Modified Lip Lift Technique for Pediatric Columellar Reconstruction: A Case Report

Abstract

The nasal columella presents one of the most intricate challenges in facial reconstruction due to its unique contours and limited availability of adjacent tissue. Several surgical techniques exist for successful columellar reconstruction, and the choice of approach depends on factors such as the size of the defect, surgical expertise, and overall esthetic goals. In cases involving substantial columellar defects, or deformities affecting multiple nasal subunits, local or regional flaps are often necessary to achieve optimal reconstruction. In this report, the authors present a case of pediatric columellar reconstruction utilizing a modified local flap technique derived from the upper lip lift used in esthetic surgery for facial rejuvenation and lip enhancement. This method distinguishes itself from previous adaptations by remaining entirely subnasal, without extending beyond the width of the alar base, disrupting the philtrum, or disturbing the orbicularis oris muscle. This technique offers notable advantages for pediatric patients, such as its ability to minimize scarring, prevent additional deformities, and be performed in a single stage. Level of Evidence: Level IV, case study.