AlloDerm® Lip Augmentation Techniques and Problem Avoidance

Abstract

Introduction: The aging process results in elongation of the white portion of the upper lip, an overall decrease in the bulk and volume of the red lip, and diminished projection of the cupid's bow. Various methods of augmentation of the lips have been attempted, including subnasal lip-lift, vermilion lip advancement, and augmentation procedures including injections of collagen and autologous fat, and placement of dermal and fascia grafts, Gore-Tex®, and Soft-form™. The new acellular dermal grafts, which were first used in 1993 for dermal replacement grafts in burn patients, are now being evaluated for use in lip augmentation. Materials and Methods: AlloDerm® (acellular dermal graft) was used for lip augmentation in 12 female patients. The graft was placed into the subcutaneous region (superficial to the orbicularis oris) through a small incision in the oral mucosa just superior to each commissure while the patient was anesthetized using a combination of local and regional anesthesia. Results: Eleven out of twelve patients were extremely pleased with the results. One patient had the graft removed because of a feeling of tightness, which restricted motion of the mouth. Conclusions: The acellular dermal graft provides bulk, persistence, and a natural-looking option for lip augmentation.