Application of upper-lip lifting procedure in perioral rejuvenation

Abstract

Objective To illustrate a method of lifting the upper-lip to alleviate the aging face, and to evaluate its effects and risks. Methods In the past two years, 53 cases of overlong upper-lip were performed with this procedure. The recovery periods, lifted effects, side effects and the total satisfactions were evaluated. Results As for recovery periods, edema roughly reduced in 6-20 months, reddish scar faded in 1-11 months, expression restored in 2-8 months, and numbness disappeared from 4 to over 18 months. The lifted effects showed that 37 cases (78.7%) were satisfactory, 7 cases (14.9%) of the lifting was not enough and still complained a long upper-lip, 2 cases (4.2%) was ineffective, and 1 case (2.1%) considered an excessive lifting. The long-term follow-up showed that 3 cases (6.4%) had obvious scar (visible at a distance of more than 1 m), 14 cases (29.8%) had depression of columella/base of nostril alar or with increased exposure of nostril, 3 cases (6.4%) had expansion or morphological changes of alar, 6 cases (12.8%) had increased thickness of the upper lip and prominent vermilion tubercle, 1 case (2.1%) had changes of expression, 1 case (2.1%) had asymmetry, 1 case (2.1%) had arching sagging, and 35 cases (74.5%) had numbness or insensitivity of upper-lip. Overall results showed very satisfied in 29 cases (61.7%), satisfied in 15 cases (31.9%) and dissatisfied in 3 cases (6.4%). Conclusions The technique for upper-lip lifting displays a significant effect with few complication. It is recommended for further clinical application. Key words: Perioral rejuvenation; Overlong upper-lip; Upper-lip