Surgical correction of hypertrophic upper lip in vascular malformations

Publication date: Available online 3 August 2018

Source: Journal of Cranio-Maxillofacial Surgery

Author(s): Margherita Dessy, Giacomo Colletti, Ambra Dionisio, Carlotta Liberale, Federico Biglioli

Abstract

Capillary malformations (CMs) and Lymphatic malformations (LMs) are vascular malformations that share a common tendency to cause soft and hard tissue hypertrophy, expressed in the three dimensions of the space. The middle third of the face is the most commonly involved area, with a predominance of the upper lip.

To our knowledge, no paper has previously focused on the surgical technique to correct such deformities. We propose and illustrate a surgical protocol, consisting in merging an asymmetric bikini upper lip reduction and a unilateral bull horn resection technique, that allowed to reduce the overall volume of the hypertrophied lip thus restoring lip symmetry. We adopted this technique in 2 patients affected by CMs and 4 patients with LMs, with satisfactory results.

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