Aesthetic considerations of the cleft lip operation

Abstract

The results of a cleft lip operation are checked from the anterior, the profile, and the caudal views and even if the deformities are minimal, for aesthetic reasons they should be repaired. Philtrum length, philtrum shape, philtrum depth, nasolabial triangular area, vermilion thickness, Cupid's bow peak, horizontal upper lip groove, vermilion border, alar size, depth of alar groove, nasal deviation, nostril shape, nasal tip, columella height, sill shape, columella width, and facial balance of the anterior, profile, and caudal views are used as aesthetic checkpoints for the results of a cleft lip operation. If deformities are found, the aesthetic plastic surgeon should repair them to achieve a more satisfactory result. In addition, augmentation rhinoplasty, augmentation mentoplasty, or other craniofacial surgery may be performed.

Secondary Repair of the Burned Upper Lip

“…Skin-graft resurfacing of a scarred upper lip (rather than skin-flap resurfacing) is done (1) when the cheeks are to be permanently skin grafted and a grafted upper lip seems to blend better than a flapped lip; (2)…”

Anatomic Study of the Nostril Sill

“…Although extensive morphologic studies have been carried out on the nose and nostril form, 1,2 little has been studied on the nostril sill. The nostril sill has been overlooked except for a report where there is a simple mention of different shapes of the sill, 3 but no study has examined the nostril sill thoroughly.…”

Reconstruction of Cupid’s bow with an advancement mucosal flap

“…Other later techniques, such as that of Onizuka et al. , 2 involve making a more curvaceous cut from the center of the vermilion to provide more emphasis to Cupid’s bow. Alternatively, repair may be accomplished using a bilateral vermilion flap 3 and a triangular excision of skin from the base of each philtral column with which to create the new Cupid’s bow.…”