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Hyaluronic Acid Fillers to Correct Cleft Lip Asymmetry in Adults: Description of Technique and Patient Reported
Richard M Thomson1, Thomas H Jovic1,2, Charlotte Eckhardt1
1The Welsh Centre for Cleft Lip & Palate, Morriston Hospital, Swansea, UK.
Objective:
To determine the efficacy of hyaluronic acid (HLA) lip filler to correct subtle cleft lip asymmetries in adults using a validated patient reported outcome measure (PROM).
Design:
Prospective cross sectional.
Setting:
UK National Health Service.
Patients, Participants:
Over 18 years old with repaired cleft lip and dissatisfaction of their lip appearance.
Interventions:
HLA lip filler injection.
Main Outcome Measures:
A validated, cleft specific PROM, the lip module of CLEFT-Q™ prior to treatment and again after six weeks.
Results:
24 patients included. A mean total CLEFT-Q™ score pre-procedure was 14.9 (Stand deviation (SD) = 4.91) and 24 (SD = 6.08) post-procedure. Difference in mean total score pre- and post-procedure were statically significant (P = .0001) in all domains on the CLEFT-Q™. No adverse outcomes.
Conclusion:
HLA filler to correct subtle cleft lip asymmetries in adults is a simple low risk technique, which can significantly improve the patient's perception of lip appearance.
Conclusion:
HLA lip filler to correct subtle cleft lip asymmetries in adults is a simple technique, low risk procedure which can significantly improve the patient's perception of lip appearance.

