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Lip augmentation using sternocleidomastoid muscle and fascia grafts
Journal article   Open access

Lip augmentation using sternocleidomastoid muscle and fascia grafts

Anurag Agarwal, Edward Gracely and Richard W Maloney
Archives of facial plastic surgery, v 12(2), pp 97-102
Mar 2010
DOI: https://doi.org/10.1001/archfacial.2010.7
PMID: 20231589
Featured in Collection :   UN Sustainable Development Goals @ Drexel
url
https://doi.org/10.1001/archfacial.2010.7View
Published, Version of Record (VoR) Open

Abstract

Surgical Flaps Lip - surgery Follow-Up Studies Humans Middle Aged Reconstructive Surgical Procedures - methods Muscle, Skeletal - transplantation Fascia - transplantation Female Rhytidoplasty
To report a new technique for long-term cosmetic lip augmentation and demonstrate that sternocleidomastoid (SCM) muscle and fascia grafts have long-term persistence. Measurements of vermilion show and lip projection were taken from before and after photographs of 25 consecutive patients who underwent SCM muscle and fascia augmentation of the lips with concurrent cervicofacial rhytidectomy and were compared with a control group of 25 cervicofacial rhytidectomy patients who did not undergo lip augmentation. All patients had a minimum follow-up period of 1 year. At a mean follow-up period of 2 years, mean upper and lower lip vermilion show increased 20% to 24% from baseline (P < .001), and mean upper and lower lip projection increased by 0.90 to 0.99 mm from baseline (P < .001). Lip augmentation with SCM muscle and fascia grafts results in long-term enhancement of vermilion show and lip projection. The surgeon must account for some degree of postoperative graft resorption and atrophy when determining the size of the grafts to be transplanted. With careful patient selection and surgical technique, SCM muscle and fascia implantation is a valuable tool when treating the aging lip.

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11 citations in Web of Science
38 citations in Scopus

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Web of Science research areas
Surgery
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