Surgical correction of upper lip deficit in patients with cleft lip using dermis fat graft

Abstract

Background:This study aimed to assess dermis fat graft (DFG) as a choice to correct the tissue deficit in the free border of the upper lip in cleft lip repair surgery.Materials and Methods:Thirty-five individuals who referred to Alzahra Hospital at 2013–2014, with lip deformity following the primary repair surgery of cleft lip underwent surgery by DFG technique. Outcomes were assessed 4 months after the surgery based on comparison of preoperative and postoperative photographs.Results:The results in 18 (51.42%) patients were excellent, 10 (28.57%) good, and 7 (20%) intermediate according to the satisfaction of patients and investigators in terms of filling of lip deficit and motion of the upper lip. Moreover, complications and pain were minimal after 4-month follow-up.Conclusion:This method introduces an admissible method with 80% good to excellent results based on satisfactory of patients and surgeon.

A Comparison Between Hyaluronic Acid Filler and Dermofat Grafts With or Without Tie-Over Dressing for Lip Augmentation

“…12 It is also widely recommended to perform overcorrection when using DFGs. 13 Histologic studies on lip augmentation with DFGs have reported normal fatty tissue and vascularized connective tissue without signs of inflammation and necrosis after 11 months. 14,15 However, the absorption rate of DFG is generally reported to be around 15% to 45%.…”

Lipofilling in patients with a cleft lip (and palate) – a pilot study assessing functional outcomes and patients’ satisfaction with appearance

“…As lips have a principal aesthetical and functional role in the face [27], it may be questioned whether or not this technique has functional consequences as well. Haneke [28] investigated complications after injection of different types of fillers.…”

Repair of Scars and Tissue Deficiency With Free Grafts of Full-thickness Scalp in Secondary Unilateral Cleft Lip Deformity

“…14 For small defects, free flap surgery is relatively too complicated, and free complex tissue grafting may be more suitable. 15 Free scalp grafts have been described for aural stenosis and severe skin lesion 16,17 and can repair the defect with minimum deformity in the donor site. Considering these significant advantages, we introduced a revision of scars and tissue deficiency in the upper lip with free scalp grafting.…”

“…Free flaps such as temporal artery posterior auricular flaps are suitable for large tissue defects 14 . For small defects, free flap surgery is relatively too complicated, and free complex tissue grafting may be more suitable 15 . Free scalp grafts have been described for aural stenosis and severe skin lesion 16,17 and can repair the defect with minimum deformity in the donor site.…”