Upper Lip Rejuvenation by Myocutaneous Subnasal Lift Technique | ||||
| The Egyptian Journal of Plastic and Reconstructive Surgery | ||||
| Article 13, Volume 43, Issue 2, July 2019, Page 237-241 PDF (10.29 MB) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejprs.2019.65076 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
| Nada Mahmoud* ; Karim S Massoud | ||||
| The Department of Plastic, Burns and Maxillofacial Surgery, Faculty of Medicine, Ain Shams University, Cairo, Egypt | ||||
| Abstract | ||||
| Background: With aging, the upper lip gradually loses its youthful pout and slowly droops downwards. Aim: In this study, we present a modification to the subnasal lip lifting technique to improve scar quality and aesthetic outcome. Patients and Methods: This study included twenty-three adult female patients. Elliptical subnasal excision including skin and muscle was done. Assessment criteria included scar quality, lip height, vermillion and incisor show. In some cases, objective measurements of the lip was used. Result: All patients had accepted hidden scar. Total lip height and prolabium length were significantly decreased and vermilion height increased. One case had minimal change in the vermilion show, improved with filler injection. Finally, all patients showed overall satisfactory outcome. Conclusion: A wedge excision form the superficial part of the orbicularis oris muscle with skin excision reduces tension on the scar of subnasal upper lip lift. The excision does not affect upper lip muscle function and it can improve the aesthetic outcome and achieve a younger pleasant look. Larger patient population studies are needed to confirm the data. Our proposed preliminary objective assessment method is a very interesting method that can validate future results. Evidence based medicine: Level IV, case series. | ||||
| Keywords | ||||
| Upper lip – Lip rejuvenation – Lip aesthetics –; Subnasal lip lift | ||||
| References | ||||
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Hinderer U.T.: Ageing of the upper lip: A new treatment technique. Aesthetic Plast. Surg., Nov.-Dec., 19 (6): 519- 26, 1995. 2- Waldman S.R.: The Subnasal Lift. Facial Plast. Surg. Clin. N. Am., Nov., 15 (4): 513-6, viii, 2007. 3- Austin H.: The lip lift. Plastic and Reconstructive Surgery Vol.: 77, No: 6: 990994, 1986. 4- De la Plaza R. and De La Cruz L.: Can some facial rejuvenation techniques cause iatrogenia? Aesth. Plast. Surg., 18 (2): 205, 1994. 5- Cardoso A.D. and Sperli A.E.: Rhytidoplasty of the upper lip In: Hueston J.T. (ed): Transactions of the Vth International Congress of the PRS. Melbourne: Butterworth, 1971, 34: 481, 1981. 6- Rozner L. and Isaacs G.L.: Lip lifting. Br. J. Plast. Surg., 34: 481, 1981. 7- Fonseca J.L.: Aesthetic reduction of the upper lip. Ann. Plast. Surg., 19 (5): 400, 1987. 8- Felman G.: Direct upper lip lifting: A safe procedure. Aesthet. Plast. Surg. J., 17: 291-295, 1993. 9- Lassus C.: Thickening the thin lips. Plast. Reconstr. Surg., 68: 950, 1981. 10- Ali M.J.1, Ende K. and Maas C.S.: Perioral Rejuvenation and Lip Augmentation. Facial Plast. Surg. Clin. North Am., Nov., 15 (4): 491-500, vii, 2007. 11- Draaijers L.J., Tempelman F.R., Botman Y.A., et al.: The Patient and Observer Scar Assessment Scale: A reliable and feasible tool for scar evaluation. Plast. Reconstr. Surg., 113: 1960-65, 2004. 12- Singer A.J., Arora B., Dagum A., et al.: Development and validation of a novel scar evaluation scale. Plast. Reconstr. Surg., 120 (7): 1892-7, 2007. 13- Wilkinson T.S.: Lip lift resection. Plast. Reconstr. Surg., Jul., 94 (1): 212, 1994. 14- Weston G.W., Poindexter B.D., Sigal R.K. and Austin H.W.: Lifting lips: 28 years of experience using the direct approach to rejuvenating the aging mouth. Aesthet. Surg. J., Mar.-Apr., 29 (2): 83-6. Doi: 10.1016/j.asj.2009.01.013, 2009. 15- Ho L.C.: Augmentation cheiloplasty. Br. J. Plast. Surg., Jun., 47 (4): 257-62, 1994. 16- Santanché P. and Bonarrigo C.: Lifting of the upper lip: Personal technique. Plast. Reconstr. Surg., May, 113 (6): 1828-35; discussion 1836-7, 2004 | ||||
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