Very huge lips, also known as macrocheilia, can develop for multiple reasons. Some people just have them naturally and other people develop them from many uncommon medical reasons. Though substantial lips have a significant ethnic association, I’ve also seen many Caucasians from several descents who’ve them also. In my Indianapolis plastic surgery practice, I have treated as lots of Caucasians as other ethnic groups for lip reduction surgery.

One lip condition that will be confused with macrocheilia is the double lip which occurs only inside the upper lip. This can be since the upper lip is too substantial (too much outer vermilion), it truly is mainly because there’s an extra roll of tissue on the underside (mucosa) with the upper lip. This becomes apparent when one smiles, as this additional roll of mucosa is observed as a horizontal roll of tissue beneath the upper lip. It surgical removal is accomplished slightly various than a significant outer upper lip.

The objective of lip reduction surgery is to develop lip sizes which might be a lot more proportionate to one another at the same time as the rest in the face. At the least, a patient’s goal would be to not have them because the most dominant feature of one’s face that draws the eye proper to them.

Lip reduction surgery is uncomplicated to do but the surgical organizing (marking) could be the crucial. An initial mark (line) is drawn at the wet-dry junction but might adjust based on which component from the lip is a lot more prominent, the dry vermilion or the wet mucosa. For some big lips, the dry vermilion may be the dominant portion to eliminate. For others, it could be a lot more from the wet vermilion and mucosa. Careful preoperative examination in the lip should be done to create this determination. Regardless of which component with the upper lip is removed, you do not want the final closure (and subsequent scar) to become evident when the lips are either in rest or smiling positions. A wedge of excess lip is marked out and tapered as it goes into the corners of the mouth to stop ant tissue excesses. I like to help keep the final edge from the cut out away several millimeters from the corner with the mouth.

Lip reductions might be done under local anesthesia, even though far more considerable anesthesia would be far more pleasant. Once anesthetized, the wedge excision removes mainly outer mucosa plus the underneath submucosa. (in medical macrocheila the lip tissues removed may well be deeper and additional substantial) It isn’t necessary to get rid of muscle for cosmetic reduction and also the labial artery should really be preserved. I come across that a pinch strategy is very helpful. By this approach, the planned quantity of mucosal excision is pinched up having a unique instrument until the whole desired amount is in the pinch. This can be then cut off with scissors and closed with a resorbable operating suture. Only antibiotic ointment or vaseline is applied for the dry vermilion immediately after to keep it moisturized because the lips swells and is prone to cracking and soreness.

The lip will swell considerably, that is regular, and it could take numerous weeks to appreciate the quantity of reduction that has been completed. Normally, about 4 to 6mm reduction from time to time far more) of actual horizontal lip size may be readily accomplished.

All surgeries carry with them an inherit possibility of having some type of complication or risk associated with them. Since the lip reduction procedure is a surgery, although it may be considered minimally invasive, it is still a surgical procedure and therefore carries its own list of potential risks and complications associated with it.

There are several possible complications associated with the surgery. For starters, there will be some form of anesthetic utilized during the procedure and as with any type of anesthesia there is the chance of having an allergic reaction to that anesthetic. Furthermore, there may be the chance of having a hematoma, which is just an advanced way of saying that there might be some bleeding associated with the procedure. There is the chance of having a seroma which once again is just a fancy term which means that there may be fluid build up in the lips after undergoing a lip reduction surgery. Of course there is the chance of having numbness in the lips and general mouth region as a result of the procedure but this numbness is only temporary and will be gone by the end of the 7th day following a lip reduction surgery.

As with any plastic or cosmetic surgical procedure there is always the possibility of asymmetry. What this means is that after undergoing the lip reduction procedure it is completely possible for one side of the lips to look different than the other, and thus they are no longer symmetrical or the same. The lip reduction surgery can also affect the way that your smile looks if not for any other reason but the fact that a portion of the previous mass of the lips has been removed.

Above all it is very important to discuss with your surgeon prior to undergoing the surgery what exactly your expectations of the outcome are. The reasons for this is simply for the fact that many of the dissatisfied recipients of a plastic or cosmetic surgery can be attributed to not giving their surgeon enough information regarding their expectations as well as they possibly have too high of expectations to begin with.

In today’s society, large and full lips are highly desirous. This is most evident in the large plethora of lipstick and lip care products as well as being one of the top places on the face for the use of injectable fillers. Despite the trend to go bigger, there are a few patients who actually want their lips to be smaller. Most commonly, these are non-caucasian patients who naturally have very full lips or someone who has a rare congential facial problem which results in large lips, medically known as macrocheilia.

Lip reduction surgery is a fairly simple procedure that can be done under local anesthesia or some form of sedation. It involves a transverse elliptical excision of lip tissue that runs from one corner of the mouth to the other. The key is the location of the excised tissue and the resultant scar. The exposed portion of your lip, the pink portion, is called the vermilion. The vermilion has both a dry and wet surface. The wet portion of the vermilion is the non-exposed part that sits just below the highest point of the dry vermilion (lip line) on the inside of the mouth. Removing excess vermilion here and allowing the lip to roll back and look smaller places the fine line scar in a non-visible location.

Reducing the size of the lips through this inside the mouth approach produces a modest size reduction, never a dramatic one. If one removes too much from the inside, the lips can have an unnatural rolled back appearance. In reality, the best place to reduce the visible size of the lips is by removing vermilion at the front edge where it meets skin. But this would create a visible scar which is why it is not done even though it is more effective at creating lip reduction.

Any form of lip surgery will create considerable swelling in the first few days after surgery. This is normal as the lip swells easily. (just think of when you just bumped it and see how quickly it swells!) As a general rule, the lip swelling subsides at a week out and the lip will look the same then as before surgery. You won’t be able to see visible lip size reduction until several weeks after surgery. So one has to be patient to see the results. Dissolveable stitches are used to close the incision on the lip as this is not a very nice place to have stitches that need to be removed later.

Lip reduction can be done on either the upper or lower lip, or both at the same time. That is a patient’s preference based on their aesthetic concerns.