Summary: Lip fillers have a great impact on the facial aesthetic industry, where several techniques have been proposed for lip beautification in terms of both the results and delivering a safe injection procedure. The study aimed to report a personal experience with a new lip filler technique, via inserting a microcannula through three entry points, resembling an inverted Mercedes Benz sign. Ten female patients between 22 and 29 years of age had a lip filler treatment with a cross-linked hyaluronic acid injected using a microcannula through two entry points at both Glogau-Klein points of the upper lip and one entry point at the midline of the lower lip. The filler product was deposited in both retrograde and aliquots fashion in the superficial muscular plane. All patients reported a high degree of satisfaction with the results of the procedure, with slight swelling and bruising transiently present in some of the patients. Unlike the conventional cannula technique, this new technique offers artistry in accentuating the cupid’s bow and redrawing the lips.

Aim: The present study was performed to evaluate the longevity and efficacy of the lip repositioning surgery by assessment of the gingival display changes that occur after the surgery through clinical & digital methods.Methods: This prospective study included ten female patients who suffered from excessive gingival display due to upper lip hypermobility or short upper lip. Pre-operative measurement of the amount of gingival display were recorded both clinically using an endodontic ruler & digitally using Adobe Photoshop cs6 through a well standardized photographs. The surgery was performed under local anesthesia for all patients by removing part of the labial mucosa (labial vestibule) followed by suturing of the wound by interrupted 0-5 resorbable suture. All patients were followed up at 14 days, 4 months, 8 months and 12 months, postoperative assessment was done by measuring the changes in the gingival display using the same clinical & digital techniques.Results: Post-operative measurements at 14 days follow up, showed obvious reduction in the amount of gum exposure. However complete relapse was observed at 4 months. Conclusion:The longevity of the procedure is questionable with almost complete relapse.