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Crab Claw Reduction Cheiloplasty: The Indian Way
Sneha Puri1, Jayshree Nandanwar2, Akash Kasatwar3
1Department of Periodontics, Swargiya Dadasaheb Kalmegh Smruti Dental College and Hospital, Nagpur, India.
Journal of Cutaneous and Aesthetic Surgery
|August 15, 2020
Summary
Lip reduction surgery using the crab claw technique effectively reduced lip volume in nine patients. This procedure improved lip aesthetics and achieved a more natural Indian appearance without complications.
Area of Science:
- Plastic Surgery
- Aesthetic Surgery
- Facial Aesthetics
Background:
- Excessive lip volume can cause aesthetic concerns.
- Restoring ideal lip volume and contour is crucial for facial harmony.
- Existing techniques may not always achieve desired ethnic-specific aesthetics.
Purpose of the Study:
- To reduce excessive lip volume.
- To restore aesthetic labial contour.
- To achieve a more natural Indian lip appearance using the crab claw technique.
Main Methods:
- A case series of nine patients (6 males, 3 females) aged 21-22 with large lips.
- Modification of incision and application of the crab claw technique.
- Measurement of lip dimensions (vermilion border to lip line, philtral ridges) at baseline and 6-month follow-up.
Main Results:
- Significant mean lip reduction achieved: ~10 mm at midline, 10.11 mm on the right, and 9.55 mm on the left.
- No postoperative complications reported in any patient.
- High patient satisfaction reported via survey.
Conclusions:
- The crab claw technique is a successful method for lip reduction surgery.
- The technique effectively decreases lip volume while enhancing anatomical morphometrics.
- It provides a more natural-looking Indian lip aesthetic.

