The endonasal lip lift: personal technique

Area of Science:

• Plastic Surgery
• Facial Aesthetic Surgery

Background:

• Current methods for upper lip shortening have limitations.
• A modified subnasal lip lift with endonasal flaps was developed.

Purpose of the Study:

• To evaluate the efficacy and outcomes of a modified subnasal lip lift with endonasal flaps.
• To identify ideal candidates and potential complications.

Main Methods:

• A modified subnasal lip lift with endonasal flaps was performed on 311 patients over 15 years.
• Patient selection criteria included tall philtra, negligible dental show, and no maxillary abnormalities.

Main Results:

• The procedure resulted in improved scar appearance, pout, dental display, and vermilion show.
• Benefits included absence of tension in visible areas and minimal scar migration.
• Caudal rhinoplasty was facilitated through the same incisions.
• Complications like undercorrection, sill widening, and alar distortion were mostly avoidable or correctable.
• Nasal sill disruption was an unavoidable drawback, minimized by meticulous technique.

Conclusions:

• The modified subnasal lip lift with endonasal flaps is an effective technique for upper lip shortening.
• It offers significant aesthetic and functional advantages with manageable complications.
• Careful patient selection and meticulous surgical technique are crucial for optimal results.