearance. He uses the bullhorn lip lift method, named for the shape of the incision made just under the nose. This method is designed to minimize scarring while achieving the desired results. Dr. Cangello's office is equipped with a fully accredited (AAAASF) operating room, ensuring a safe and comfortable surgical environment. He takes the time to understand each patient's goals and tailors the procedure accordingly. Before the surgery, patients are advised to follow a set of preparation steps, such as avoiding smoking for at least three months and alcohol consumption for at least two weeks prior to the surgery. They should also stay hydrated, maintain a healthy diet, and inform Dr. Cangello of any medications or supplements they are taking. After the surgery, he provides detailed post - operative care instructions to ensure a smooth recovery.
Franck MD
Dr. Philipp Franck at Franck MD is a board - certified plastic and reconstructive surgeon who is well - known for his expertise in lip lift procedures. A lip lift at Franck MD is a cosmetic surgical procedure that shortens the philtrum, elevating and rolling out the upper lip for a fuller appearance. Dr. Franck carefully marks the area beneath the nose to determine the precise amount of skin to remove using a surgical ruler for symmetry and optimal results. The “bullhorn incision” is placed discreetly where the nostrils and columella meet the upper lip area to hide the incision within the natural curves at the base of the nose. Dr. Franck uses very fine sutures to minimize scarring. He offers different lip lift techniques, including the bullhorn (subnasal) lip lift, corner lip lift, italian lip lift, gullwing lip lift, and cupid lift, which can be tailored to each patient's unique anatomy and goals. For example, the corner lip lift focuses on lifting the corners of the mouth to correct a “downturned” appearance and can be combined with a central lip lift for comprehensive enhancement.
Olivia Hutchinson, MD Aesthetic Plastic Surgery
Dr. Olivia Hutchinson, a fellowship - trained, board - certified plastic surgeon, offers lip lift procedures at her practice. Her lip lift makes the lips more shapely and attractive by giving them a fuller appearance. A small area of skin is removed just underneath the nose, shortening the philtrum and subtly elevating the upper lip. The procedure is usually performed with the patient under IV sedation anesthesia in a fully AAAASF accredited operating room staffed with board - certified anesthesiologists and registered nurses. Dr. Hutchinson is known for her attention to detail and her ability to produce elegant and personalized lip contouring results. The recovery period for a lip lift at her practice requires about one week. Patients are advised to be careful of their stitches during the healing process and avoid making “big” expressions with their lips.
Aristocrat Plastic Surgery
Aristocrat Plastic Surgery, led by Dr. Kevin Tehrani, offers lip lift procedures. A lip lift at this clinic shortens the distance between the upper lip and the nose (the philtrum), causing an outward turn of the upper lip, which makes it look fuller and lifted. Dr. Tehrani values high - level training, continuing education, and clinical experience. He provides comprehensive consultations to patients, answering all their concerns and recommending the most suitable treatment based on their aesthetic goals and budget. If a patient is interested in more dramatic results, he may recommend additional options such as lip filler injections or lip augmentation with implants.
Choosing the Right Hospital or Clinic
Surgeon's Expertise
When choosing a hospital or clinic for philtrum shortening in New York City, the surgeon's expertise is of utmost importance. Look for surgeons who are board - certified and have extensive experience in performing philtrum shortening procedures. For example, Dr. Gary Linkov, Dr. David Cangello, and Dr. Philipp Franck are all well - known and respected in the field of plastic surgery. Check their credentials, including their educational background, training, and any awards or recognitions they have received. Surgeons who are associated with academic institutions may also have access to the latest research and techniques in the field.
Reputation and Patient Reviews
Research the reputation of the hospital or clinic. Read patient reviews and testimonials to get an idea of the quality of service and the results achieved. You can find reviews on various online platforms, such as health - related websites and social media. Positive reviews can give you confidence in the clinic's ability to meet your expectations. For instance, many patients at City Facial Plastics have praised Dr. Linkov for his professionalism, attention to detail, and excellent results. On the other hand, negative reviews should be carefully considered, and you can try to contact the patients directly or ask the clinic for an explanation.
Facility and Equipment
The quality of the facility and equipment is also crucial. A well - equipped operating room with the latest technology can ensure a safer and more successful surgery. Accredited facilities, such as those with AAAASF accreditation, adhere to strict safety and quality standards. For example, the operating rooms at Cangello Plastic Surgery and Olivia Hutchinson, MD Aesthetic Plastic Surgery are fully accredited, which gives patients peace of mind during the surgical process.
Cost and Insurance
Philtrum shortening procedures are typically considered cosmetic and may not be covered by insurance. Therefore, cost is an important factor to consider. Different hospitals and clinics may have different pricing structures. It is important to get a detailed cost breakdown during the consultation, including the cost of the surgery, anesthesia, and any post - operative care. Some clinics may offer financing options to help patients manage the cost. However, it is important not to base your decision solely on cost, as quality and safety should be the top priorities.
Pre - operative and Post - operative Care
Pre - operative Care
Before the philtrum shortening procedure, patients need to follow certain pre - operative care instructions. This may include avoiding smoking and alcohol for a certain period before the surgery, as these can impair healing. Patients should also inform the surgeon of any medications or supplements they are taking, as some may need to be stopped. Additionally, patients may need to arrange for someone to drive them home after the surgery and assist them during the initial recovery period. For example, at Cangello Plastic Surgery, patients are advised to stay hydrated, maintain a healthy diet rich in vitamins and proteins, and prepare a comfortable recovery area at home with essential items like lip balm, ice packs, and soft foods.
Post - operative Care
After the surgery, proper post - operative care is essential for a successful recovery. Patients may experience mild discomfort, swelling, and bruising, which can be managed with medication and cold compresses. They should follow the surgeon's instructions regarding wound care, such as keeping the incision area clean and dry. Avoiding strenuous physical activity and making extreme facial expressions is also important to prevent any damage to the surgical site. For example, after a lip lift, patients are often advised not to drink from a straw for a few days to avoid putting pressure on the incision. Stitches are usually removed within a week or two, and patients will need to return to the clinic for follow - up appointments to monitor the healing process.
Conclusion
In New York City, there are several options available for philtrum shortening procedures, both in private hospitals and clinics. Whether you choose City Facial Plastics, Cangello Plastic Surgery, Franck MD, Olivia Hutchinson, MD Aesthetic Plastic Surgery, or Aristocrat Plastic Surgery, each offers unique approaches and expertise. It is important to carefully consider the surgeon's expertise, the reputation of the facility, the cost, and the pre - and post - operative care when making a decision. By doing so, you can increase your chances of achieving the desired results and a safe and comfortable surgical experience. If you are considering philtrum shortening, we encourage you to schedule a consultation with a qualified plastic surgeon to discuss your options further and take the first step towards enhancing your facial appearance.
