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Single-stage Dynamic Reanimation of the Smile in Irreversible Facial Paralysis by Free Functional Muscle Transfer

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CUPID Lip Lift: Advanced Lip Design Using the Deep Plane Upper Lip Lift and Simplified Corner Lift.

Benjamin Talei, Steven J Pearlman¹

¹Columbia University, New York, NY, USA.

Aesthetic Surgery Journal

|May 18, 2022

Summary

This study introduces a mathematical guide for upper lip lift and corner lip lift procedures. It simplifies decision-making, optimizes facial balance, and enhances aesthetic outcomes, reducing revision needs.

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Area of Science:

Plastic Surgery
Aesthetic Surgery
Facial Rejuvenation

Background:

Upper lip lift (ULL) encompasses diverse techniques, with ongoing debate regarding their respective benefits and drawbacks.
The CUPID deep plane or modified ULL procedure has emerged as a method to reduce risks and improve results.

Purpose of the Study:

To simplify the decision-making process for upper lip lift and corner lip lift.
To introduce a mathematical framework for optimizing upper lip aesthetics, muscle function, and the indication for corner lifts.
To analyze design elements, aging effects, and future considerations in lip lift surgery.

Main Methods:

A comprehensive PubMed search was conducted in October 2021 for articles on upper lip lift and corner lip lifts from 1950 to the present.
Analysis focused on outcomes and the evolution of deep plane upper lip lift designs over the past six years.

Main Results:

Analysis of over 2440 consecutive lip lifts revealed design nuances crucial for avoiding accelerated aging and exaggerated appearance.
Proper design minimizes the need for revisions while maximizing aesthetic results.

Conclusions:

Upper lip lift design is intricate, and a mathematical approach can yield more consistent and aesthetically pleasing outcomes.
This novel design strategy enhances lip balance, facial harmony, tooth show, and lateral vermillion exposure.