Effects of the Rhinoplasty Maneuvers on Upper Lip Position and Incisor Show

Pi, Hongyang; Kurlander, David E.; Guyuron, Bahman

doi:10.1007/s00266-016-0760-4

Cited by 13 publications

(6 citation statements)

References 14 publications

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“…This muscle is contracted repeatedly daily due to laughs and talking and may increase the nasal length over time. 15 In a retrospective study Pi et al (2017) concluded that the placement of columella strut and extended spreader graft and the DSN muscle transection resulted in downward movement of the upper lip and lower maxillary anterior incisors show during smile. 5 It was concluded in the present study that these measures increase the upper lip length and protrusion.…”

Section: Discussionmentioning

confidence: 99%

“…15 In a retrospective study Pi et al (2017) concluded that the placement of columella strut and extended spreader graft and the DSN muscle transection resulted in downward movement of the upper lip and lower maxillary anterior incisors show during smile. 5 It was concluded in the present study that these measures increase the upper lip length and protrusion. The present study also investigated the vertical movement of the upper lip and found lower elevation for upper lip.…”

Section: Discussionmentioning

confidence: 99%

“…Previous studies examining post-rhinoplasty changes in upper lip position in the frontal view showed that insertion of the columella strut, extended spreader graft, and DSN transection decrease the upper lip height and reduce maxillary anterior incisors show during smiling. 5 Considering that previous studies have only investigated upper lip position changes in the frontal view, the effects of rhinoplasty https://doi.org/10.1016/j.bjoms.2020.08.012 0266-4356/© 2020 The British Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.…”

Section: Introductionmentioning

confidence: 99%

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Effects of open rhinoplasty on upper lip position in profile and frontal views

Tosan¹,

Esmaeelinejad

Ghorbani

2021

British Journal of Oral and Maxillofacial Surgery

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Examining the upper lip position is a key indicator of facial beauty. This study aimed to examine the upper lip position following cosmetic rhinoplasty at the frontal and profile views. The medical records of 67 patients who underwent rhinoplasty with no history of any facial skeletal surgery were obtained from archives. Complete preoperative and postoperative photos including the profile view at rest and the frontal view at rest, were prepared and analyzed using Adobe Photoshop CC 2015 software. Interpupillary distances of two eyes in frontal views and Glabella to Pogonion (POG) distance in profile views were considered as fixed landmarks to calibrate the preoperative and postoperative photos. Upper lip length, subnasal area, and vermilion points were marked and compared between preoperative and postoperative photos. Data analysis was carried out using one-sample t-test and p < 0.05% was considered as the significant level. Lip length (frontal view) was increased in 46 subjects. There were changes in the profile view of vermilion and subnasal positions in 56 patients and 53 patients, respectively. In surgical procedures on columella strut, maxillary augment, alar resection, spreader graft, columella retraction, and depressor septi muscle release, vermilion and subnasal protrusion in the profile view was statistically significant and lip length increased significantly in the frontal view. In tip rotation surgery techniques, the vermilion and subnasal position showed also significant protrusion. The depressor septi muscle cutting methods had only led to a significant protrusion of vermilion position and upper lip length. Despite all covariant interfering in rhinoplasty, this cosmetic surgery most often may increases maxillary lip length and helps that maxilla looks more protruded.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Effects of open rhinoplasty on upper lip position in profile and frontal views

Tosan¹,

Esmaeelinejad

Ghorbani

2021

British Journal of Oral and Maxillofacial Surgery

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“…After addressing a visible facial deformity in rhinoplasty, patients may become aware of subtle smile abnormality. [3] In this study, we compared the outcomes of lip and smile position in rhinoplasty candidates undergoing TIG with or without SEG.…”

Section: Accepted Manuscriptmentioning

confidence: 99%

Impact of Tongue-in-Groove Technique on Smile and Lip Position: A Comparative Analysis with and without Septal Extension Graft

Farhbaksh,

Sazgar,

Saedi

2024

Facial Plast Surg

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Objective: This study was conducted to compare the outcomes of the Tongue-in-Groove (TIG) technique with and without Septal Extension Graft (SEG) on smile and lip position in rhinoplasty. Methods: Fifty-eight rhinoplasty patients, treated at a tertiary referral center between 2020 and 2022, underwent pre- and twelve-month post-operative evaluations, using the Standardized Cosmesis and Health Nasal Outcomes Survey (SCHNOS) and the Visual Analogue Scale (VAS). Preoperative and twelve-month postoperative photographs were analyzed using Adobe Photoshop to assess changes in lip and smile positions. Results: The study included 38 patients in the TIG with SEG group and 20 patients in the TIG without SEG group. The participants, with an average age of 32.12 ± 7.97 years, comprised 81% females. In terms of surgical outcomes, postoperative evaluations revealed significant improvements in the VAS aesthetic score, SCHNOS-O score, and SCHNOS-C score compared to preoperative scores (p < 0.001) for both groups. Notably, both groups demonstrated significant improvements in the upper lip length, nasolabial angle (NLA), columellar inclination angle (CI), and smile nasolabial angle. Patients in the SEG group exhibited markedly superior SCHNOS-O results, as well as distinctions in smile NLA and smile CI, compared to the group without SEG. Conclusion: The impact of rhinoplasty techniques on lip and smile remains complex requiring further evaluation. Both of the TIG techniques, with and without SEG, resulted in positive outcomes in terms of improving lip and smile positions, with the use of SEG demonstrating greater stability during a smile.

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“…The rhinoplasty was done in patients under general anesthesia. The incisions were highlighted using methylene blue (Hamilton and Grant, 2014;Pi et al 2016). For dome splitting, no other techniques such as alar contour graft and alar base resection applied.…”

Section: Dome Splitting Surgical Proceduresmentioning

confidence: 99%

Impact of dome splitting on the nasal airfl ow effi cacy of external airway

Abbaszadeh¹,

Bohlouli²,

Sezavar³

et al. 2017

Biosci. Biotech. Res. Comm

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Dome splitting is effective technique in the nasal tip surgery indicated for the reduction of tip projection, increasing tip rotation, domal arch narrowing and correction of the lobule asymmetry. However, there are concerns regarding its negative effects on nasal airfl ow. The present study compared the effect of rhinoplasty with the dome splitting on the effi cacy of external nasal airfl ow. In a prospective before and after clinical trial, 46 eligible patients (39 females, 6 males) were selected and standardized images of their nasal bases were obtained during normal and deep breathes before and 3 months after the surgery. Patients were subjected to rhinoplasty with open technique and dome splitting was done in the nasal lower cartilage between lateral and medial crura. The area of the nasal external airway was measured during normal and deep breathes before and 3 months after the surgery. The percent of nasal airfl ow efficacy was determined qualitatively and quantitatively in the patients' left and right nostrils using McNemar and Wilcoxon Signed Ranks tests. In the left and right nostrils, 67.4% (31) of the patients, the airfl ow effi cacy was decreased and in 32.6% (15) patients, the airfl ow effi cacy increased. Dome splitting signifi cantly decreased the airfl ow effi cacy of the patients (P<0.05). Airfl ow effi cacy decreased (-7.19±23.7) in the left nostrils than right nostrils (-7.28±14.7). Airfl ow effi cacy of the patients signifi cantly decreased (P<0.05).These results suggested rhinoplasty surgery using dome splitting decreased the nasal airfl ow effi cacy after the surgery, hence care must be exercised for alterations in nasal air fl ow resistance when manipulating the nasal framework is done.

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Effects of the Rhinoplasty Maneuvers on Upper Lip Position and Incisor Show

Abstract: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

Cited by 13 publications

References 14 publications

Effects of open rhinoplasty on upper lip position in profile and frontal views

Effects of open rhinoplasty on upper lip position in profile and frontal views

Impact of Tongue-in-Groove Technique on Smile and Lip Position: A Comparative Analysis with and without Septal Extension Graft

Impact of dome splitting on the nasal airfl ow effi cacy of external airway

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