Lip Appearance Research Articles

USE OF ESTLANDER FLAP IN SMALL TO LARGE LIP AND COMMISSURE DEFECTS - A CASE SERIES

Background: The Estlander flap is an axial-pattern, lip-switch technique used to reconstruct lip defects that include the oral commissure. The Estlander flap is a hardy local flap which can be used to reconstruct defects of small to large defects of both the upper and lower lip. The lips are the principal aesthetic and functional unit of the lower 1/3rd of the face. Alterations to normal lip appearance and motion can have a profound impact on patients daily activities and psychosocial wellbeing. Aim of this case series is to evaluate the versatility of Estlander flap in lip reconstruction with regard to function and aesthetic outcome Material and Methods: From May 2022 to May 2024, single centric case series study was done in a tertiary care center in Southern India. This case series comprised of 6 cases of small to moderate defects of the lip and commissure in our institution. Prospective case series from May 2022 - May 2024.The cases were post traumatic, including RTA, dog and human bite and also included post tumor excision Results: This case series had a 100% flap success and all 6 patients were satisfied with the functional and aesthetic outcome of the surgery. One patient underwent commisuroplasty. Conclusions: By the use of this case series, we can conclude that the Estlander flap is a reliable flap for the reconstruction of small to large sized lip and commissure defects Conflict of interest: None.

Spatially and Temporally Optimized Audio‐Driven Talking Face Generation

AbstractAudio‐driven talking face generation is essentially a cross‐modal mapping from audio to video frames. The main challenge lies in the intricate one‐to‐many mapping, which affects lip sync accuracy. And the loss of facial details during image reconstruction often results in visual artifacts in the generated video. To overcome these challenges, this paper proposes to enhance the quality of generated talking faces with a new spatio‐temporal consistency. Specifically, the temporal consistency is achieved through consecutive frames of the each phoneme, which form temporal modules that exhibit similar lip appearance changes. This allows for adaptive adjustment in the lip movement for accurate sync. The spatial consistency pertains to the uniform distribution of textures within local regions, which form spatial modules and regulate the texture distribution in the generator. This yields fine details in the reconstructed facial images. Extensive experiments show that our method can generate more natural talking faces than previous state‐of‐the‐art methods in both accurate lip sync and realistic facial details.

Effectiveness and Safety of IPN-20-SENSE LIDOCAINE for Lip Volume Augmentation and/or Redefinition (SMILE Study): A Non-inferiority Randomized Double-Blinded Controlled Study.

Hyaluronic acid (HA) is a widely used dermal filler for lip augmentation. IPN-20-SENSE LIDOCAINE (Laboratoires VIVACY) is a monophasic gel consisting of cross-linked HA and includes lidocaine hydrochloride for the reduction of injection-associated pain. The SMILE study was designed to assess the non-inferiority of IPN-20-SENSE LIDOCAINE compared to HA-RK-Lido in improving aesthetic lip appearance. The secondary objectives were to evaluate the effectiveness and safety of IPN-20-SENSE LIDOCAINE against the chosen similar active control device. This was a prospective, multicenter, double-blinded, randomized active controlled parallel group study undertaken in two investigational sites between May 2021 and July 2022 (14 months). The primary endpoint of this study was the proportion of subjects reporting an improvement on the Global Aesthetic Improvement Scale (GAIS) 3 months after treatment initiation. Regarding the primary endpoint, the difference between the treatment arms in the proportion of improved subjects was +7.0[-2.2;17.7]. The lower limit of this 90%CI, being above the non-inferiority margin of -15 and below zero, demonstrated the non-inferiority of IPN-20-SENSE LIDOCAINE vs. HA-RK-Lido. The secondary outcomes reported by subjects and the blinded live evaluators supported this result. All injection site reactions and device-related adverse events reported in this study were expected, already described and were mostly mild and transient. The study demonstrated the non-inferiority of IPN-20-SENSE LIDOCAINE to HA-RK-Lido in the aesthetic improvement of the lips. The effect of both treatments decreased over time. Nonetheless, aesthetic improvement was sustained longer in the IPN-20-SENSE LIDOCAINE arm. This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

A 37-year follow-up after Skoog lip repair of unilateral cleft lip and palate: what is the long-term verdict on lip appearance by different panels?

BackgroundThe study examined long-term lip appearance after Skoog’s lip repair in unilateral cleft, lip, and palate (UCLP) patients. To include different views, three different panels respectively, rated level of lip appearance and desire for improvement. The secondary aim was to investigate the correlation between the self-reported satisfaction of UCLP patients and controls with the panel assessments.MethodsCropped frontal photographs of the lips of 74 UCLP-treated individuals and 61 non-cleft individuals were assessed twice by three panels of five cleft surgeons (Professional panel), nine laymen (Layman panel), and five individuals with CLP (Cleft panel) using a web-based platform, at a mean follow-up of 37 years post-lip surgery.ResultsAll three panels rated the lip appearance of UCLP patients worse than that of the controls (p < 0.001). The Professional panel reported higher satisfaction levels and less desire to change lip appearance than the Layman and Cleft panels. Intra-rater agreements were, in general, moderate in the Professional panel ICC (0.57–0.82) and Laymen panel ICC (0.63–0.73) and poor in the Cleft panel ICC (0.21–0.36). The inter-rater agreement was, in general, poor in all panels. No significant correlation was found between the patient’s Self-assessments and any of the panel assessments.ConclusionsAll panels’ rated lip appearance of adults born with UCLP treated with Skoog’s technique as worse than that of non-cleft controls. The study highlights a significant discrepancy between the Professional panel’s more favorable assessment and the more critical views of the laymen and cleft panels, contradicting the initial hypothesis of uniform perception across panels. The lack of correlation between patient self-assessment and panel assessments underscores the subjective nature of lip satisfaction, emphasizing the need for personalized patient care strategies in CLP treatment outcomes.Level of evidenceNot gradable.

Review on Formulation and Evaluation of Herbal Lipstick

Abstract: Lipstick is a cosmetic used for color the lips . It enhance the appearance of the lips. Lipstick utilise for the purpose to enhance the appearance, look attractive and protection of lips for many types damaging UV rays etc. Herbal Lipstick is a cosmetic product containing pigments, oils, fragrance, preservatives, colors, texture and protection to the lips. It has become an almost universal constituent of ladies’ handbags. Moist lips, dry lips, shiny lips, smooth lips, all are simple matters of cosmetic application Herbal lipsticks are gaining popularity because natural cosmetics are safe. In market numbers of shades of colors are available to satisfy the demand by the women’s in form like liquid as well as stick on lips. Herbal lipsticks having minimum side effects. It contains natural ingredients or nutrients it is safe to use that keep lips healthy. Lipstick containing synthetic colorants which are made up of harmful chemicals and it is very harmful for our skin. Regular use of synthetic lipstick colours can have side effects on the skin, including skin pigmentation, skin irritation, acne, and cancer. The use of plant-based plant extract from the plants helps lessen side effects.This overview of lipstick covers its kind, technique of formulation, variety of colours, pigment extraction, natural oil, flavour, physical assessment, and quality control standards for lipstick used in the industry, as well as mould and flaws. Cosmetic procedures are used to enhance facial attractiveness. The demand for natural cosmetics is currently rising steadily thanks to its natural gifts. The natural products that women use today include a variety

Hyaluronic Acid Fillers to Correct Cleft Lip Asymmetry in Adults: Description of Technique and Patient Reported Outcome Measure Using CLEFT-Q.

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). Prospective cross sectional. UK National Health Service. Over 18 years old with repaired cleft lip and dissatisfaction of their lip appearance. HLA lip filler injection. A validated, cleft specific PROM, the lip module of CLEFT-Q™ prior to treatment and again after six weeks. 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. 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. 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.

Long-Term Nasolabial Appearance Post-Unilateral Cleft Lip Repair in a Single Center: A Descriptive Study.

Introduction Modern treatments still aim to keep the impact of surgical intervention low and the outcome of surgeries as good as a surgeon can. Assessing the long-term nasolabial appearance of patients who underwent cleft lip (CL) repair surgery is one of the methods of evaluating the outcomes of cleft surgery. Methods This is a retrospective cross-sectional descriptive study of data records of unilateral CL patients. The data records of all patients who underwent unilateral CL repair by the reconstructive science unit at Hospital Universiti Sains Malaysia (HUSM) within the first two years of their lives and whose current age is 14 years or above were accessed and analyzed. Results The data records of 50 patients were analyzed, including 13 (26%)males and 37 (74%) females. The surgeons opined that 28% of the patients had an acceptable nasolabial appearance, while there were 10 (20%)patients whose nasolabial appearance was considered unacceptable by the reviewing surgeons. Fifteen (30%)patients were described as having an acceptable lip appearance with secondary nasal deformity, and 11 (22%)patients had an acceptable nasal appearance with secondary lip deformity. There were no surgical modifications or postoperative complications among the patients. None of our variables reported a significant association with long-term nasolabial appearance. Conclusion The long-term evaluation of the nasolabial appearance in individuals with CL following surgical correction significantly improves the service and care provided to patients to achieve optimum results. Although our results showed no relationship between gender, age at operation, type or diagnosis of cleft, and family history and long-term nasolabial appearance, frequent assessments will enhance surgical results.

Patient Reported Outcome Following the Skoog Unilateral Cleft Lip Repair among Adults- a Long-Term Cohort Study and Comparison to a Non-cleft Population.

The study primarily aimed to compare satisfaction with lip appearance among adults treated for unilateral cleft lip and palate (UCLP) with Skoog's primary lip repair procedure to those without clefts. The secondary aim was to determine whether satisfaction with lip appearance and the desire to change the lip/face appearance correlated with the number of secondary lip revisions performed. Long-term follow-up. All UCLP patients treated at the Uppsala University Hospital born between 1960- and 1987 (n = 109) were invited. At an average of 37 years following the primary lip repair, the participation rate was 76% (n = 83). A control group of adults without cleft (n = 67) completed the same study protocol for comparison. Satisfaction with appearance was measured with The Satisfaction with Appearance Questionnaire (SWA) and a modified version of the Body Cathexis -Scale was used to assess the desire to change the lip and facial appearance. UCLP patients were less satisfied with their lip, face, and overall appearance and reported a greater desire to change the appearance of their lips and face than non-cleft controls (p < 0.001). Dissatisfaction with lip appearance correlated to a greater willingness to change the appearance of the lip and face. No correlation was found between satisfaction with appearance and the number of the previously performed secondary lip revisions. Adults treated for UCLP are less satisfied with the appearance of their lips compared to the non-cleft population. The number of secondary revisions does not necessarily correlate to greater satisfaction with lip appearance.

Agreement between telerehabilitation and face-to-face orofacial myofunctional assessment in persons with acquired brain injury

ABSTRACT Background and objective Orofacial myofunctional disorders are common in persons with acquired brain injury. A new way for early detection of orofacial myofunctional disorders via information and communication technologies may improve accessibility. The purpose of this study was to evaluate the level of agreement between face-to-face and tele-assessment of an orofacial myofunctional protocol in a sample of persons with acquired brain injury. Methods A masked comparative evaluation was conducted in a local association of patients with acquired brain injury. Twenty-three participants (39.1% female, mean age of 54 years) with a diagnosis of acquired brain injury were included in the study. The patients followed a face-to-face and a real-time online assessment using the Orofacial Myofunctional Evaluation with Scores protocol. This is a protocol for evaluation with numerical scales that assess the physical characteristics and the main orofacial functions of patients including appearance, posture, and mobility of lips, tongue, cheeks, and jaws, respiration, mastication, and deglutition. Results The analysis showed excellent interrater reliability (ρ ≥ 0.85) for all the categories. In addition, most confidence intervals were narrow. Conclusions This study reveals excellent interrater reliability of an orofacial myofunctional tele-assessment in patients with acquired brain injury in comparison with a traditional face-to-face evaluation.

Functional and Aesthetic Outcome of Macgregor and Z Plasty (Step Ladder) Approach for Lip Splitting in Oral Squamous Cell Carcinoma.

The aim of the study is to compare the functional and esthetic results of two lip splitting approaches-McGregor incision and stepladder Z plasty for surgical resection of primary Oral Squamous cell carcinoma (OSCC). Prospective study involved 24 patients who had modified radical neck dissection for OSCC between 2018 and 2020. Predictor variables were drawn from demographic characteristics (age and gender), primary site, extent of the primary lesion. Patients were divided into two groups randomly with group I McGregor lip splitting incision and group II step ladder Z plasty, with subjective and objective assessment. In the overall comparison of the oral incontinence between the two groups, there was no statistically significant results. Z plasty group had better outcome with lesser degree of drooling and good cosmesis. There was no difference between the speech efficiency between the two groups. Subjective assessment of the appearance of lips and face was better in Z plasty group. Subjective assessment of inversion and eversion was better in McGregor group. Cosmesis was assessed objectively by Stony Brook Scar Evaluation Scale (SBSES). Group 1 had a mean score of 2.92 out of 5 and Group II mean score of 4.08 out of 5. Cosmesis was better in Z plasty group. Z plasty was found as a superior option when it comes to cosmesis due to its geometric nature which allows accurate approximation. McGregor offers better functional outcome in terms of lip movement and oral incontinence.

A New Cosmetic Science: Design and Evaluation of Herbal Lipstick

Cosmetic Science is a crucial multidisciplinary component in many scientific disciples and spans the natural sciences, humanities, and social sciences. The 35-year-old predecessor, Cosmetic Science, is totally revised in New Cosmetic Science. In addition to talking about cosmetics’ safety, this article also describes the “usefulness of cosmetics,” a subject that is quickly gaining importance and comprising body cosmetics, dental care, cosmetics, makeup cosmetics, perfumes, and skin care cosmetics. The presentation of oral care and body cosmetics includes information about each product’s performance, types, primary ingredients, suggested uses, and manufacturing processes. Cosmetics have both physical and psychological effects. Lipstick formulas are used in cosmetics to improve the appearance of lips. Lipstick is a cosmetic item that gives the lips color, texture, and protection while also having pigments, oils, and waxes. Several different types of lipstick are only worn by women. The natural and safe component is found in organic lipstick. Additionally, they contain natural nutrients that support healthy lips. Using natural color extracts from various natural sources might lessen the negative effect.

A New Cosmetic Science: Design and Evaluation of Herbal Lipstick

Cosmetic Science is a crucial multidisciplinary component in many scientific disciples and spans the natural sciences, humanities, and social sciences. The 35-year-old predecessor, Cosmetic Science, is totally revised in New Cosmetic Science. In addition to talking about cosmetics’ safety, this article also describes the “usefulness of cosmetics,” a subject that is quickly gaining importance and comprising body cosmetics, dental care, cosmetics, makeup cosmetics, perfumes, and skin care cosmetics. The presentation of oral care and body cosmetics includes information about each product’s performance, types, primary ingredients, suggested uses, and manufacturing processes. Cosmetics have both physical and psychological effects. Lipstick formulas are used in cosmetics to improve the appearance of lips. Lipstick is a cosmetic item that gives the lips color, texture, and protection while also having pigments, oils, and waxes. Several different types of lipstick are only worn by women. The natural and safe component is found in organic lipstick. Additionally, they contain natural nutrients that support healthy lips. Using natural color extracts from various natural sources might lessen the negative effect.

A New Cosmetic Science: Design and Evaluation of Herbal Lipstick

Cosmetic Science is a crucial multidisciplinary component in many scientific disciples and spans the natural sciences, humanities, and social sciences. The 35-year-old predecessor, Cosmetic Science, is totally revised in New Cosmetic Science. In addition to talking about cosmetics’ safety, this article also describes the “usefulness of cosmetics,” a subject that is quickly gaining importance and comprising body cosmetics, dental care, cosmetics, makeup cosmetics, perfumes, and skin care cosmetics. The presentation of oral care and body cosmetics includes information about each product’s performance, types, primary ingredients, suggested uses, and manufacturing processes. Cosmetics have both physical and psychological effects. Lipstick formulas are used in cosmetics to improve the appearance of lips. Lipstick is a cosmetic item that gives the lips color, texture, and protection while also having pigments, oils, and waxes. Several different types of lipstick are only worn by women. The natural and safe component is found in organic lipstick. Additionally, they contain natural nutrients that support healthy lips. Using natural color extracts from various natural sources might lessen the negative effect.

Influence of Lip Appearances and Tooth Shade on Smile Attractiveness Perception.

This study determined the effect of lip thickness, lipstick color, and tooth shade on the smile attractiveness perceptions of dentists, laypersons, dental students, and other faculty students. A set of 27 smile photographs was prepared with different lip thicknesses (Tk, thick; M, medium; and Tn, thin), lipstick shade (R, red; P, pink; and O, orange), and tooth shades (0M1, 0M3, and A1). A total of 212 Thai participants in four rater groups (dentists, laypersons, dental students, and other faculty students) rated smile attractiveness using a visual analog scale (VAS). Statistical analyses were performed using the Kruskal-Wallis test and pairwise analysis at a 0.05% level of significance. Tk or M lip thickness was associated with more smile attractiveness than Th lip thickness. The R lipstick is more attractive than the P and O lipsticks. The 0M1 tooth shade appeared to be the most attractive for laypersons and other faculty students, whereas tooth shades (0M1, 0M3, or A1) did not influence the smile attractiveness perception of dentists and dental students. The smile attractiveness perception was influenced by the lip appearance and tooth shade for each rater group, which are essential for an attractive smile design.

CONGENITAL LABIAL NEVUS TREATED WITH PLASTIC SURGERY AND CRYOSURGERY

Congenital melanocytic nevi are lesions that present pigmentation at birth resulting from the accumulation of melanocytes in an ectopic location. In the labial region, they are rare. The diagnosis is clinical and must be confirmed with histopathology, because malignant lesions such as melanoma must be included in the differential diagnosis. A 32-year-old Black female patient presented with a lesion on the upper lip since birth. The patient did not have any health problems. On physical examination, a dark brown nodule located in the region of the tubercle of the upper lip, measuring 10 × 8 mm, sessile, painless, and with precise limits, was noted. Plastic surgery was performed by means of an excisional biopsy with a modified triangular incision, sutured by planes with catgut 5-0 and nylon 6-0 in the skin. The histopathologic exam confirmed the diagnosis of congenital nevus. The patient presented a discrete keloid that was treated with 3 cryosurgery sessions for aesthetic purposes, improving her lip appearance.

Siamese decoupling network for speaker-independent lipreading

Lipreading aims to decode the speech content from a moving mouth. It is a very challenging task because lip appearance variations and speech contents are coupled together in the subtle movements of lip region. Especially in the speaker-independent recognition scenario, training and testing data are totally different in distribution due to the diverse speaker identities, making the learned model generalize poorly in the testing task. We propose a Siamese decoupling lipreading network (SDLipNet) to address this problem. Specially, we exploit an encoder–decoder framework to establish a collaborative representation of speaker identities and speech contents, and utilize the identity-specific information to regularize the content feature space. The identity features are derived from a Siamese identity encoder trained with paired visual speech data from different speakers. In addition, we align the content representation with a prior Gaussian distribution by imposing a Kullback–Leibler divergence constraint between the two outputs of the Siamese content encoder. In this way, the learned content feature space is supposed to be universal to the target speaker domain. Extensive experiments on two lipreading benchmarks demonstrate that our proposed SDLipNet can achieve better performance in the speaker-independent recognition task compared with the state-of-the-art lipreading methods.

FORMULATION AND EVALUATION OF HERBAL LIPSTICK PREPARED FROM ROSA ‘Papa meilland’

Cosmetics are in advanced demand since one time till nowadays as herbal care products are in great demand. Lipstick phrasings are most extensively used to enhance the beauty and appearance of lips and to add a pressing effect on facial makeup. It's delicate to apply Lipstick on dried, chapped, cracked, infected or diseased lips with blisters and lesions. They use herbal camo for the purpose of curing unwanted topical conditions and ameliorating the appearance and beauty of lips with this end and objects a herbal medication was made to formulate and estimate herbal camo by using rose Papa meilland (powder), olive oil, naturally occurring excipients. Rose Papa meilland contains composites substantially peonidin-3-Osophoroside, peonidin and peonidin-3-O’Glucoside, used as a colouring agent. The herbal Lipstick was estimated for their parcels similar to spreading, covering property and glossiness and set up to be a better and satisfactory product to give seductive beautification with remedial effect. The herbal camo with natural constituents can serve as provident and effectiveness to ornamental herbal care and beauty product. Due to the colorful adverse goods of available synthetic medication, the present work was conceived by us to formulate a herbal powder having minimum or no side goods which will considerably use by the women of our communities with great surety and satisfaction.

Lip Surgeries in Periodontics: A Review

Purpose: The goal of this presentation is to describe and assess the many types of operations that can be used to treat excessive gingival display and puffy lips.&#x0D; Methods: Aesthetic dentistry is swiftly becoming as one of dentistry's most innovative and challenging fields. Patients are becoming more conscious of their physical appearance, and the grin has gotten a lot of attention as a result. Lip operations are becoming more popular among the general public. Various lip surgeries and their modifications have been described in this article, as well as their surgical techniques, indications, and post-operative care. Lip repositioning and lip reduction are discussed in this article. Lip repositioning is a less expensive and time-consuming option for excessive gingival show than more expensive and time-consuming procedures. Lip repositioning has psychological benefits, especially when compared to the low risk. Lip reduction surgery, on the other hand, strives to achieve a balanced relationship between the upper and lower lips that is proportional to the rest of the face, as well as typical lip competence and the appearance of lips that are larger or fuller than desired.

Upper Lip Reconstruction Utilizing a Two-Stage Approach with Nanofat Grafting After Hemangioma Treatment.

Importance: Lip deformities that occur after treatment of vascular anomalies treatment are often followed by serious local cicatricial adhesion and mucosa atrophy that can complicate reconstruction methods involving simple fat grafting or local flap transfer. Objective: To develop a novel technique that combines flap transfer with nanofat grafting that can be used to reconstruct the upper lip after treatment of vascular anomalies. Design, Setting, and Participants: A retrospective study of a consecutive series of 24 patients with upper lip deformities (13 female and 11 male) aged between 7 and 24 years old was conducted. Of these, 15 patients were treated with nanofat grafting alone and 9 cases were treated with nanofat grafting combined with flap transfer (6 inferior- and 3 superior-based flaps). Main Outcomes and Measures: The appearance, symmetry, and smooth of upper lips with deformities before and after surgery were compared as the main outcome. Results: Among the patients examined, 15 achieved satisfactory results after undergoing multiple nanofat grafting treatments. The remaining nine patients who had serious deformities of the upper lip were treated using a combination of nanofat grafting and flap transfer. For these nine patients, postoperative results showed that the final appearance of the lips was generally symmetrical and smooth. Functional problems such as whistling defects were effectively corrected and no significant complications occurred. The aesthetic symmetry was higher for inferior flaps than for superior flaps and the incision scar for superior flaps was more obvious than for inferior flaps. Conclusion and Relevance: The technique combining nanofat autografting with local flap transfer for upper lip reconstruction was demonstrated to be effective, safe, and simple to perform. These findings suggest that this combined technique can be easily performed to achieve good results with only mild undercorrection.

Analysis of upper lip appearance after surgical lip augmentation procedure “VY in VY”: Progress of results

IntroductionMany materials and techniques were used for lip augmentation, whereas in the last years all attention is paid for filling material, and long-lasting surgical techniques were ignored. Materials and methodsThis study includes 12 candidate patients for upper lip augmentation; all are females, their age range 21–24 years. Standardized anterior and lateral photographs of each subject were taken at: preoperative, 2, 4, and 12 months later, and were analysed using digital imaging software to quantify postoperative changes. We used t-test of correlated samples to detect any statistical significance and Interclass correlation coefficient test (ICC) for reliability that proved the reliability and reproducibility of our method. Resultsthere were statistically significant improvements in al parameters that characterize the fullness of the upper lip. These changes was observed from the 2nd month (P<0.05) and continued improving until the 4th month (P<0.05), after that they appeared to be stable (P>0.05). These changes were at the 12th month postoperative in: upper white lip (-9%), upper red lip (53%), upper red lip area (63%), protrusion (41%) and nasolabial angle (-7%). There was no statistical significance in the change of Cupid's bow curvature (P-value = 0.104 > 0.05). ConclusionsVY in VY for upper lip augmentation improves the parameters that define the youthful and fully appearance of the upper lip and the progress of results may be predictable. These improvements appear to be stable from the 4th month. Also, it doesn't change the Cupid's bow curvature.