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Nasal Sill Flap for Lip Lifting.

Ilker Uyar1, Ersin Aksam1, Can Kopal2

  • 1Department of Plastic, Reconstructive and Aesthetic Surgery, Izmir Katip Celebi University Medical Faculty, Izmir, Turkey.

Facial Plastic Surgery : FPS
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This study introduces a new subnasal lip lifting technique that effectively conceals scars at the nasal base, leading to improved patient satisfaction. The method proves beneficial for both primary and secondary lip lift cases, with discrete and acceptable scarring.

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Area of Science:

  • Plastic Surgery
  • Facial Aesthetic Surgery
  • Scar Management

Background:

  • Subnasal lip lifting aims to enhance lip aesthetics by reducing incisions and improving lift.
  • Existing techniques often leave noticeable scars, impacting patient satisfaction.
  • A novel approach is needed to minimize scar visibility at the nasal base.

Approach:

  • A new subnasal lip lifting technique was developed, focusing on scar concealment.
  • The technique involves elevating and repositioning a nasal sill flap after excision.
  • Patient outcomes were evaluated over a 12-month follow-up period by two plastic surgeons.

Key Points:

  • The study included 26 patients (21 primary, 5 secondary lip lifts) with Fitzpatrick skin types 3 and 4.
  • Mean operation time was 37.11 minutes, with a mean follow-up of 13.11 months.
  • The mean scar score was 11.15, with no significant difference between primary and secondary cases or among smokers.

Conclusions:

  • The presented subnasal lip lifting technique effectively hides scars at the nasal base.
  • This method results in discrete and more acceptable scarring for patients.
  • The technique offers a beneficial advancement in aesthetic lip enhancement procedures.