title: The "Brazilian" bikini-shaped lip-reduction technique: new developments in cheiloplasty.
abstract: BACKGROUND
  The lips, one of the most illustrious facial features, have a key role in forming facial expressions. In the past, hypertrophic lips were an aesthetic issue among certain ethnic groups. Although full lips are a desirable feature sought by many people, the current world of fashion tends emphasize equilibrium and significant matching of features, encouraging people to seek refinement through cosmetic surgery. The purpose is to reach the standard level of perceived attractiveness in current society. This article aims to present a novel lip reduction technique that restores an attractive labial contour by shifting the shape toward a more "Brazilian way" and resulting in more aesthetically appealing lips.
  
  
  METHODS
  The technique described in this report was performed on more than 40 patients between 2008 and 2010. The major difference between this technique and others is that it transforms the shape of the bikini lines to a more "Brazilian" way. The upper resection is more conservative, whereas the lower resection is less triangular and more curved, displaying more of the bilateral "bands" on the lips. The reported patients did not present any infections or any other complications.
  
  
  CONCLUSIONS
  The nature of human beings urges them to seek routes of assimilation into their society. This also applies to the rules of perceived attractiveness. The technique presented in this article has recaptured specific attention to the resultant lip contour, altering the shape of the marks on the lower lip. The new technique yields a harmonious relationship between the upper and lower lips. The aesthetic results and patient satisfaction attained through this novel technique of lip reduction have been very satisfactory.
  
  
  METHODS
  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 at www.springer.com/00266.
authors.affiliation: UNIFESO's School of Medicine, Brazil. marcos@marcossforza.com
authors.forename: Marcos
authors.initials: M
authors.lastname: Sforza
authors.forename: Katarina
authors.initials: K
authors.lastname: Andjelkov
authors.forename: Renato
authors.initials: R
authors.lastname: Zaccheddu
authors.forename: Milan
authors.initials: M
authors.lastname: Jovanovic
authors.forename: Miodrag
authors.initials: M
authors.lastname: Colic
mesh_terms: D000328:Adult; D001504:Beauty; D001828:Body Image; D001938:Brazil; D003357:Cosmetic Techniques; D004954:Esthetics; D005260:Female; D006801:Humans; D008046:Lip / Q000033:anatomy & histology / Q000601:surgery*; D017060:Patient Satisfaction; D013524:Surgical Flaps; D055815:Young Adult