Mohammad Mughese Amin, Javaria Farasat, Mohammad Sajid.
Aesthetic restoration in post-burn deformed lips.
J Surg Pak Jan ;15(4):193-6.

Objective To assess the aesthetic restoration of lip by using a cheiloplasty technique in terms of patient satisfaction rate. Study design Descriptive study. Place & Duration of study Department of Plastic Surgery, Quaid-e Azam Medical College, Bahawalpur, from May 2005 to January 2010. Methodology All patients who underwent cheiloplasty for lip aesthetic restoration were included. The salient features of the technique were excision of upper lip burnt skin, recreation of natural shape of the cupid’s bow and advancement of the vermilion to the level required. The rest of the defect was reconstructed with full thickness inner arm skin graft with a tie over dressing. For the lower lip following excision of the excess vermilion, full thickness inner arm skin graft was applied. Post-burn cheiloplasty in males was performed by excision of the scarred cupid’s bow and the alopecic skin with complete or partial moustache reconstruction using an island superficial temporal artery scalp flap or hair transplant into grafted skin. Results Fifty six patients underwent cheiloplasty for upper lip aesthetic restoration. The age range was from 17 to 37 years. There were 39 females and 17 males. Thirty five (62.5%) patients had isolated facial burn scars while eighteen (11.6%) had facial burn scars as part of total body burn. Thirty five patients presented between one and six months after healing of their burns. The surgical plan was designed in 14 females (30.4%) for the resurfacing of aesthetic facial areas, release of contractures, and aesthetic lip line reconstruction. Twenty females and four males underwent cheiloplasty. In 8 male patients (17.4%) release of contractures and cheiloplasty were performed. Patient satisfaction rate was fairly good in 49 cases (89.1%). Conclusions The techniques of removal of scar and reconstruction with full thickness skin graft with or without hair transplant and superficial temporal artery flap for upper lip reconstruction, produced good results with high satisfaction rate.

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