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The Facts About cheiloplasty - WordReference.com Dictionary of English Uncovered

The client is offered a mirror and asked to repeat this pursing maneuver to a point at which they would optimally like the amount of vermilion program and posture. This is marked by making a line at the withdrawed vermillion (blue lines, Figure 15-7, B). To estimate the posterior degree of the cut, the patient relaxes the pursed lips, and another line is made posterior to the "pulled back position line" (white line, Figure 15-7, C).

If this distance was determined at 8 mm, then a minimum of 8 mm of tissue would be eliminated posterior to the wet/dry line, although my experience has revealed that 1. 5 times the amount determined can be safely gotten rid of (Figure 15-8, B-C). Although experienced cosmetic surgeons might excise 2 to 2.

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The configuration of the marked location to be excised is a curved ellipse or "smiley face" that is bigger in the center and tapers greatly towards the commissure. The width of the curved ellipse is commensurate with the quantity of tissue excess to be gotten rid of. The edges of the curved ellipse carefully taper into the commissure so as not to leave a "dog-ear" defect.

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I personally sedate all lip-reduction clients and after that infiltrate the lips with numerous milliliters of 2% lidocaine with 1: 100,000 epinephrine (Figure 15-9). This is essential for hemostasis, discomfort control, and hydrodissection. A vagolytic drug such as atropine or glycopyrrolate will assist in minimizing salivation. As the lips are so vascular, I do not utilize a scalpel or scissors to dissect, I utilize the radiowave microneedle or CO2 laser (Figure 15-10).

Plastics and Reconstructive Procedures Plastics Operative Sequence  Rhytidectomy

Less bleeding translates into much better surgical treatment, less swelling, less discomfort and bruising, and faster healing. Dissecting the mucosa from the submucosa is extremely similar to peeling a grape or dissecting the skin from the orbicularis oculi muscle in blepharoplasty surgical treatment (Figure 15-11).  aspire plastic surgery  under the mucosa includes submucosa with plentiful minor salivary glands, and periodically orbicularis oris muscle may show up (Figure 15-12).