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Aesthetic reconstruction for large upper lip defects in men.
T Yotsuyanagi1, K Yamashita, S Urushidate
1Department of Plastic and Reconstructive Surgery, Hirosaki University School of Medicine, Japan.
Aesthetic Plastic Surgery
|August 12, 1999
Summary
This study introduces a novel surgical technique for repairing large upper lip defects in men, preserving crucial muscle function and achieving natural-looking results. The method ensures both cosmetic and functional recovery for significant lip injuries.
Area of Science:
- Reconstructive surgery
- Plastic surgery
- Facial reconstruction
Background:
- Repairing large upper lip defects in men often involves hair-bearing flaps.
- Existing methods may compromise orbicularis sphincter function and lead to unnatural cosmetic outcomes due to dense hair coverage.
Purpose of the Study:
- To present a new surgical technique for reconstructing extensive upper lip defects in men.
- To evaluate the functional and cosmetic outcomes of this novel approach.
Main Methods:
- Developed a new technique utilizing flaps pedicled by angular vessels.
- Included the orbicularis oris muscle in the flap reconstruction.
- Successfully applied the technique to three male patients with large upper lip defects.
Main Results:
- The new technique successfully repaired large upper lip defects in all three patients.
- The method preserved orbicularis sphincter function.
- Achieved favorable functional and cosmetic results.
Conclusions:
- This novel technique offers a viable solution for reconstructing large upper lip defects in men.
- It effectively restores both function and aesthetics, particularly for defects exceeding half the lip.
- The inclusion of the orbicularis oris muscle is key to functional preservation.