title: Upper-lip augmentation by graft of preseptal orbicularis oculi muscle through blepharoplasty.
abstract: BACKGROUND
  Upper-lip augmentation is used to enhance a thin upper lip or correct lip deficiencies or senile hypotrophy. We describe an easy, effective, and reproducible technique.
  
  
  METHODS
  We use two preseptal orbicularis oculi muscle grafts that provide a reliable option for soft-tissue upper-lip augmentation, with improved vertical lip height and lateral lip projection and reappearance of the Cupid's bow. Muscle grafts are harvested from a blepharoplasty done at the same time.
  
  
  RESULTS
  The advantages of this procedure include the creation of an anatomically natural upper lip through preserving the continuity and function of the labial structure, good augmentation, no donor-site morbidity, no visible scars on the vermilion, and successful rejuvenation with the associated blepharoplasty.
  
  
  CONCLUSIONS
  Both patients and surgeons were satisfied with the results because the muscle grafts produce a youthful appearance by adding natural, soft roundness and fullness to the upper lip without an artificial look or the use of synthetic material, providing long-term augmentation.
authors: Department of Plastic and Reconstructive Surgery, La Sapienza University of Rome, Rome, Italy.
authors: Mauro
authors: M
authors: Tarallo
authors: Cristiano
authors: C
authors: Monarca
authors: Maria Ida
authors: MI
authors: Rizzo
authors: Nicolò
authors: N
authors: Scuderi
mesh_terms: D001284:Atrophy / Q000473:pathology / Q000601:surgery; D019882:Blepharoplasty / Q000379:methods*; D005152:Facial Muscles / Q000637:transplantation*; D005260:Female; D006801:Humans; D008046:Lip / Q000473:pathology / Q000601:surgery*; D008875:Middle Aged; D019651:Plastic Surgery Procedures / Q000379:methods*; D014182:Transplantation, Autologous