"Double duck" nasolabial lifting
Autor(a) principal: | |
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Data de Publicação: | 2011 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista Brasileira de Cirurgia Plástica (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1983-51752011000300017 |
Resumo: | BACKGROUND: During aging, the vermilion border of the upper lip wrinkles, stretches, and inverts because of the sphincteric action of the orbicularis oris muscle. Furthermore, a decrease of the nasolabial angle can be observed because of maxillary retropositioning. Most techniques for lip shortening do not affect this angle. In this study, a treatment approach is proposed that addresses all of these signs of aging. METHODS: During a 1-year period, a procedure was performed on 10 patients using the following techniques: 1. transverse incision of the skin of the nasal floor and bilateral alar margin; 2. cutaneous detachment of the entire upper lip up to the mucocutaneous transition; 3. stabilization of the nostrils with a transcolumellar nylon stitch; 4. elevation of the released skin by elliptical skin resection at the alar margin and a trapezoid segment resection at the nasal floor; 5. use of nylon and absorbable sutures to approach the dermis and close the skin, respectively. RESULTS: Adequate results were observed in 9 of the 10 patients, characterized by shortening and projection of the upper lip, vermilion eversion, reduced incidence of rhagades, and improvements of the nasolabial angle. In 1 patient with unilateral paralysis of the lip, no significant correction of the asymmetry was achieved. CONCLUSIONS: The proposed "double duck" technique proved to be simple and effective, with successful resolution of nasolabial defects and effective concealment of scars |
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Revista Brasileira de Cirurgia Plástica (Online) |
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"Double duck" nasolabial liftingLip/surgeryRemovalAgingPlastic Surgery/methodsBACKGROUND: During aging, the vermilion border of the upper lip wrinkles, stretches, and inverts because of the sphincteric action of the orbicularis oris muscle. Furthermore, a decrease of the nasolabial angle can be observed because of maxillary retropositioning. Most techniques for lip shortening do not affect this angle. In this study, a treatment approach is proposed that addresses all of these signs of aging. METHODS: During a 1-year period, a procedure was performed on 10 patients using the following techniques: 1. transverse incision of the skin of the nasal floor and bilateral alar margin; 2. cutaneous detachment of the entire upper lip up to the mucocutaneous transition; 3. stabilization of the nostrils with a transcolumellar nylon stitch; 4. elevation of the released skin by elliptical skin resection at the alar margin and a trapezoid segment resection at the nasal floor; 5. use of nylon and absorbable sutures to approach the dermis and close the skin, respectively. RESULTS: Adequate results were observed in 9 of the 10 patients, characterized by shortening and projection of the upper lip, vermilion eversion, reduced incidence of rhagades, and improvements of the nasolabial angle. In 1 patient with unilateral paralysis of the lip, no significant correction of the asymmetry was achieved. CONCLUSIONS: The proposed "double duck" technique proved to be simple and effective, with successful resolution of nasolabial defects and effective concealment of scarsSociedade Brasileira de Cirurgia Plástica2011-09-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1983-51752011000300017Revista Brasileira de Cirurgia Plástica v.26 n.3 2011reponame:Revista Brasileira de Cirurgia Plástica (Online)instname:Sociedade Brasileira de Cirurgia Plástica (SBCP)instacron:SBCP10.1590/S1983-51752011000300017info:eu-repo/semantics/openAccessCardim,Vera Lucia NocchiSilva,Alessandra dos SantosSalomons,Rolf LucasDornelles,Rodrigo de Faria ValleBlom,José Orlofe de SouzaSilva,Adriano de Lima eeng2011-12-09T00:00:00Zoai:scielo:S1983-51752011000300017Revistahttp://www.scielo.br/scielo.php?script=sci_serial&pid=1983-5175&lng=pt&nrm=isoONGhttps://old.scielo.br/oai/scielo-oai.php||rbcp@cirurgiaplastica.org.br2177-12351983-5175opendoar:2011-12-09T00:00Revista Brasileira de Cirurgia Plástica (Online) - Sociedade Brasileira de Cirurgia Plástica (SBCP)false |
dc.title.none.fl_str_mv |
"Double duck" nasolabial lifting |
title |
"Double duck" nasolabial lifting |
spellingShingle |
"Double duck" nasolabial lifting Cardim,Vera Lucia Nocchi Lip/surgery Removal Aging Plastic Surgery/methods |
title_short |
"Double duck" nasolabial lifting |
title_full |
"Double duck" nasolabial lifting |
title_fullStr |
"Double duck" nasolabial lifting |
title_full_unstemmed |
"Double duck" nasolabial lifting |
title_sort |
"Double duck" nasolabial lifting |
author |
Cardim,Vera Lucia Nocchi |
author_facet |
Cardim,Vera Lucia Nocchi Silva,Alessandra dos Santos Salomons,Rolf Lucas Dornelles,Rodrigo de Faria Valle Blom,José Orlofe de Souza Silva,Adriano de Lima e |
author_role |
author |
author2 |
Silva,Alessandra dos Santos Salomons,Rolf Lucas Dornelles,Rodrigo de Faria Valle Blom,José Orlofe de Souza Silva,Adriano de Lima e |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Cardim,Vera Lucia Nocchi Silva,Alessandra dos Santos Salomons,Rolf Lucas Dornelles,Rodrigo de Faria Valle Blom,José Orlofe de Souza Silva,Adriano de Lima e |
dc.subject.por.fl_str_mv |
Lip/surgery Removal Aging Plastic Surgery/methods |
topic |
Lip/surgery Removal Aging Plastic Surgery/methods |
description |
BACKGROUND: During aging, the vermilion border of the upper lip wrinkles, stretches, and inverts because of the sphincteric action of the orbicularis oris muscle. Furthermore, a decrease of the nasolabial angle can be observed because of maxillary retropositioning. Most techniques for lip shortening do not affect this angle. In this study, a treatment approach is proposed that addresses all of these signs of aging. METHODS: During a 1-year period, a procedure was performed on 10 patients using the following techniques: 1. transverse incision of the skin of the nasal floor and bilateral alar margin; 2. cutaneous detachment of the entire upper lip up to the mucocutaneous transition; 3. stabilization of the nostrils with a transcolumellar nylon stitch; 4. elevation of the released skin by elliptical skin resection at the alar margin and a trapezoid segment resection at the nasal floor; 5. use of nylon and absorbable sutures to approach the dermis and close the skin, respectively. RESULTS: Adequate results were observed in 9 of the 10 patients, characterized by shortening and projection of the upper lip, vermilion eversion, reduced incidence of rhagades, and improvements of the nasolabial angle. In 1 patient with unilateral paralysis of the lip, no significant correction of the asymmetry was achieved. CONCLUSIONS: The proposed "double duck" technique proved to be simple and effective, with successful resolution of nasolabial defects and effective concealment of scars |
publishDate |
2011 |
dc.date.none.fl_str_mv |
2011-09-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1983-51752011000300017 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1983-51752011000300017 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/S1983-51752011000300017 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Cirurgia Plástica |
publisher.none.fl_str_mv |
Sociedade Brasileira de Cirurgia Plástica |
dc.source.none.fl_str_mv |
Revista Brasileira de Cirurgia Plástica v.26 n.3 2011 reponame:Revista Brasileira de Cirurgia Plástica (Online) instname:Sociedade Brasileira de Cirurgia Plástica (SBCP) instacron:SBCP |
instname_str |
Sociedade Brasileira de Cirurgia Plástica (SBCP) |
instacron_str |
SBCP |
institution |
SBCP |
reponame_str |
Revista Brasileira de Cirurgia Plástica (Online) |
collection |
Revista Brasileira de Cirurgia Plástica (Online) |
repository.name.fl_str_mv |
Revista Brasileira de Cirurgia Plástica (Online) - Sociedade Brasileira de Cirurgia Plástica (SBCP) |
repository.mail.fl_str_mv |
||rbcp@cirurgiaplastica.org.br |
_version_ |
1754821114580697088 |