Upper and lower lip augmentation by buried, deepithelialized local flaps: An alternative to the use of foreign material implants when shortening the lips

Abstract

Augmentation of the lips has become a new request among patients searching for aesthetic improvement, although it is a very old goal among plastic surgeons when enhancing facial harmony. The simplicity of injecting synthetic material may have contributed to this request; nevertheless, the short-term duration and bizarre results seen with these materials, convinces us to the beneficial effects of our "good, old-fashioned" surgical methods with autologous tissues.

Medially based de-epithelialized flap for nasal base narrowing and nostril sill augmentation in a cleft lip nasal deformity

“…[7] Buried flaps have been used in the lip. [8][9][10][11] In order to shorten the lip, Kostianovsky [8] augmented the upper and lower lip using buried de-epithelialized local flaps. In order to improve the senile lip, Guerrissi [9,10] deepithelialized a strip of skin on the vermilion border and buried the remaining dermal flap in the pocket, which was performed by undermining the skin of the superior third of the upper lip.…”