Barati Behrouz, Jahanshahi Fatemeh, Asadi Mahboobe
Department of Otolaryngology, Taleghani Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Student Research Committee, Faculty of Medicine, Iran University of Medical Sciences, Tehran, Iran.
World J Plast Surg. 2020 Sep;9(3):274-281. doi: 10.29252/wjps.9.3.274.
Augmentation of facial components is an acceptable approach in facial aesthetics. The best filler material and the optimal technique for facial soft tissue augmentation still remain to be determined. This study has assessed the lip augmentation using post-auricular fibroareolar tissue as a new autogenous filler.
This prospective study enrolled patients who were candidate for lip augmentation. Loose fibroareolar tissue was harvested from post-auricular region and was inserted in the prepared lip pocket. Standard digital photography was used for lip analysis in each patient before and 6 months after surgery (the height and projection of the upper lip and lower lip).
At a mean follow-up period of 6 months, average upper and lower lip height increased from 5.27 to 8.72 mm (<0.001), and the average upper and lower lip projection increased from 3.97 to 7.75 mm (.001).
Our technique was minimally invasive and a safe method, in which post-auricular loose fibroareolar tissue was applied for lip augmentation with minimum donor site morbidity and long-term results. On the follow-up, all patients were satisfied with the results and no patients required any revision operation. Moreover, the complication rate was negligible.
面部各部分的增大在面部美学中是一种可接受的方法。用于面部软组织增大的最佳填充材料和最佳技术仍有待确定。本研究评估了使用耳后纤维乳晕组织作为一种新的自体填充材料进行唇部增大。
这项前瞻性研究纳入了唇部增大的候选患者。从耳后区域采集疏松的纤维乳晕组织，并将其植入准备好的唇部腔隙。每位患者在手术前及术后6个月均采用标准数码摄影进行唇部分析（上唇和下唇的高度及突出度）。
平均随访6个月时，上、下唇平均高度从5.27毫米增加到8.72毫米（<0.001），上、下唇平均突出度从3.97毫米增加到7.75毫米（.001）。
我们的技术微创且安全，该技术应用耳后疏松纤维乳晕组织进行唇部增大，供区发病率最低且效果持久。随访时，所有患者对结果满意，无患者需要任何修复手术。此外，并发症发生率可忽略不计。
