Indirect Lip Lift With Modified Suspension Technique to Pyriform Ligament

Abstract

The lip lift procedure has witnessed a surge in popularity in recent years due to its remarkable ability to bring about a substantial transformation in facial appearance through a minor surgical intervention. The primary objective of the procedure is to diminish the height of the philtrum, consequently enhancing the visibility of the teeth while leaving behind a minimal visible scar along the upper lip vermilion border. In this article, a series of refined modifications to the conventional subnasal technique are introduced. The approach entails the removal of a skin strip while preserving a subcutaneous cuff. This method incorporates central and laterally vectored deep-plane sub-superficial muscular aponeurotic system (SMAS) advancement flaps, complemented by suspensions to the pyriform ligament. Furthermore, a sliding closure technique is introduced through the cuffs, and an enhanced skin suturing method is implemented. These substantial enhancements to the procedure result in a lasting elevation of the lip and a reduction in the visibility of unfavorable scarring. These modifications have emerged through an evolutionary process, driven by the pursuit to improve scar outcomes. The surgical techniques applied in this method effectively address the primary limitations of previous approaches, consistently yielding aesthetically pleasing results over the long term.