“Non-filling” procedures for lip augmentation: A systematic review of contemporary techniques and their outcomes

Moragas, Joan San Miguel; Vercruysse, H.; Mommaerts, Maurice Y.

doi:10.1016/j.jcms.2014.01.015

Cited by 25 publications

(13 citation statements)

References 51 publications

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“…The results showed an overall average improvement in the NLA, presenting with 10.9% width reduction and 23.5% lip length shortening assessed 1 year after the surgical procedure (►Figs. [4][5][6][7][8][9][10][11][12][13].…”

Section: Resultsmentioning

confidence: 99%

“…3 Even though the aged upper lip is often neglected by both the facial surgeon and the patient, upper lip-lifting has already been described in the early 1980s as a stand-alone procedure or along with other face-lifting procedures for full face rejuvenation performed both directly at the vermilion border and indirectly through a subnasal or endonasal approach. [4][5][6][7][8] Lips should therefore not be considered as a single anatomical entity, but indeed they must be placed in a strong correlation with the nose, which is the closest and most related anatomical and aesthetic structure of the face.…”

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confidence: 99%

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The Rhino-Lip-Lifting: A Novel Proposal for Midface Profileplasty Performed as a Single Surgical Procedure

Pascali

Marchese²,

Diaspro³

2021

Facial Plast Surg

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As facial aging occurs, aesthetic changes of the nasal tip and the senile upper lip include tip ptosis, increase in skin length, loss of vermillion height and Cupid's bow, and vertical wrinkles.Regardless of the rejuvenation procedure, the lips are not to be considered as a single anatomical entity, instead they should be placed in a strong correlation with the nose. The aim of this study is therefore to demonstrate the effectiveness of the association of primary closed rhinoplasty together with indirect subnasal lip-lifting technique.A total of 45 patients were enrolled in this study and underwent primary closed rhinoplasty with indirect subnasal lip-lifting. The result showed an overall average nasolabial angle width reduction of 10.9% and lip length shortening of 23.5%, as assessed 1 year after the surgical procedure. When comparing before and after photographs and using the Subjective Global Aesthetic Improvement Scale (sGAIS), the overall satisfaction was rated 4.4 on 5, as “much improved.”The authors show that lips should not be considered as a single anatomical entity but that they indeed must be placed in a strong correlation with the nose since a droopy nasal tip is likely to be considered unattractive and is often associated with the appearance of a long nose with covered philtrum and upper lip.Tip rotation to a normal nasolabial angle width could grant a beneficial impact on overall nose aesthetics; however, it may not fully balance the midface profile as it is the “lip position-to-incisal show” ratio that defines beauty, whereas the balance among forehead, nasal tip, upper lip, and chin is what defines the contour of harmonious profiles.This is the first patient series to show that the combination of closed rhinoplasty and indirect lip-lifting is a highly effective, safe, and reliable procedure to address profile rejuvenation.

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Section: Resultsmentioning

confidence: 99%

mentioning

confidence: 99%

The Rhino-Lip-Lifting: A Novel Proposal for Midface Profileplasty Performed as a Single Surgical Procedure

Pascali

Marchese²,

Diaspro³

2021

Facial Plast Surg

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“…Another technique in this group is indirect lip lifting in which a sub-nasal incision is made and the vermilion border of the upper lip is indirectly lifted by excising the horn-shaped under nose skin. 15 …”

Section: Discussionmentioning

confidence: 99%

“…Perhaps the interesting advantage of non-filing techniques is their permanency, but they carry a practical limitation. 15 …”

Section: Discussionmentioning

confidence: 99%

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Lip Augmentation Using Post-Auricular Fibroareolar Tissue as a New Autogenous Filler

Barati

Jahanshahi

Asadi

2020

wjps

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BACKGROUND Augmentation of facial components is an acceptable approach in facial aesthetics. The best filler material and the optimal technique for facial soft tissue augmentation still remain to be determined. This study has assessed the lip augmentation using post-auricular fibroareolar tissue as a new autogenous filler. METHODS This prospective study enrolled patients who were candidate for lip augmentation. Loose fibroareolar tissue was harvested from post-auricular region and was inserted in the prepared lip pocket. Standard digital photography was used for lip analysis in each patient before and 6 months after surgery (the height and projection of the upper lip and lower lip). RESULTS At a mean follow-up period of 6 months, average upper and lower lip height increased from 5.27 to 8.72 mm ( p <0.001), and the average upper and lower lip projection increased from 3.97 to 7.75 mm ( p<0 .001). CONCLUSION Our technique was minimally invasive and a safe method, in which post-auricular loose fibroareolar tissue was applied for lip augmentation with minimum donor site morbidity and long-term results. On the follow-up, all patients were satisfied with the results and no patients required any revision operation. Moreover, the complication rate was negligible.

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Technical and Clinical Considerations for Facial Feminization Surgery With Rhinoplasty and Related Procedures

Bellinga¹,

Capitán²,

Simón³

et al. 2017

JAMA Facial Plast Surg

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IMPORTANCETogether with the forehead reconstruction, feminization of the nose is one of the most common procedures in facial feminization surgery. Rhinoplasty surgical techniques, which provide correct support and stability in the midterm to long term, are essential for obtaining a predictable result.OBJECTIVE To report on the technical and clinical considerations of rhinoplasty and related procedures to feminize the nose, harmonize the nose in relation to the other modified structures (mainly the forehead and maxillomandibular complex), and achieve an aesthetic result beyond gender differences.DESIGN, SETTING, AND PARTICIPANTS Case series study of feminization rhinoplasties, in combination with lip-lift techniques, forehead reconstruction, and other procedures, were performed at a private practice between January 11, 2010, and May 29, 2015, in 200 consecutive male-to-female transgender patients. The mean (SD) medical follow-up for patients was 32 (18.84) months (range, 12-77 months). Frontonasal angles were objectively measured. Postoperative and long-term patient satisfaction were assessed.MAIN OUTCOMES AND MEASURES Clinical analysis and evaluation using the 5-point Nose Feminization Scale, with 1 indicating very masculine or nose is worse and 5 indicating very feminine or exceptional result. RESULTSIn these 200 patients, the mean (SD) age was 40.2 (12.2) years (range, 18-70 years). The mean (SE) frontonasal angle changed from 133.64°(0.63°) to 149.08°(0.57°) (difference in means, −15.44; 95% CI, −17.12 to −13.76; P < .001). Most patients considered their nose to appear more feminine after the surgery, and the degree of satisfaction after the rhinoplasty was 4 (much better) of 5 points on the Nose Feminization Scale. During the evaluation of feminization rhinoplasties, special attention was given to how the nose relates to other features essential to the identification of facial gender: the forehead and maxillomandibular complex. Emphasis was placed on the midterm to long-term stability of the results by reinforcing the internal structure. CONCLUSIONS AND RELEVANCEIn this case series of feminization rhinoplasties in combination with lip-lift techniques and forehead reconstruction, frontonasal angles were changed, and patient satisfaction with outcomes was high. The main goal of rhinoplasty in facial feminization surgery is to obtain feminine nasal features and the harmonization of the nose with the rest of the face. Lip-lifts and frontonasal recontouring can complement rhinoplasties associated with facial feminization surgery.LEVEL OF EVIDENCE 4.

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“Non-filling” procedures for lip augmentation: A systematic review of contemporary techniques and their outcomes

Cited by 25 publications

References 51 publications

The Rhino-Lip-Lifting: A Novel Proposal for Midface Profileplasty Performed as a Single Surgical Procedure

The Rhino-Lip-Lifting: A Novel Proposal for Midface Profileplasty Performed as a Single Surgical Procedure

Lip Augmentation Using Post-Auricular Fibroareolar Tissue as a New Autogenous Filler

Technical and Clinical Considerations for Facial Feminization Surgery With Rhinoplasty and Related Procedures

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