Lip Scars Camouflaged Using Microhair Transplantation on Male Patients

Kılıç, Azize; Kılıç, Ali; Emsen, İlteriş Murat; Özdengil, Emre

doi:10.1097/00006534-200011000-00017

Cited by 10 publications

(1 citation statement)

References 5 publications

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“…Despite recent advancements in cleft lip repair techniques, upper lip scars after primary cleft lip repair remain a cleft stigma; therefore, individuals with cleft lip deformity want to correct upper lip scars preferentially over other cleft nasal deformities. To improve conspicuous cleft lip scars, many camouflage techniques, such as tattooing (Kaye, 1996), dermal micrografts (Chen and Yeow, 1999), micro-hair grafts (Klç et al, 2000), and single-hair grafts (Miyamoto et al, 2007) have been attempted. However, those procedures focus on concealing the scar rather than a fundamental scar revision.…”

Section: Discussionmentioning

confidence: 99%

Curvilinear Transformation of Z-Shaped Upper Lip Scar by Diamond-Shaped Excision in Secondary Cleft Lip Deformities: A Photogrammetric Evaluation

Han

Jeong

Choi

et al. 2015

The Cleft Palate-Craniofacial Journal

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Purpose : The visible Z-shaped upper lip scar that occurs after the Tennison and Randall triangular flap technique remains a cleft stigma. Herein, we present our curvilinear transformation technique for the Z-shaped upper lip scar by diamond-shaped excision and evaluate the results using photogrammetric analyses. Patients and Methods : From 1997 to 2006, 23 patients with secondary cleft lip deformity with the visible Z-shaped upper lip scar underwent correction with the technique. The scar was excised in the diamond shape above the muscle. After curvilinear closure, the elongated length of the upper lip was excised just below the nostril sill, as the measured Cupid's bow height discrepancy. The result was assessed by the authors' standardized photogrammetry technique. Results : There was a statistically significant decrease between the preoperative central limb of the Z-shaped scar and the width of the postoperative curvilinear upper lip scar. The pre- and postoperative Cupid's bow height differences were not statistically significant. Conclusions : The curvilinear transformation of the Z-shaped scar is an efficient procedure that provides (1) a significant decrease in the width of an upper lip scar to make it less conspicuous, (2) incorporation of the scar into the philtral column, (3) a biconcave natural philtral column shape in frontal view, and (4) formation of the natural concave philtral contour in profile view.

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