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Subnasal Lip Lifting in Aging Upper Lip

Combined Operation with Nasal Tip Plasty in Asians

Jung, Jae-A, M.D., Ph.D.; Kim, Ki-Bum, M.D.; Park, Hyun, M.D.; Dhong, Eun-Sang, M.D., Ph.D.; Han, Seung-Kyu, M.D., Ph.D.; Kim, Woo-Kyung, M.D., Ph.D.

Plastic and Reconstructive Surgery: March 2019 - Volume 143 - Issue 3 - p 701–709
doi: 10.1097/PRS.0000000000005315
Cosmetic: Original Articles
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Background: The objective of this study was to illustrate a novel technique for lifting of the aging upper lip with nasal tip plasty in Asians. With this procedure, a shortening of the philtrum, an increase of the vermilion, and a natural and nicer mouth can be obtained, with increase of the tip of the nose simultaneously.

Methods: Thirty patients were the subjects of this study. Incisions were made bilaterally beginning at the alar fold, entering nostrils, and rising medially on the skin below the lower margin of the medial crura. Excess skin of the philtrum was eliminated in two separate pieces and the muscle was suspended to the base of the nose with interrupted stitches.

Results: All patients expressed a high degree of satisfaction. The average ratio between the L1 reference line and the height of the upper lip measurement preoperatively was 0.43 ± 0.05. This ratio was improved postoperatively to an average of 0.32 ± 0.05. The nasolabial angle was 91.31 ± 4.19 degrees before surgery and 105.62 ± 5.04 degrees after surgery. The angle of the upper lip was 48.97 ± 2.41 degrees before surgery and 38.21 ± 3.34 degrees after surgery.

Conclusions: Lip lift is an effective tool for correcting a natural tendency of the upper lip to cover the upper teeth during aging. There is a dramatic improvement in the patient’s facial aesthetic appearance during smiling and at rest. The authors strongly recommend this technique as part of the surgical procedure to achieve a youthful face.

CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, V.

Seoul, Republic of Korea

From the Department of Plastic Surgery, Korea University College of Medicine; and the Park-Hyun Plastic Surgery Clinic.

Received for publication February 6, 2018; accepted August 29, 2018.

Disclosure: The authors have no financial interest to declare in relation to the content of this article.

Eun-Sang Dhong, M.D., Ph.D., Department of Plastic Surgery, Korea University Guro Hospital, 148 Guro-Dong, Guro-Ku, Seoul 152-703, Republic of Korea, prsdhong@kumc.or.kr

©2019American Society of Plastic Surgeons