Article

Lip augmentation using sternocleidomastoid muscle and fascia grafts.

The Aesthetic Surgery Center, 11181 Health Park Blvd., Naples, FL 34110, USA.
Archives of facial plastic surgery: official publication for the American Academy of Facial Plastic and Reconstructive Surgery, Inc. and the International Federation of Facial Plastic Surgery Societies (impact factor: 1.31). 12(2):97-102. DOI:10.1001/archfacial.2010.7 pp.97-102
Source: PubMed

ABSTRACT 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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Keywords

2 years
 
25 cervicofacial rhytidectomy patients
 
25 consecutive patients
 
aging lip
 
careful patient selection
 
concurrent cervicofacial rhytidectomy
 
control group
 
fascia grafts
 
fascia grafts results
 
fascia implantation
 
lip augmentation
 
lip projection
 
long-term cosmetic lip augmentation
 
lower lip projection
 
lower lip vermilion
 
mean follow-up period
 
minimum follow-up period
 
postoperative graft resorption
 
SCM muscle
 
surgical technique
 

Anurag Agarwal