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Arch Craniofac Surg 2021 Apr 20;22(2):85-92. Epub 2021 Apr 20.

Department of Plastic and Reconstructive Surgery, Kangdong Sacred Heart Hospital, Seoul, Korea.

Background: Patients with secondary deformities associated with unilateral cleft lip and nose might also suffer from nostril stenosis due to a lack of tissue volume in the nostril on the cleft side. Here, we used full-thickness skin grafts (FTSGs) to reduce nostril stenosis and various methods for skin volume augmentation. We compared the changes in the symmetry of both nostrils before and after surgery. Read More

J Drugs Dermatol 2021 Apr;20(4):402-408

Background: Since lips have a significant role in facial aesthetic perception, lip augmentation is an increasingly popular aesthetic procedure.

Objective: To evaluate aesthetic improvement and facial dynamics with hyaluronic acid (HA) fillers in the lips and perioral region at 8 weeks after the last treatment compared to pre-treatment.

Methods And Materials: In this open-label study, all subjects received HARK in the lips, and an additional group also received HARR and/or HARD in nasolabial folds (NLFs) and marionette lines (MLs). Read More

J Stomatol Oral Maxillofac Surg 2021 Mar 24. Epub 2021 Mar 24.

Department of Oral and Maxillofacial Surgery, University of Damascus Dental School, Mazzeh Highway, Damascus, Syria.

Introduction: Many 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 Methods: This 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. Read More

Cleft Palate Craniofac J 2021 Mar 25:10556656211001727. Epub 2021 Mar 25.

Craniofacial Research Center, Chang Gung Memorial Hospital, Chang Gung University, Taoyuan.

Background: There is an increasing patient expectation for better esthetics, manifesting through anatomical harmony, projection, and volume of the upper lip relative to the lower lip, in patients with cleft deformity. The aim of this study is to investigate the outcome of vermilion augmentation using autologous dermofat graft (DFG) to enhance the lip using both quantitative and qualitative assessment.

Methods: Patients with secondary cleft lip deformity who received the surgical treatment in our institution from 2015 to 2018 were recruited. Read More

Oral Maxillofac Surg Clin North Am 2021 May 6;33(2):185-195. Epub 2021 Mar 6.

Texas A&M Oral and Maxillofacial Surgery, 3000 Gaston Avenue Dallas, TX 75226 USA.

A heightened cultural emphasis on youth and beauty has resulted in an increase in cosmetic surgery in the Western world. Lip augmentation is one of the most popular cosmetic procedures done because full lips are considered youthful and voluptuous. With reliable and improved techniques, it is possible to change the appearance of the lips utilizing injectable materials and surgical techniques. Read More

Facial Plast Surg 2021 Mar 16. Epub 2021 Mar 16.

Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology, Head and Neck Surgery, University of Minnesota, Minneapolis, Minnesota.

As the face ages, there is thinning of the epidermis, volume loss and rearrangement of the soft tissues, and malabsorption of the skeletal framework. It is essential to have a thorough understanding of the aging process for successful facial augmentation and rejuvenation. Alloplastic implants can be used to provide a long-lasting solution for augmentation of skeletal deficiencies, restoration of facial irregularities, and rejuvenation of the face. Read More

J Craniofac Surg 2021 Mar-Apr 01;32(2):525-529

Department of Plastic and Reconstructive Surgery, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine, Bucheon, Republic of Korea.

Abstract: In unilateral cleft lip and palate patients, the alar base is displaced inferoposterolaterally due to the depression of the pyriform aperture in the cleft side, and the drooping of the nostril rim is provoked by displacement of the alar base. This study was conducted between May 1998 and December 2012. In total, 82 patients with secondary unilateral cleft lip nasal deformities were treated using alar base augmentation. Read More

Plast Reconstr Surg Glob Open 2021 Feb 2;9(2):e3332. Epub 2021 Feb 2.

Kosmesis Aesthetic Plastic Surgery Center, Athens, Greece.

The shape and fullness of the lips are essential in facial aesthetics. We describe a safe injection technique of hyaluronic acid (HA), based on the well-known golden number Φ (phi), for lip augmentation.

Methods: The name given to that procedure is "the step-by-step Φ technique. Read More

Cureus 2021 Jan 27;13(1):e12929. Epub 2021 Jan 27.

Oral and Maxillofacial Surgery, Rotherham National Health Service Foundation Trust, Rotherham, GBR.

Administration of hyaluronic acid (HA) filler for aesthetic lip augmentation is a routine and common procedure with a low rate of adverse reactions. This case report documents an extremely rare complication of lip augmentation with HA leading to the development of lymphangiomas. Lymphangiomas are uncommon hamartomas of the lymphatic system. Read More

Aesthetic Plast Surg 2021 Mar 1. Epub 2021 Mar 1.

Department of Otolaryngology, Torbay Hospital, Newton Road, Torquay, TQ2 7AA, UK.

Defining the ideal dimensions and proportions of the human face has been attempted for centuries, popularised in the Renaissance period by artists including Leonardo Da Vinci. The lips are part of the lower third of the face and are central to lower face aesthetics and the overall symmetry of the face. They also place an important part in conveying facial emotions and expressions. Read More

Cleft Palate Craniofac J 2021 Feb 25:1055665620987684. Epub 2021 Feb 25.

Statistical and Clinical Research Platform, Centre hospitalier universitaire de Quebec Research Center-Université Laval, Quebec, Canada.

Objectives: (1) To determine the incidence rate of velopharyngeal dysfunction (VPD) according to 7 speech criteria post-Furlow palatoplasty. (2) To find an anatomical measurement of the cleft palate (or combination of measurements) associated with the occurrence of VPD.

Study Design: Retrospective cohort study. Read More

Dermatol Surg 2021 Apr;47(4):527-532

Galderma Aesthetics, Global Medical Affairs, Uppsala, Sweden.

Background: HARK was recently approved in the US for lip augmentation and correction of upper perioral rhytids.

Objective: To demonstrate noninferiority of HARK versus a control (HAJV) in lip fullness augmentation at Week 8 after last injection (blinded evaluation). Secondary objectives were to evaluate the effectiveness and safety of HARK in lip fullness augmentation and correction of upper perioral rhytids. Read More

J Clin Aesthet Dermatol 2021 Jan 1;14(1):E61-E63. Epub 2021 Jan 1.

Dr. Walker is with BCity Clinics in Liverpool, England.

Clinicians employ several techniques to augment lips with hyaluronic acid (HA) filler. To the best of our knowledge, however, no previous study has documented the use of a 4-mm 30-gauge needle in this context. This paper describes the anatomical rationale behind and practical application of such a needle applied very superficially in the vermillion border during lip augmentation. Read More

J Plast Reconstr Aesthet Surg 2021 Jan 14. Epub 2021 Jan 14.

Department of Plastic Surgery, Peking University Third Hospital, 49 North Garden Road, Haidian District, Beijing, 100191, China. Electronic address:

Objectives: Asymmetry in a retrusive cleft-side ala situated posterior, lateral, and/or inferior to the non-cleft ala is aggravated by ipsilateral defect of the pyriform aperture. This study assessed diced costal cartilage graft combined with muscle repositioning in enhancing structural base and alar symmetry in secondary cleft rhinoplasty.

Methods: From 2016 to 2019, 20 consecutive patients who underwent pyriform aperture paranasal augmentation combined with muscle repair secondary unilateral cleft rhinoplasty were reviewed retrospectively. Read More

J Ultrason 2021 18;20(83):e261-e267. Epub 2020 Dec 18.

Ultrasound Diagnostic Department, Faculty of Medical Sciences, Medical University of Warsaw, Warsaw, Poland.

Aim Of The Study: The aim of this study is to evaluate the utility of high-frequency ultrasound in the assessment of the nature and differentiation of lumps occurring in the labial mucosa after lip filling procedures.

Material And Methods: The study sample included 5 women aged from 28 to 43 years (mean age: 37.4 years) who previously underwent a lip augmentation or rejuvenation procedure. Read More

Dermatol Surg 2021 May;47(5):e168-e173

Galderma Aesthetics, Medical Affairs, Fort Worth, TX.

Background: HARK is an FDA-approved flexible filler designed for lips.

Objective: To quantitatively evaluate subject outcomes by measuring the change in lip texture, color (redness), lip fullness, and lip and perioral surface stretch (dynamic strain) after treatment.

Methods And Materials: In this 8-week open-label, Phase IV multicenter study, subjects were treated with HARK in the lips and HARR and/or HARD in perioral wrinkles and folds as add-on treatment. Read More

J Oral Maxillofac Surg 2021 04 2;79(4):813.e1-813.e11. Epub 2020 Dec 2.

Private Practitioner, Nhan Tam Dental Clinic, Ho Chi Minh City, Vietnam.

This case report describes an unusual case of implant treatment after contralateral inferior alveolar nerve transposition (IANT) on a unilateral reconstructed mandible due to gunshot trauma with a 7-year follow-up. The patient had an edentulous atrophic mandible and underwent large bone reconstruction on the left side. The irregular passage of the right inferior alveolar nerve was within 1-2 mm of the superior aspect of the mandible, passed through the midline, and was nearly exposed under the oral mucosa at the left anterior part of the mandible, which prevented the placement of conventional implants. Read More

World J Plast Surg 2020 Sep;9(3):274-281

Department of Otolaryngology, Taleghani Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Background: Augmentation of facial components is an acceptable approach in facial aesthetics. The best filler material and the optimal technique for facial soft tissue augmentation still remain to be determined. This study has assessed the lip augmentation using post-auricular fibroareolar tissue as a new autogenous filler. Read More

J Plast Reconstr Aesthet Surg 2021 05 6;74(5):1077-1086. Epub 2020 Nov 6.

Departments of Plastic and Reconstructive Surgery, School of Medicine, Kyungpook National University, Daegu, 130 Dongdeok-ro, Daegu 41944, Republic of Korea. Electronic address:

A rhinoplasty technique involving lower lateral cartilage (LLC) repositioning and grafting of ear cartilage allows for nasal lengthening and nasal tip mobility. For better esthetic outcomes in patients with cleft lip nasal deformity (CLND), we combined cosmetic nasal tip plasty with standard techniques. We performed open rhinoplasty combined with reverse-U incision and V-Y plasty in 62 patients with secondary unilateral CLND from October 2013 to June 2018. Read More

Spec Care Dentist 2021 Jan 3;41(1):78-84. Epub 2020 Dec 3.

Department of Oral and Maxillofacial Surgery, School of Dentistry, University of Utah, Salt Lake City, Utah.

Introduction/aims: The edentulous mandibular ridge and associated shallow vestibule are often seen as a challenge in the oral rehabilitation of patients. Dental implants can provide an improvement in mastication and patient satisfaction. The aim of this study is to utilize a preprosthetic mucosal flap combined with a repositional periosteal flap concomitant with an alveoloplasty and placement of endosteal implants as a single-stage procedure in the anterior mandible. Read More

Aesthetic Plast Surg 2020 Nov 16. Epub 2020 Nov 16.

Department of Burn and Plastic Surgery, The Second Xiangya Hospital of Central South University, 139 Furong Road, Changsha, 410011, Hunan, China.

Objective: This study aimed to investigate the clinical effect of diced cartilage on correcting nasal alar base depression in Asian cleft rhinoplasty.

Methods: A retrospective study was conducted on 25 patients with nasal deformity, who underwent the second cleft rhinoplasty between January 2018 and January 2020. Autologous costal cartilage was harvested in all the patients to reconstruct the contour of the nose, while the remaining cartilage from the surgery was cut into 1. Read More

Plast Reconstr Surg Glob Open 2020 Oct 28;8(10):e3219. Epub 2020 Oct 28.

Department of Plastic and Aesthetic Surgery, Peking Union Medical College Hospital, Beijing, China.

Background: Beauty standards vary by race and region, which must be accounted for in creating beauty. Chinese have unique features, including a depressed nose, flat midface, and small chin, and have different cosmetic concerns. We performed a consensus study on filler injections based on the Chinese standard of beauty due to a lack of such study. Read More

J Craniofac Surg 2020 Nov 9. Epub 2020 Nov 9.

Department of Facial Plastic Surgery, Virginia Mason Medical Center, 1100 Ninth Ave, Seattle, WA.

Over the last 10 years there has been an explosion in the number of minimally invasive procedures that patients undertake with increasing uses of botulinum neurotoxin type A for off label indications. One area of expansion over the past several years is the "Lip Flip" which involves injection of botulinum neurotoxin type A along the vermillion border to improve lip contour, eversion and fullness. While techniques and results for "gummy smile" and perioral vertical rhytids have been previously reported, minimal literature exists on this new trend, including whether such increased interest truly exists. Read More

Ann Plast Surg 2020 11;85(5):511-515

Department of Plastic and Reconstructive Surgery, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam, South Korea.

Background: Although many trials have been made to augment the unilateral alar base depression, the ultimate aesthetic satisfaction has proven difficult to achieve. In our study, we present a novel submucosal dissection technique to harvest the vomer bone and use it as an onlay graft to correct the alar base depression.

Methods: We collected a prospective cohort study of 11 patients with unilateral cleft lip nasal deformity. Read More

J Cosmet Dermatol 2020 Dec 11;19(12):3453-3455. Epub 2020 Oct 11.

Department of Otolaryngology, Hospital Álvaro Cunqueiro, Vigo, Spain.

A 74-year-old Caucasian woman presented with a 2-week history of multiple nodules in both lips and perioral region that caused her mild discomfort while eating. The patient reported hyaluronic acid infiltration on both lips 5 months prior to presentation. The examination revealed multiple, well-defined, millimetric, and firm nodules on both lips and oral mucosa. Read More

J Cosmet Dermatol 2021 Jan 26;20(1):71-74. Epub 2020 Oct 26.

Department of Plastic Surgery, Peking Union Medical College (PUMC) Hospital, PUMC and Chinese Academy of Medical Sciences, Beijing, China.

Background: Full lips are beauty standards. Botulinum toxin A (BTA) paralyzes the orbicularis oris muscle to achieve the eversion of the lip, and thus makes the lip look plump.

Aims: This study presents three cases of BTA injection to the lip and evaluates the possible changes in the labial morphology and the lip surface area. Read More

Int J Environ Res Public Health 2020 09 13;17(18). Epub 2020 Sep 13.

Department of Orthodontics, the Maurice and Gabriela Goldschleger School of Dental Medicine, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv 6997801, Israel.

Upper lip appearance received major attention with the introduction of diverse treatment modalities, including lip augmentation, rhinoplasty surgery, and dental treatment designed to support the upper lip. Our objectives were to define the prevalence and characteristics of the upper lip horizontal line (ULHL), which is a dynamic line appearing during a smile, in relation to gender, malocclusions, aging, and facial morphology. First, the prevalence and gender distribution of ULHL was examined from standardized en-face imaging at full smile of 643 randomly selected patients. Read More

Clin Cosmet Investig Dermatol 2020 19;13:591-599. Epub 2020 Aug 19.

Merz North America, Inc., Raleigh, NC, USA.

Background: Facial aging is characterized by increased prominence of nasolabial folds (NLFs), marionette lines, and thinning of the lips. Cross-linked hyaluronic acid injection is a very effective method for the temporary correction of these areas.

Objective: To confirm the clinical performance and the safety of Etermis 3 (ET3) and/or Etermis 4 (ET4) in the treatment of moderate and severe wrinkles/folds, as well as lip volume enhancement. Read More

J Craniofac Surg 2021 Jan-Feb 01;32(1):e27-e28

Department of Plastic Reconstructive and Aesthetic Surgery, Training and Research Hospital, Erzurum, Turkey.

Abstract: Lips are an important unit of the lower face. In the literatures, not so many augmentation methods are seen except the fat graft, filler material, alloplastic prosthesis, fascia grafts. Each one has both advantages and disadvantages. Read More