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Analysis and classification of the upper lip aesthetic unit
Peter Raphael1, Ryan Harris, Scott W Harris
1Plano and Dallas, Texas From the American Institute for Plastic Surgery and the University of Texas Southwestern Medical Center.
Plastic and Reconstructive Surgery
|August 30, 2013
Summary
A new labral classification system aids in diagnosing and treating upper lip aesthetic defects. This system, using the philtral-labial score, categorizes defects for clearer surgical planning and improved patient outcomes.
Area of Science:
- Plastic Surgery
- Aesthetic Medicine
- Facial Anatomy
Background:
- Upper lip aesthetic unit disharmonies often result from tall ergotrids or thin lips.
- Lack of standardized metrics and diagnostic systems hinders the understanding and correction of these defects.
Purpose of the Study:
- To develop and validate a systematic approach for analyzing and classifying upper lip aesthetic defects.
- To introduce the philtral-labial score as a quantitative tool for upper lip analysis.
Main Methods:
- Devised the philtral-labial score for upper lip region analysis.
- Utilized Adobe Photoshop CS6 for measurements and standard calculators for computations.
- Conducted a retrospective review of 908 patients undergoing perioral rejuvenation, with 200 randomly selected for detailed assessment.
Main Results:
- Achieved near 100% diagnostic concordance between authors using preoperative photographs, dental show measurements, and philtral-labial scores.
- Developed the labral classification system (Type 0, 1, 2, 3) based on pattern analysis of defects.
- Correlated specific dental show values, philtral-labial scores, and treatments with each defect type.
Conclusions:
- The labral classification system and analytical tools offer practical references for consultation and discussion of upper lip defects.
- This system simplifies complex algorithms, aids documentation, and facilitates large-scale analysis for surgeons.
- Judicious implementation of these tools streamlines diagnosis and guides treatment for upper lip concerns.
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