With advancing age, the upper lip tends to have an aesthetic aging patients want to avoid many. For this reason, techniques lifting the upper lip are a common consultation in plastic, aesthetic and reconstructive surgery.
The aging of the upper lip has received less attention from surgeons, for lack of effective techniques. For example, the Rhytidectomy is performed to lift the face, but does not improve the appearance of the upper lip. Therefore, attempts to improve the appearance of the lip usually restricted to abrasion or chemical peel.
Aging skin of the upper lip
Aging lip has well defined characteristics, which are responsible for the off - hook and deteriorated appearance:
- Increasing the distance between the nose and vermilion
- Thinning vermilion
- radial folds
- Accentuated nasolabial fold, which is the small depression that lies between the nose and upper lip.
- Flattening the philtrum
Surgeries used so far have been limited to the excision of a short strip of skin, either in the transition zone of the upper lip and nose, at the junction of vermilion lips with skin. a wider resection of a strip of skin along the nasolabial folds and nasolabial union appears, and now have added some improvements to this technique to achieve better results.
Procedure lifting lip
The procedure involves excision of a strip of skin. If the nasolabial fold is too prominent, resection may be extended. The skin of the upper lip is carefully removed subcutaneous tissue at the edges of the incisions. Then two layers of nylon used in the closure, one in the deepest part of the dermis to approximate the wound edges and a surface layer to put on the edges perfectly. External suture points are removed on the second postoperative day.
Lip lifting operation in severe cases
In patients with more severe aging changes, a more radical technique is used: this procedure also involves resection of a strip of skin. Stained areas close again, and the edges of the skin are sutured over these areas, to create a simulation projection of the crests of philtrum. The skin of the upper lip is indeterminate in its medial portion to smooth radial wrinkles.
Depending on the needs and characteristics of the patient's approach is chosen surgery. If a patient has only a remarkable wrinkle upper lip, a small strip of skin it can be resected along the nasolabial binding. If ptosis or loosening of the corners and prominent nasolabial folds, resection may be extended to include these areas. When the radial wrinkles are prominent, it is recommended to undercut the skin results.
If the philtrum flattens, you can create a projection of the nasolabial crest by re epithelialization of two strips of skin and suturing the edges of the incision on them. In these cases, the central part of the skin must not be undermined, in order to maintain the central depression and therefore more natural one aspect.
In patients without a marked nasolabial fold, the approach can be modified, where all the features of skin aging are treated without creating an extensive scar. This method is particularly useful in patients who have undergone a rhytidectomy with sufficient improvement in the nasolabial fold, but on the upper lip.
Postoperative elevation of the upper lip
After the operation the upper lip, patients even avoid a slight traction on the suture lines for 3 months is advised: they must be very careful when brushing your teeth, use small cutlery to eat, and avoid opening the mouth too wide. It also advises against sleeping face down on a pillow over the next 3 months after operation. As it is recommended to avoid direct exposure to sunlight for 6 months.
The plastic surgeon should be very careful in the suture and making incisions, as well as in advising patients to avoid any traction on the scars. They have obtained good results in patients with fair skin, but can not recommend lifting upper lip in patients with darker skin because of the risk of hyperpigmentation scar in that area and surroundings.