CC BY-NC-ND 4.0 · Indian J Plast Surg 2009; 42(01): 013-017
DOI: 10.1055/s-0039-1699305
Original Article
Association of Plastic Surgeons of India

Results of a unilateral lip lift for correction of a vertical disproportion in upper lip vascular anomalies

Shahriar Loghmani
1  Department of Plastic Surgery, Alzahra Hospital, Isfahan University of Medical Sciences, Isfahan, Iran
,
Amir Momeni
1  Department of Plastic Surgery, Alzahra Hospital, Isfahan University of Medical Sciences, Isfahan, Iran
,
Mohammad Eidy
1  Department of Plastic Surgery, Alzahra Hospital, Isfahan University of Medical Sciences, Isfahan, Iran
› Author Affiliations
Further Information

Publication History

Publication Date:
15 January 2020 (online)

ABSTRACT

Congenital vascular anomalies most notably hemangiomas involving the lips, especially those which fail to regress, pose a difficult problem both for the surgeon and the patient. These lesions not only discolour the skin but may also distort the shape of the lip. When nonsurgical modalities fail to treat these lesions, surgery is chosen as the next viable step. In this article, we propose a well planned sequential surgical procedure for unilateral lesions. This approach in comparison with previously used procedures produces noticeably better results and fewer complications. During a period of 4 years, we treated 21 patients with vascular anomalies using the unilateral upper lip lift procedure to correct the vertical disproportion of commissures. Using this procedure, we managed to restore the normal form and symmetry of the upper lip in a majority of our patients with less obvious scarring and few complications.

 
  • REFERENCES

  • 1 Mulliken JB, Glowacki J. Hemangiomas and vascular malformations in infants and children: A classiþ cation based on endothelial characteristics. Plast Reconstr Surg 1982;69:412.
  • 2 Amir J, Metzker A, Reisner SH. Strawberry hemangioma in preterm infants. Pediatr Dermatol 1986;3:131.
  • 3 Mulliken JB. Vascular Malformations of the Head and Neck. In: Mulliken JB, Young AE, editors. Vascular Birthmarks: Hemangiomas and Malformations. Philadelphia: Saunders; 1988.
  • 4 Lister WA. The natural history of strawberry naevi. Lancet 1938;1:1429.
  • 5 Waldman SR. The subnasal lift. Facial Plast Surg Clin North Am 2007;15:513-6.
  • 6 Marler JJ, Mulliken JB. Vascular Anomalies. In: Mathes SJ, editor. Mathes plastic surgery. 2nd ed. Vol. 5. Philadelphia: WB Saunders; 2006. p. 19-68.
  • 7 Mulliken JB. Vascular Anomalies. In: Thorne CH, Beasly RW, Aston SJ, Bartlett SP, Gurtner GC, Spear SL, editors. Grab and Smith Plastic Surgery. 6th ed. Philadelphia: WB Saunders; 2007. p. 191-200.
  • 8 Simpson JR. Natural history of cavernous hemangiomata. Lancet 1959;2:1057.
  • 9 Jackson IT, Carreno R, Potparic Z, Hussain K. Hemangiomas, vascular malformations, and lymphovenous malformations: Classification and methods of treatment. Plast Reconstr Surg 1993;91:1216.
  • 10 van der Meulen C, Gilbert M, Roddi R. Early excision of nasal hemangiomas: The L-approach. Plast Reconstr Surg 1994;94:465.
  • 11 Edgerton MT. The treatment of hemangiomas: With special reference to the role of steroid therapy. Ann Surg 1976;183:517.
  • 12 Apfleberg DB, Maser MR, Lash II, White DN. Beneþ ts of the CO2 laser in oral hemangioma excision. Plast Reconstr Surg 1985;75:46.
  • 13 Sherwood KA, Tan OT. Treatment of a capillary hemangioma with the flash lamp pumped-dye laser (Letter). J Am Acad Dermatol 1990;22:136.
  • 14 Warner M, Suen JY, Dinehart S. Treatment of hemangiomas of the head and neck. Laryngoscope 1992;102:1123.
  • 15 Ramirez OM, Khan AS, Robertson KM. The upper lip lift using the ‘bull's horn’ approach - Focus on: Lip lifts. J Drugs Dermatol June, 2003.