Safety of Simultaneous Lip-Lift and Open Rhinoplasty

Insalaco, Louis F.; Spiegel, Jeffrey H.

doi:10.1001/jamafacial.2016.1396

Cited by 20 publications

(11 citation statements)

References 7 publications

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“…14-16). [37][38][39] With all these considerations in mind, the authors present this patient series with a single surgical procedure performed through a two-step approach, as it is preferable to proceed with the closed rhinoplasty first and to then plan the lip-lifting afterward.…”

Section: Discussionmentioning

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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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: Discussionmentioning

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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“…Even when this columellar skin is removed, a separate incision for a lip lift is a safe adjunct. 5 Additionally, there may be times when the skin envelope is thick enough that it seems unlikely that it will adequately contract around the new cartilaginous framework. If not addressed, a soft tissue pollybeak deformity can arise that interferes with the attractive flow of the nasal dorsum.…”

Section: The Skin Envelopementioning

confidence: 99%

Considerations in Feminization Rhinoplasty

Spiegel

2020

Facial plast Surg

Self Cite

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Rhinoplasty can be a key part of facial feminization for transgender women. Commonly, the required results necessitate significant deprojection of the nose in addition to the reduction of contour irregularities and shaping of the nostrils to a more round appearance. Pitfalls can include disproportion of the tip anatomic subunits, inadvertent creation of epicanthal folds, soft tissue pollybeak creation, and hanging columella among others.

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“…It is safe to perform the lip-lift and an open rhinoplasty simultaneously. 4 Among practitioners of the lip-lift, much is made of the appropriate length of the upper lip. Our very educated patients will often request postoperative lip lengths of 1.1 to 1.4 cm from the vermillion to the base of the nose.…”

Section: Surgical Techniquementioning

confidence: 99%