Skip to main content
SpringerLink
Log in

Sustained attractiveness and natural youthful appearance by upper lip rejuvenation

Minimally invasive procedures to combat facial aging

Nachhaltige Attraktivität und natürliches jugendliches Aussehen durch Oberlippenrejuvenation

Minimalinvasive Verfahren zur Korrektur der Gesichtsalterung

  • review
  • Published:
Wiener Medizinische Wochenschrift Aims and scope Submit manuscript

Summary

Facial aging is a complex process individualized by interaction with exogenous and endogenous factors. The upper lip is one of the facial components by which facial attractiveness is defined. Upper lip aging is significantly influenced by maxillary bone and teeth. Aging of the cutaneous part can be aggravated by solar radiation and smoking. We provide a review about minimally invasive techniques for correction of aging signs of the upper lip with a tailored approach to patient’s characteristics. The treatment is based upon use of fillers, laser, and minor surgery.

Zusammenfassung

Die Alterung des Gesichts ist ein komplexer Prozess, welcher durch die Wechselwirkung exogener und endogener Faktoren individuell geprägt wird. Die Oberlippe zählt zu den fazialen Komponenten, welche die Attraktivität des Gesichts definieren. Die Alterung der Oberlippe wird durch den Oberkieferknochen und die Zähne beeinflusst. Alterungsprozesse des kutanen Anteils können durch Sonnenbestrahlung und Rauchen aggraviert werden. Die Autoren stellen eine Übersicht zur den minimalinvasiven Verfahren der Korrektur altersbedingter Veränderungen der Oberlippe mit Individualisierung je nach Patientenmerkmalen vor. Die Technik basiert auf der Nutzung von Fillern, Lasern und kleineren chirurgischen Eingriffen.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6

Similar content being viewed by others

References

  1. Penna V, Fricke A, Iblher N, Eisenhardt SU, Stark GB. The attractive lip: a photomorphometric analysis. J Plast Reconstr Aesthet Surg. 2015;68:920–9.

    Article  CAS  Google Scholar 

  2. Penna V, Stark GB, Voigt M, Mehlhorn A, Iblher N. Classification of the aging lips: a foundation for an integrated approach to perioral rejuvenation. Aesthetic Plast Surg. 2015;39:1–7.

    Article  Google Scholar 

  3. Raschke GF, Rieger UM, Bader RD, Schaefer O, Guentsch A, Gomez Dammeier M, et al. Perioral aging – an anthropometric appraisal. J Craniomaxillofac Surg. 2014;42:e312–7.

    Article  Google Scholar 

  4. Prendergast PM. Anatomy of the face and neck. In: Shiffman MA, Di Giuseppe A, editors. Cosmetic surgery. Berlin Heidelberg: Springer; 2012. pp. 29–45.

    Google Scholar 

  5. Cotofana S, Schenck TL, Trevidic P, Sykes J, Massry GG, Liew S, Graivier M, et al. Midface: clinical anatomy and regional approaches with injectable fillers. Plast Reconstr Surg. 2015;136:219S–234S.

    Article  CAS  Google Scholar 

  6. Phumyoo T, Tansatit T, Rachkeaw N. The soft tissue landmarks to avoid injury to the facial artery during filler and neurotoxin injection at the nasolabial region. J Craniofac Surg. 2014;25:1885–9.

    Article  Google Scholar 

  7. Lee SH, Gil YC, Choi YJ, Tansatit T, Kim HJ, Hu KS. Topographic anatomy of the superior labial artery for dermal filler injection. Plast Reconstr Surg. 2015;135:445–50.

    Article  CAS  Google Scholar 

  8. Nolano M, Provitera V, Caporaso G, Stancanelli A, Leandri M, Biasiotta A, et al. Cutaneous innervation of the human face as assessed by skin biopsy. J Anat. 2013;222:161–9.

    Article  Google Scholar 

  9. Lagier A, Pénicaud M, Le Corroller T, Guenoun D, Cammilleri S, Champsaur P, et al. Lymphatic drainage of skin areas of head and neck: in vivo approach by the location of the sentinel node. Morphologie. 2014;98:32–9.

    Article  CAS  Google Scholar 

  10. Wollina U. Facial rejuvenation starts in the midface: three-dimensional volumetric facial rejuvenation has beneficial effects on nontreated neighboring esthetic units. J Cosmet Dermatol. 2016;15:82–8.

    Article  Google Scholar 

  11. Wollina U. Perioral rejuvenation: restoration of attractiveness in aging females by minimally invasive procedures. Clin Interv Aging. 2013;8:1149–55.

    Article  Google Scholar 

  12. Cartier H, Trevidic P, Rzany B, Sattler G, Kestemont P, Kerrouche N, et al. Perioral rejuvenation with a range of customized hyaluronic acid fillers: efficacy and safety over six months with a specific focus on the lips. J Drugs Dermatol. 2012;11:s17–s26.

    CAS  PubMed  Google Scholar 

  13. Rzany B, Becker-Wegerich P, Bachmann F, Erdmann R, Wollina U. Hyaluronidase in the correction of hyaluronic acid-based fillers: a review and a recommendation for use. J Cosmet Dermatol. 2009;8:317–23.

    Article  Google Scholar 

  14. San Miguel Moragas J, Reddy RR, Hernández Alfaro F, Mommaerts MY. Systematic review of “filling” procedures for lip augmentation regarding types of material, outcomes and complications. J Craniomaxillofac Surg. 2015;43:883–906.

    Article  Google Scholar 

  15. Beer K, Glogau RG, Dover JS, Shamban A, Handiwala L, Olin JT, et al. A randomized, evaluator-blinded, controlled study of effectiveness and safety of small particle hyaluronic acid plus lidocaine for lip augmentation and perioral rhytides. Dermatol Surg. 2015;41:S127–36.

    Article  Google Scholar 

  16. Tabrizi R, Shafiei E, Danesteh H. Dimensional changes of the upper lip using dermis fat graft for lip augmentation. J Oral Maxillofac Surg. 2015;73:2030–7.

    Article  Google Scholar 

  17. Tansatit T, Apinuntrum P, Phetudom T. A typical pattern of the labial arteries with implication for lip augmentation with injectable fillers. Aesthetic Plast Surg. 2014;38:1083–9.

    Article  Google Scholar 

  18. Ramirez OM, Khan AS, Robertson KM. The upper lip lift using the ‘bull’s horn’ approach. J Drugs Dermatol. 2003;2:303–6.

    PubMed  Google Scholar 

  19. Lee DE, Hur SW, Lee JH, Kim YH, Seul JH. Central lip lift as aesthetic and physiognomic plastic surgery: the effect on lower facial profile. Aesthet Surg J. 2015;35:698–707.

    Article  Google Scholar 

  20. Holden PK, Sufyan AS, Perkins SW. Long-term analysis of surgical correction of the senile upper lip. Arch Facial Plast Surg. 2011;13:332–6.

    Article  Google Scholar 

  21. Luebberding S, Alexiades-Armenakas MR. Fractional, nonablative Q‑switched 1,064-nm neodymium YAG laser to rejuvenate photoaged skin: a pilot case series. J Drugs Dermatol. 2012;11:1300–4.

    PubMed  Google Scholar 

  22. Trelles MA, Shohat M, Urdiales F. Safe and effective one-session fractional skin resurfacing using a carbon dioxide laser device in super-pulse mode: a clinical and histologic study. Aesthetic Plast Surg. 2011;35:31–42.

    Article  Google Scholar 

  23. Hedelund L, Bjerring P, Egekvist H, Haedersdal M. Ablative versus non-ablative treatment of perioral rhytides. A randomized controlled trial with long-term blinded clinical evaluations and non-invasive measurements. Lasers Surg Med. 2006;38:129–36.

    Article  CAS  Google Scholar 

  24. Cohen JL. Perioral rejuvenation with ablative erbium resurfacing. J Drugs Dermatol. 2015;14:1363–6.

    CAS  PubMed  Google Scholar 

  25. Kruglikov IL. Neocollagenesis in non-invasive aesthetic treatments. J Cosmet Dermatol Sci Appl. 2013;3:26410.

    Google Scholar 

  26. Wollina U. Capryloic salicylic acid (CSA) peel for acne and actinic damage. Kosmet Med. 2009;30:142–5.

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Dermatology and Allergology, Academic Teaching Hospital Dresden-Friedrichstadt, Friedrichstraße 41, 01067, Dresden, Germany

    Uwe Wollina MD

  2. Clinica Goldman, Porto Alegre/RS, Brazil

    Alberto Goldman

Authors
  1. Uwe Wollina MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Alberto Goldman
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Uwe Wollina MD.

Ethics declarations

Conflict of interest

U. Wollina and A. Goldman declare that they have no competing interests.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Wollina, U., Goldman, A. Sustained attractiveness and natural youthful appearance by upper lip rejuvenation. Wien Med Wochenschr 168, 361–366 (2018). https://doi.org/10.1007/s10354-017-0560-8

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10354-017-0560-8

Keywords

Schlüsselwörter

Search

Navigation