Free dermis—fat graft to correct the whistle deformity in patients with cleft lip

Dimensional Changes of the Upper Lip Using Dermis Fat Graft for Lip Augmentation

“…9,12,13 However, a larger series of patients, longer follow-ups, and comparison of different donor sites are recommended for better evaluation. The patient's satisfaction is another important issue, which might need to be evaluated in further studies.…”

“…The free border of the upper lip consists of the orbicularis oris muscle and overlying subcutaneous tissue, vermilion, and labial mucosa. 13 Lip enlargement can be considered a reconstructive procedure in patients with congenital deficiencies, such as cleft lip and hemifacial microsomia, or a cosmetic procedure to create a better appearance in individuals with thin lips. Injectable fillers are suitable for short-term augmentation and do not require a secondary surgical site.…”

“…Therefore, the aim of this study was to evaluate dimensional changes 12 months after dermis fat grafting along the centerpiece of the upper lip in an open-mouth state as described by Niamatu 11 in contrast to other studies. 9,12,13 …”

The Application of Bilateral Lip Mucosa Flaps in Repairing Upper Vermilion Defects

“…Additionally, these methods cannot reconstruct lip beads. 7 Kapetansky described a technique that involved superiorly based double-pendulum flaps that were transposed medially to reconstruct the defect. 2 Kapetansky modified his own technique and added a back-cut to increase vertical height, altered the amount of orbicularis taken in each portion of the flap, and decreased the depth of the mucosal incision.…”

Correction of secondary vermilion notching deformity in unilateral cleft lip patients: Complete revision of two errors

“…Notching deformities are often thought to be confined to the vermilion, and surgeons tend to restrict their efforts by correcting them within the vermilion using a local mucosal flap. Dermofat grafts or fascia grafts on a notching area may also be attempted (Chen et al, 1995;Patel and Hall, 2004;Wakami et al, 2010). However, these procedures may cause unwanted scars or otherwise produce suboptimal outcomes.…”