eMedicine Specialties > Plastic Surgery > Head/Neck

Lip Reduction: Multimedia

Author: Vipul R Dev, MD, Chief Medical Director, Regional Wound Care Center; Chief Executive Officer, California Institute of Cosmetic and Reconstructive Surgery; Director, HealtheUniverse, Inc
Coauthor(s): Peter Wang, MD, Director of South Texas Cleft Palate and Craniofacial Team; Chief, Department of Craniomaxillofacial Surgery, Section of Plastic Surgery, Assistant Professor of Plastic Surgery, University of Texas Health Science Center at San Antonio
Contributor Information and Disclosures

Updated: Sep 2, 2008

Multimedia

Frontal and profile view of a 45-year-old African...Media file 1: Frontal and profile view of a 45-year-old African American woman seeking reduction of her upper lip.
Frontal and profile view of a 45-year-old African...

Frontal and profile view of a 45-year-old African American woman seeking reduction of her upper lip.

Same patient as Image 1. Design of the wedge-shap...Media file 2: Same patient as Image 1. Design of the wedge-shaped excision. Lateral extensions are necessary to eliminate dog ears.
Same patient as Image 1. Design of the wedge-shap...

Same patient as Image 1. Design of the wedge-shaped excision. Lateral extensions are necessary to eliminate dog ears.

Same patient as Image 2. Frontal and profile view...Media file 3: Same patient as Image 2. Frontal and profile views 2 months postoperatively. Note the better result seen in frontal view compared to profile view.
Same patient as Image 2. Frontal and profile view...

Same patient as Image 2. Frontal and profile views 2 months postoperatively. Note the better result seen in frontal view compared to profile view.

A. Face-on view of a 25-year-old male who sustain...Media file 4: A. Face-on view of a 25-year-old male who sustained facial trauma 1 year ago. He presents with persistent upper lip enlargement after all other facial edema subsided. B. Pursing of lips shows exaggerated eversion. C. Profile view.
A. Face-on view of a 25-year-old male who sustain...

A. Face-on view of a 25-year-old male who sustained facial trauma 1 year ago. He presents with persistent upper lip enlargement after all other facial edema subsided. B. Pursing of lips shows exaggerated eversion. C. Profile view.

Same patient as Image 4. A. Intraoperative view d...Media file 5: Same patient as Image 4. A. Intraoperative view demonstrating clamping down on the vermilion with a side cutting bone cutter. B. Intraoperative result.
Same patient as Image 4. A. Intraoperative view d...

Same patient as Image 4. A. Intraoperative view demonstrating clamping down on the vermilion with a side cutting bone cutter. B. Intraoperative result.

Same patient as Image 5. A. 4 months postoperativ...Media file 6: Same patient as Image 5. A. 4 months postoperative view. B. Profile view.
Same patient as Image 5. A. 4 months postoperativ...

Same patient as Image 5. A. 4 months postoperative view. B. Profile view.

A. Female (age 13 years) with midface deficiency ...Media file 7: A. Female (age 13 years) with midface deficiency secondary to cleft lip and palate. The maxilla is hypoplastic and mandible is relatively prognathic with over closure. She has upper lip deficiency and lower lip prominence. B. After maxillary LeFort I advancement, the upper lip remains deficient and lower lip prominent. C. She underwent upper lip augmentation and lower lip reduction twice to achieve a harmonious facial profile.
A. Female (age 13 years) with midface deficiency ...

A. Female (age 13 years) with midface deficiency secondary to cleft lip and palate. The maxilla is hypoplastic and mandible is relatively prognathic with over closure. She has upper lip deficiency and lower lip prominence. B. After maxillary LeFort I advancement, the upper lip remains deficient and lower lip prominent. C. She underwent upper lip augmentation and lower lip reduction twice to achieve a harmonious facial profile.

A. Child (age 6 years) with cerebral palsy who ha...Media file 8: A. Child (age 6 years) with cerebral palsy who has hypotonic upper and lower lips presents with lip incompetence and uncontrollable drool. B. Design of the lower lip full-thickness excision.
A. Child (age 6 years) with cerebral palsy who ha...

A. Child (age 6 years) with cerebral palsy who has hypotonic upper and lower lips presents with lip incompetence and uncontrollable drool. B. Design of the lower lip full-thickness excision.

Lip reduction. Image from: Rees, T. Mentoplasty, ...Media file 9: Lip reduction. Image from: Rees, T. Mentoplasty, prognathism and cheiloplasty. In Rees, Cosmetic Facial Surgery, 1st ed. Philadelphia, Pa: WB Saunders, 1973:550.
Lip reduction. Image from: Rees, T. Mentoplasty, ...

Lip reduction. Image from: Rees, T. Mentoplasty, prognathism and cheiloplasty. In Rees, Cosmetic Facial Surgery, 1st ed. Philadelphia, Pa: WB Saunders, 1973:550.

More on Lip Reduction

Overview: Lip Reduction
Workup: Lip Reduction
Treatment: Lip Reduction
Follow-up: Lip Reduction
Multimedia: Lip Reduction
References

References

  1. Oliver DW, Scott MJ. Lip reduction cheiloplasty for Miescher's granulomatous macrocheilitis (Cheilitis granulomatosa) in childhood. Clin Exp Dermatol. Mar 2002;27(2):129-31. [Medline].

  2. Pitanguy I, Gonzalez R, Brentano J, et al. Surgical treatment of macrocheilia. Head Neck Surg. May-Jun 1988;10(5):309-18. [Medline].

  3. Habel G, O'Regan B. Surgical management of macrocheilia of the lower lip. Br J Oral Maxillofac Surg. Oct 1990;28(5):295-8. [Medline].

  4. Stucker FJ Jr. Reduction cheiloplasty. An adjunctive procedure in the black rhinoplasty patient. Arch Otolaryngol Head Neck Surg. Jul 1988;114(7):779-80. [Medline].

  5. Ellis DA, Rubin AM, Shemen LJ. University of Toronto teaching rounds. Esthetic evaluation of the lips and cosmetic reconstructions. J Otolaryngol. Jun 1982;11(3):221-5. [Medline].

  6. Farkas LG. Anthropometry of the Head and Face in Medicine. NY: Elsevier Science; 1981.

  7. Gunter PJ. Facial analysis for the rhinoplasty patient. Presented at: Dallas Rhinoplasty Symposium. 1999:17-28.

  8. Epker BN, Wolford LM. Reduction cheiloplasty: its role in the correction of dentofacial deformities. J Maxillofac Surg. Jun 1977;5(2):134-41. [Medline].

  9. Stucker FJ Jr. Profile contouring including cheiloplasty. Arch Otolaryngol. Nov 1979;105(11):680-3. [Medline].

  10. Pensler JM, Mulliken JB. The cleft lip lower-lip deformity. Plast Reconstr Surg. Oct 1988;82(4):602-10. [Medline].

  11. Cederna PS, Fiala TGS, Smith DJ Jr, et al. Melkersson-Rosenthal syndrome: reduction cheiloplasty utilizing a transmodiolar labial suspension suture. Aesthetic Plast Surg. Mar-Apr 1998;22(2):102-5. [Medline].

  12. Field LM. Macrocheiloplasty. Principles and techniques. J Dermatol Surg Oncol. Jun 1992;18(6):503-7. [Medline].

  13. Niechajev I. Lip enhancement: surgical alternatives and histologic aspects. Plast Reconstr Surg. Mar 2000;105(3):1173-83; discussion 1184-7. [Medline].

  14. Dedic A, Masic I, Pasalic A, et al. [Therapy of the Melkersson-Rosenthal syndrome with kenalog]. Med Arh. 2000;54(2):119-20. [Medline].

  15. Matory EW. Lip thinning. In: E Courtiss, ed. Male Aesthetic Surgery. 2nd ed. St. Louis: Mosby; 1991:180-1.

  16. Puri N, Pradhan KL, Chandna A, et al. Biometric study of tooth size in normal, crowded, and spaced permanent dentitions. Am J Orthod Dentofacial Orthop. Sep 2007;132(3):279.e7-14. [Medline].

  17. Trussler AP, Kawamoto HK, Wasson KL, et al. Upper lip augmentation: palmaris longus tendon as an autologous filler. Plast Reconstr Surg. Mar 2008;121(3):1024-32. [Medline].

Further Reading

Keywords

lip reduction, lip surgery, full lips, lips too full, lip reduction surgery, lip lift, lip treatments, prominent lips, fat lips, big lips, large lips, cheiloplasty, oral function, macrocheilia, Melkersson-Rosenthal syndrome, Ascher syndrome

Contributor Information and Disclosures

Author

Vipul R Dev, MD, Chief Medical Director, Regional Wound Care Center; Chief Executive Officer, California Institute of Cosmetic and Reconstructive Surgery; Director, HealtheUniverse, Inc
Vipul R Dev, MD is a member of the following medical societies: American Association for the Advancement of Science, American College of Surgeons, American Medical Association, American Society for Aesthetic Plastic Surgery, American Society of Plastic Surgeons, Association for Academic Surgery, California Medical Association, National Medical Association, Sigma Xi, Society of American Gastrointestinal and Endoscopic Surgeons, Society of Laparoendoscopic Surgeons, Texas Medical Association, and Texas Society of Plastic Surgeons
Disclosure: Nothing to disclose.

Coauthor(s)

Peter Wang, MD, Director of South Texas Cleft Palate and Craniofacial Team; Chief, Department of Craniomaxillofacial Surgery, Section of Plastic Surgery, Assistant Professor of Plastic Surgery, University of Texas Health Science Center at San Antonio
Peter Wang, MD is a member of the following medical societies: American Cleft Palate/Craniofacial Association, American Society of Plastic Surgeons, and Texas Medical Association
Disclosure: Nothing to disclose.

Medical Editor

Lawrence Ketch, MD, FAAP, FACS, Head, Program Director, Associate Professor, Department of Surgery, Division of Plastic Surgery, University of Colorado Health Sciences Center; Chief, Pediatric Plastic, The Children's Hospital of Denver
Lawrence Ketch, MD, FAAP, FACS is a member of the following medical societies: American Academy of Pediatrics, American Association for Hand Surgery, American Association of Plastic Surgeons, American Burn Association, American Cleft Palate/Craniofacial Association, American College of Surgeons, American Society for Surgery of the Hand, American Society of Maxillofacial Surgeons, American Society of Plastic Surgeons, Association for Academic Surgery, and Plastic Surgery Research Council
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: Nothing to disclose.

Managing Editor

Jaime R Garza, MD, DDS, FACS, Consulting Staff, Private Practice
Jaime R Garza, MD, DDS, FACS is a member of the following medical societies: Alpha Omega Alpha, American Academy of Otolaryngology-Head and Neck Surgery, American Cleft Palate/Craniofacial Association, American College of Surgeons, American Medical Association, American Society for Aesthetic Plastic Surgery, American Society of Maxillofacial Surgeons, Texas Medical Association, and Texas Society of Plastic Surgeons
Disclosure: Nothing to disclose.

CME Editor

Nicolas (Nick) G Slenkovich, MD, Practice Director, Colorado Plastic Surgery Center at Swedish Medical Center
Nicolas (Nick) G Slenkovich, MD is a member of the following medical societies: American Academy of Otolaryngology-Head and Neck Surgery, American Medical Association, American Society of Plastic Surgeons, and Colorado Medical Society
Disclosure: Nothing to disclose.

Chief Editor

Jorge I de la Torre, MD, FACS, Professor of Surgery and Physical Medicine and Rehabilitation, Residency Program Director, Division of Plastic Surgery, University of Alabama at Birmingham; Director, Center for Advanced Surgical Aesthetics
Jorge I de la Torre, MD, FACS is a member of the following medical societies: American Association of Plastic Surgeons, American Burn Association, American College of Surgeons, American Medical Association, American Society for Laser Medicine and Surgery, American Society for Reconstructive Microsurgery, American Society of Maxillofacial Surgeons, American Society of Plastic Surgeons, Association for Academic Surgery, and Medical Association of the State of Alabama
Disclosure: Nothing to disclose.

 
 
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