Surgery to change the shape, contour or volume of the lips - cheiloplasty

What reference lips should look like. 6 mathematical parameters

There is a formula for a beautiful mouth. These are mathematically verified parameters that aesthetic medicine practitioners are guided by.

• Mouth width. At rest, the distance between the corners of the mouth (commissures) is approximately 5.9 cm. Visually, the width is slightly less than the distance between the pupils.
• The relationship between the upper and lower lips. It should be 1:1.5, that is, the upper lip is one and a half times narrower than the lower lip.
• Clear relief. The curve of the upper and lower lips, Cupid's arch (groove of the upper lip), columns of the philtrum (vertical skin ridges between the upper lip and the base of the nose) should be expressive.
• The distance between the top border and the base of the nose. No more than 1.1 - 1.3 cm
• The distance between the middle of the lower lip and the chin. Should not exceed 3-4 cm
• Raised corners of the mouth. The so-called Mona Lisa smile. Raised corners are typical for young girls. Gives the face a friendly look.

My opinion regarding the beauty of lips. Beauty has many faces. And I partly share the point of view of the audience, which is against interference in natural beauty and for preserving individuality. But only partly. There is a portrait, and there are strokes to the portrait. Delicate changes in shape and volume are the touches to the image that will help reveal the femininity, prettiness and attractiveness of a girl’s face. The main thing is moderation and a sense of beauty!

In accordance with certain imperfections in the mouth area, aesthetic medicine specialists have developed different methods of lip correction - surgical and injection.

Indications and contraindications for the procedure

It is believed that the indication for lip augmentation or any other form of lip correction is only the patient’s desire. This is not true.

Similar techniques are used for the following purposes:

• with drooping lower lip;
• tissue deformation, their fusion;
• conditions after removal of tumors in the outer part of the mouth to replenish lost volume;
• asymmetry, size correction;
• age-related changes;
• at the request of the patient.

Lip augmentation with implants is a surgical procedure. It has a number of contraindications, in which manipulations are not carried out even at the request of the patient.

Implantation is prohibited in the following cases:

• against the background of acne treatment with Akutan and its analogues. It promotes the growth of scar tissue and the formation of keloids;
• any connective tissue pathologies;
• lupus, other autoimmune processes - surgical intervention can lead to exacerbation of diseases, exit from a state of remission;
• any disease in the active stage;
• herpetic infection in any condition - active, remission;
• diabetes;
• allergies to medications;
• disruption of the thrombus formation process;
• mental illness;
• epilepsy;
• pregnancy, lactation;
• age up to 18 years.

• How many days will it take for swelling to subside after lip augmentation?
• Causes of bruises during lip augmentation
• Piercing the frenulum under the tongue: how the piercing is performed, choosing jewelry

Surgical lip plastic surgery. Essence, advantages, varieties

Cheiloplasty of the lips, performed in the operating room, is performed using surgical instruments and is accompanied by incisions and suturing. Despite the obvious disadvantages - incisions, sutures, necessary preoperative preparation - labiaplasty performed by a surgeon is gaining more and more fans. And there are objective reasons for this.

5 benefits of surgical correction

1. Lifelong effect. An undeniable advantage of surgical intervention. Fillers based on hyaluronic acid (fillers) biodegrade within a year. The patient is forced to constantly maintain her shape with injections. From this follows the second important advantage of the described procedure.
2. Significant savings. Considering that contour (injection) plastic surgery by a cosmetologist must be repeated every 8-12 months, the final cost of injections is several times higher than plastic surgery on the lips, which is performed only once.
3. No complications. Plastic surgery performed with a scalpel has much fewer unpleasant consequences compared to injection surgery. After the injection of filler, patients may experience a variety of reactions: the formation of granulomas (inflammatory nodules), fibrosis, migration of the dermal gel (movement to adjacent tissues), a weak or unstable effect after the procedure, even an allergic reaction to the drug (dermal fillers of synthetic origin are used for augmentation) ). The surgeon works only with the patient’s tissues.
4. Comfort of the procedure. Lips are the most sensitive area on the face. Girls who have changed their shape with beauty injections know how painful it is. Before introducing the filler, application anesthesia in the form of a cream is used. Such anesthesia reduces tissue sensitivity, but only superficially.
5. Natural ingredients. To enlarge lips in cosmetology, synthetic preparations are used - so-called fillers based on hyaluronic acid. Filler injections can cause an allergic reaction. In plastic surgery, the patient's own fat is used for augmentation. This operation is called lip lipofilling.
6. Predictable result. To achieve the desired effect of plump lips, one procedure of injection augmentation is often not enough. After the swelling has gone, many remain dissatisfied with the results and are forced to resort to correction several times. Surgical techniques immediately give the desired effect.

How does lip augmentation occur during implantation?

The surgical intervention takes place in 3 stages - preparation for 1.5 months, the procedure itself and the rehabilitation period.

Preparation

The preparatory period is long. The result of the operation and the duration of recovery depend on how carefully the patient followed the doctor’s recommendations.

Method of preparation for the procedure:

1. Do not smoke for at least 6 weeks before the intervention - this will reduce the risk of rejection of the structure and scarring.
2. Stop taking anticoagulants, homeopathic medications, and NSAIDs 2 weeks in advance—drugs can cause bleeding.
3. Keep hydrated, which will shorten the rehabilitation period.

A general blood test, coagulogram, tests for HIV infection, and hepatitis are shown. An ECG is performed before the intervention.

Types of lip surgery

Bullhorn

The most popular type of cheiloplasty. “Bullhorn” from the English bull's horn - bull horns. The technique received its name from the shape of the cut, which resembles bull horns. The essence of the procedure is to reduce the distance between the upper lip and the base of the nose and enlarge the upper lip.

Indications for use

• The distance between the upper border of the lips and the base of the nose is greater than 1.3 cm
• Thin upper lip
• Asymmetry of the upper and lower
• Pronounced nasolabial triangle
• The need for rejuvenation of the upper third of the face

How is the operation performed?

The whole process takes about an hour. The doctor makes an incision under the nose, tightens the tissue and applies stitches. The stitches are removed on the 4-6th day.

VY cheiloplasty (cheiloplasty “viuay”)

The essence of the operation is to move the mucous membrane outward. The doctor makes incisions on the inside of the lips in the shape of a Latin letter V. During suturing, another Latin letter Y is created. Hence the name of the technique. The sutures are hidden in the oral cavity.

In what cases is it indicated?

• Enlargement of the red area of ​​the lips - vermillion
• Adding volume to the profile
• Expressiveness of the contours of the columns of the philtrum and Cupid's arch
• Age-related decline
• Correction of asymmetry of the upper and lower

How is cheiloplasty VY performed?

• The procedure takes 20-50 minutes under local anesthesia.
• The doctor makes 2-4 incisions. The number and locations of incisions (upper, lower or two at once) are regulated at the discretion of a specialist with
• taking into account the anatomical features and personal wishes of the patient.
• The stitches are removed on the 4-6th day.

Lip surgery "Paris"

A variation of the above-described cheiloplasty of the lips. The essence of the operation is to create a shape similar to a heart. In addition to vertical cuts, several horizontal ones are made.

Corner elevator

"Corner" from English. - corner. The essence of the operation is to tighten the corners. With age, there is a natural drooping of the corners of the mouth. The specialist makes small incisions in the corners slightly above the lip line and applies sutures, thereby fixing the corners in an upward position.

Who is suitable for surgery?

This operation is mainly intended for patients over 40 years of age, when noticeable age-related changes in the perioral zone are observed.

How does a corner lift work?

Markings are applied and cuts are made. The duration of the manipulation is 40-60 minutes. The sutures are removed on the 4-6th day.

Kesselring lipplasty

Kesselring is designed to enhance very thin lips. Working with thin lips is a problematic issue in aesthetic medicine. Very often, due to insufficiently expressed vermillion (the entire pink surface), injections of hyaluronic acid-based gels are not enough. In some cases, fillers are even contraindicated. The essence of Kesselring is to excise the skin above the border along the entire perimeter and form a new line of the mouth by applying sutures.

How is Kesselring cheiloplasty performed?

The doctor determines the width of the strip of skin to be removed and marks it. The skin is excised, the border is turned out, and the edges of the incision are stitched in two stages: with dense and thin threads for the most aesthetic result. The procedure takes about an hour. It is performed under local anesthesia. The sutures are removed on the 4-6th day.

DAO resection

The name of the operation comes from depressor anguli oris (DAO), the name of the muscle that depresses the corners of the oris. The depressor anguli oris muscle is attached to the bony edge of the lower jaw and is woven into the skin at the commissure (corner of the mouth). In its youth, DAO is flexible and elastic. With age, it becomes denser, less extensible, loses tone, and at the same time the support of the lips weakens, marionette wrinkles appear and the corners “fall” down. The essence of the operation is to cut the depressor fibers, after which the muscle contracts and decreases in length.

How is DAO resection performed?

Under local anesthesia. An incision of no more than 1 cm is located on the oral mucosa. The surgeon isolates the muscle and cuts the fibers, then sutures it with absorbable thread.

Lipofilling of lips

To whom it can be recommended

• Skin aging: wrinkles, loss of volume
• Asymmetry
• Insufficient natural volume

How is lipofilling performed?

This is not an outpatient procedure. Everything takes place in a full-fledged operating room. The patient is required to undergo tests before surgery. In the operating room, the first step is to remove fat from donor sites: for example, the abdomen, inner thigh, knee rolls, etc. The fat is cleaned and placed into special thin cannulas for injection on the face. Then they begin to inject fat into areas on the face. Including on the lips. Bruises and swelling last for about 2 weeks.

Plastic surgery requires a balanced attitude. Irreversibility is both an advantage and a disadvantage of surgery. Select a technique based on the recommendations of a specialist!

Effect of the operation

Plastic correction will allow the patient to acquire exactly the shape and volume of lips that he wants to have, getting rid of a variety of defects. In addition, the intervention will visually rejuvenate the area around the mouth and the entire face as a whole.

You can find out the price of lip plastic surgery in Moscow in our clinic and make an appointment for a consultation with SM-Plastika specialists by calling:
+7 .
Our advantages

Experienced surgeons

Modern equipment

Free consultation

Affordable prices

European service

Patient Reminder

• Before the operation, the patient undergoes tests without fail.
• Cheiloplasty is usually performed under local anesthesia, but general anesthesia is used in combination with other corrections.
• Swelling and numbness may persist for up to 2-4 weeks.
• To speed up rehabilitation, physiotherapeutic procedures (phototherapy, magnetic therapy) are recommended.
• The scar is formed within a year. It is necessary to protect from direct sunlight.
• Can be combined with contour plastic surgery.

Permalip

This is the world's only silicone lip implant. Made from super soft silicone. It is used not only to increase the volume of the lips, but also to improve their shape. It makes the lip contour clearer. This is what he looks like. Here in the photo there are different sizes - longer, shorter, thicker, thinner. Cool, right?

Permalip is installed under local anesthesia. First, holes are made in the corners of the lips. Then they push some kind of saber-shaped iron stuff in there to make a tunnel along the lip. This is how they move the tissue apart, making room for the implant. And then they drag the implant itself there. Like this:

The result is something like this. Photos BEFORE and AFTER installation of Permalip:

The result is lifelong. There is no need to constantly run around adding fillers. Which is a plus. And here is a detailed video. Here they show you step by step how this Permalip is inserted into the lip. It is better not to watch if you are particularly nervous.

Recovery

After surgery, hospital observation is not required; the patient can go home immediately after the anesthesia wears off. Healing ointments and antiseptic preparations are used to treat the wound. The recovery period after cheiloplasty is about 2 weeks. During this time, it is recommended to limit physical activity, refuse solid food, limit facial expressions, and not visit the bathhouse and solarium. It is also strongly recommended not to smoke in the first month after surgery.

During the recovery period the following are possible:

• hematomas;
• pain;
• loss of skin sensitivity;
• edema;
• feeling of tightness.

To ensure that the result obtained is exactly as expected, as well as to minimize the occurrence of complications, it is necessary to contact a qualified surgeon. A medical specialist will perform lip augmentation and correction in the most appropriate way, and after the operation will give the necessary care recommendations to speed up healing.

! This is interesting: Methods of lip augmentation: the possibilities of plastic surgery and cosmetology