Title

Precision Dermal Fat Grafting for Vermillion Deficiencies in Patients With Unilateral and Bilateral Cleft Lip.

Document Type

Article

Publication Date

1-2020

Identifier

DOI: 10.1177/1055665619864221

Abstract

OBJECTIVE: Deficiencies of the upper lip vermilion occur with some frequency following repair of unilateral and bilateral clefts of the lip and can compromise the aesthetic outcome. The presence of dense scar tissue within the lip at the cleft site as well as intrinsic vermillion deficiencies can make long-lasting correction of this deformity challenging. We describe a technique to address vermillion deficiencies after cleft lip repair.

DESIGN: A novel lip augmentation technique for correction of residual vermilion deficiencies after unilateral and bilateral cleft lip repair is presented. This technique combines precise placement of a contoured dermal fat graft with local tissue (V-Y) rearrangement.

CONCLUSION: In our experience, this method of lip augmentation following either unilateral or bilateral cleft lip repair can restore upper lip vermillion symmetry and provide predictable and durable results in patients with mild to severe vermillion deficiency.

Journal Title

The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association

Volume

57

Issue

1

First Page

127

Last Page

131

MeSH Keywords

Adipose Tissue; Cleft Lip; Esthetics, Dental; Humans; Lip; Reconstructive Surgical Procedures; Treatment Outcome

Keywords

cleft lip; fat grafting; vermillion deficiency; whistle deformity

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