Mahmoud, N., Massoud, K. (2019). Upper Lip Rejuvenation by Myocutaneous Subnasal Lift Technique. The Egyptian Journal of Plastic and Reconstructive Surgery, 43(2), 237-241. doi: 10.21608/ejprs.2019.65076
Nada Mahmoud; Karim S Massoud. "Upper Lip Rejuvenation by Myocutaneous Subnasal Lift Technique". The Egyptian Journal of Plastic and Reconstructive Surgery, 43, 2, 2019, 237-241. doi: 10.21608/ejprs.2019.65076
Mahmoud, N., Massoud, K. (2019). 'Upper Lip Rejuvenation by Myocutaneous Subnasal Lift Technique', The Egyptian Journal of Plastic and Reconstructive Surgery, 43(2), pp. 237-241. doi: 10.21608/ejprs.2019.65076
Mahmoud, N., Massoud, K. Upper Lip Rejuvenation by Myocutaneous Subnasal Lift Technique. The Egyptian Journal of Plastic and Reconstructive Surgery, 2019; 43(2): 237-241. doi: 10.21608/ejprs.2019.65076
Upper Lip Rejuvenation by Myocutaneous Subnasal Lift Technique
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.
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