Thursday, April 21, 2016

The Upper Liplift

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The upper liplift, discussed in my blog posting dated 24June15, demonstrates the liplift with fat transfer to augment the vermilion simultaneously. If a patient is just interested in reducing a long upper "white" lip without augmenting the vermilion or "red" lip, then that can be easily accomplished with excellent results.

Once again, we attempt to show at least 2-4 mm of the lower portion of the upper front teeth. Alternatively, if the vermilion or red lip is very thin and unable to be augmented with fillers or fat injections, then an internal mucosal advancement (V to Y plasty) can be performed at the same time as the upper liplift.

There have also been occasions where fat or some other permanent filler has been inappropriately injected into the vermilion in a long upper lip, so that reduction of the vermilion or red lip must be undertaken at the same time as the upper liplift. The same reduction can be performed if the vermilion is too prominent to bring the entire upper lip and surrounding anatomy into better proportion.

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