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T-shaped excision of orbicularis oris muscle in upper-lip lifts successful in younger patients

Using a T-shaped excision of the orbicularis oris muscle demonstrated effectiveness in upper-lip lift procedures in younger patients, according to researchers.

The researchers analyzed outcomes for a total of 30 women with a mean age of 33.2 years who underwent upper-lip lift between January 2009 and March 2013. During the procedure, the surgeon excised a T-shaped orbicularis orbis and a 3-mm to 5-mm strip of skin from the upper lip, depending on the upper-lip thickness preferred by each patient. The orbicularis oris was resected horizontally, which lessened the height of the upper lip, and vertically to elevate the corners of the mouth. The surgeon sutured the superior edge of the orbicularis muscle to the nose base, and continuous intradermal sutures were then used to close the incision. Mean follow-up was 1.4 years.

Prior to surgery, patients’ mean nasolabial angle was 96.20°; postoperatively, the mean nasolabial angle decreased significantly to 88.23°. The upper-lip angle was 65.56° prior to surgery and 51.90° postoperatively, which was also considered statistically significant, according to the researchers. Additionally, the upper lip was observed to be clearly thicker after surgery, and no serious complications were reported.

The researchers concluded that despite a limited ability to elevate the corners of the mouth, their technique decreased the upper angle, which reduced the effect of aging.- by Abigail Sutton

Disclosure: The researchers report no relevant financial disclosures.