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Aesthetic lip splits

J P Hayter1, E D Vaughan, J S Brown

  • 1Maxillofacial Unit, Walton Hospital, Liverpool, UK.

The British Journal of Oral & Maxillofacial Surgery
|October 1, 1996
PubMed
Summary
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A modified midline lip split technique, incorporating a chevron design, enhances wound closure and reduces scarring. This surgical modification improves the aesthetic outcomes for patients undergoing head and neck procedures.

Area of Science:

  • Plastic Surgery
  • Head and Neck Surgery
  • Surgical Anatomy

Background:

  • Accessing deep head and neck structures often requires surgical incisions like lip splits.
  • Standard midline lip splits can result in visible linear scars and contractures.
  • Improving aesthetic outcomes is a key consideration in reconstructive surgery.

Purpose of the Study:

  • To present a modification of the standard midline lip split technique.
  • To evaluate the benefits of incorporating a chevron design into lip split incisions.
  • To improve the aesthetic results of surgical scars on the lip and perioral region.

Main Methods:

  • A modification to the midline lip split was developed.
  • The modification involves incorporating a chevron design in the peri-oral skin and vermilion margin.

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  • This technique is typically performed with osteotomy of the underlying jaw for deep access.

    • Main Results:

    • The chevron modification facilitates accurate wound closure.
    • It prevents the formation of a straight-line scar and associated contracture.
    • The resulting scar is a broken line, leading to improved aesthetics.

    Conclusions:

    • The chevron modification of the midline lip split offers significant aesthetic advantages.
    • This technique provides superior cosmetic results compared to standard linear closures.
    • It is a valuable refinement for head and neck surgical access procedures.