Some Known Facts About lip lift, cheiloplasty, cleft lip, lip reduction.
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g., submucosa, small salivary glands, and seldom orbicularis oris muscle) in a V or wedge-shaped excision to minimize a few of the lip volume (Figure 15-13). This likewise takes stress off the incision. Every attempt is made to not disrupt the orbicularis oris muscle so as not to impact its function.
The concept of this procedure is to eliminate enough tissue to roll the lip posteriorly without changing the regular anatomy. Figure 15-14 shows a common excision specimen removed from the lip. Hemostasis is very important from the start of the first cut. The lips are so vascular that the surgical field can be obstructed.
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A small-tipped radiowave bipolar forceps is practical for this surgery (Figure 15-15). After ideal tissue is gotten rid of, the wound margins can be temporarily approximated with tissue forceps to grossly prepare for the surgical result. This is not totally accurate, owing to the effects of injected local anesthesia and surgical edema. Although more tissue can be gotten rid of and the outcome changed, it is always better to err on the conservative side, particularly for the amateur cosmetic surgeon.
I prefer to start closure with a series of "crucial" sutures. Initially the midline is determined, and the very first stitch is positioned. The "rule of halves" is followed by putting another suture half the range to the end of the cut until 5 or six sutures are put (Figure 15-16).
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Lastly a smaller 5-0 suture is used to close the staying tissue (Figure 15-17). If a constant running suture is utilized, it needs to not be placed too firmly and prevent drainage. In aspire plastic surgery , postsurgical edema can be considerable, and tight sutures can trigger necrosis. At first the stitch line will be visible due to edema, and the patient needs to be made conscious that as healing advances and the edema solves, the lip will settle and the stitch line will be hidden.
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