Upper-lip augmentation by graft of preseptal orbicularis oculi muscle through blepharoplasty.
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.
Tarallo
Mauro
M
Department of Plastic and Reconstructive Surgery, La Sapienza University of Rome, Rome, Italy.
Monarca
Cristiano
C
Rizzo
Maria Ida
MI
Scuderi
Nicolò
N
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