Elegance in Upper Lip Reconstruction

Restoration of the upper lip provides a reconstructive challenge because of its anatomical and aesthetic requirements. This article provides a "where is it on the lip" approach to reconstruct small to subtotal defects of the upper lip that are feasible to perform in the office setting. Emp...

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Bibliographic Details
Published inPlastic and reconstructive surgery (1963) Vol. 143; no. 2; p. 572
Main Authors Salibian, Ara A, Zide, Barry M
Format Journal Article
LanguageEnglish
Published United States 01.02.2019
Subjects
Cicatrix - prevention & control
Cicatrix - surgery
Esthetics
Humans
Lip - anatomy & histology
Lip - surgery
Outcome Assessment, Health Care
Reconstructive Surgical Procedures - methods
Surgical Flaps - transplantation
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Summary:Restoration of the upper lip provides a reconstructive challenge because of its anatomical and aesthetic requirements. This article provides a "where is it on the lip" approach to reconstruct small to subtotal defects of the upper lip that are feasible to perform in the office setting. Emphasis is placed on adherence to core principles, attention to macroaesthetic and microaesthetic landmarks, and technical refinements of well-established reconstructive techniques. These tenets include algorithms for central and lateral defects, precise use of the Abbe flap, use of local tissue rearrangement and skin grafts, and appropriate management of scars. A strong understanding of the anatomical and aesthetic nuances of the upper lip will allow for enhancement of conventional reconstructive procedures to optimize functional and aesthetic outcomes.
ISSN:1529-4242
DOI:10.1097/PRS.0000000000005279