Keywords: LIP, RHYTIDOPLASTY, SKIN AGING, DERMABRASION

Keywords: HIALURONIC ACID, LIP, REJUVENATION

Tattooing has existed in humankind's culture since the onset of civilization. Tattoo removal attempts are also very ancient. The following current methods are reported for the removal of tattoos: dermabrasion, surgical excision, and laser procedures. The most commonly used lasers for tattoo removal are: QS-Nd:YAG (1,064 and 532nm), QS-Ruby (694nm) and QS-Alexandrite (755nm). The present review is aimed at studying the action mechanism of lasers for tattoo removal and the correct indication for each type of pigment, in addition to describing complications and the best manner of preventing them.

Keywords: LASERS; LASER THERAPY; TATTOOING.

The lips are important anatomical units for perfect facial aesthetic balance. A number of methods can be used to improve lip appearance, including chemical and physical peels, botulinum toxin, cosmetic surgery and the use of cutaneous fillers. In the face of the already widespread and yet still growing use of fillers worldwide, the need for precise anatomical knowledge arises as an important tool to prevent complications. The objective of the present study is to shed light on the anatomical peculiarities of this facial topography and review recommendations linked to best practices with cutaneous fillings.

Keywords: ANATOMY; ESTHETICS; HYALURONIC ACID; LIP; LIP PRODUCTS

Introduction: Hidradenitis is a chronic inflammatory disease that has a negative impact on the patient's quality of life but which has few effective therapeutic options. Currently, the use of laser technology has been standing out as a treatment. Objective: To evaluate the use of 1,340nm ND:YAP laser (Neodimiun:Ytrium Aluminum Perovskite) to treat hidradenitis. Methods: Performing 4 1,340nm ND:YAP laser sessions in 3 patients bearing hidradenitis. Results: All patients had a clinically and histologically evidenced reduction of inflammatory lesions. Conclusions: In the present study, the 1,340nm ND:YAP laser was effective in the treatment of hidradenitis, and can potentially become a new therapeutic option.

Keywords: HIDRADENITIS; LASERS; LASER THERAPY

Ascher syndrome (AS) is a rare disorder of unknown etiology characterized by the presence of double upper lip, blepharochalasis and nontoxic goiter (complete AS). The nontoxic goiter is present in 10-50% of cases (incomplete AS). Trauma, hormonal dysfunction, autosomal dominant inheritance, defects in elastic fibers and allergy are possible causes. Surgery is indicated due to the compromise of facial aesthetics, trauma, or visual difficulty, and to restore the patient's quality of life. The present article reports the case of a patient with a double and blepharochalasis lip, diagnosed as a bearer of the incomplete Ascher syndrome, and describes the adopted conduct.

Keywords: BLEPHAROPLASTY ; BLEPHAROPTOSIS; LIP

Introduction: Increased distance between the base of the nose and lip's vermilion is difficult to treat, and often there are restrictions for the use of botulinum toxin and cutaneous fillers.
Objective: To describe a new technique for the treatment of the upper lip ptosis.
Methods: A prospective pilot study was conducted with 15 female patients bearing increased distance between the base of the nose and the labial cutaneous-mucosal transition line. Five weekly sessions of intraoral non-ablative 2,940nm Er:YAG laser were performed. For the evaluation of outcomes, standardized records were performed with a 3D photographic camera, and comparative measurements of the philtrum's height and the nasolabial angle were taken before and after the treatment.
Results: There was a shortening ranging from 2 to 4 mm in the philtrum's measurements, and a decrease in the nasolabial angle, in addition to increased firmness of the skin in the upper lip.
Conclusion: Intraoral non-ablative 2,940nm Er:YAG laser can be a therapeutic option for the treatment of upper lip ptosis.

Keywords: AGING; LASERS; LIP

The reconstruction of defects involving up to 2/3 of the lip extension is challenging, considering the functional and aesthetic importance of this structure. There are several surgical techniques described for this purpose, highlighting the Abbé-Estlander flap, the Karapandzic flap, and the Bernard-Burrow- Webster flap. The choice of the best approach should consider the size and location of the defect as well as the comorbidities of the patient. The reverse Yu flap is an alternative to be considered in relation to other methods, allowing obtaining excellent cosmetic-functional results in general.

Keywords: Surgical flaps; Reconstruction; Lip

INTRODUCTION: The treatment of hypochromic scars is challenging, and the techniques used so far show unsatisfactory results. Bimatoprost, an analog of prostaglandin F2-alpha, has been used as a topical pigment agent, and its application as drug delivery can optimize its delivery to the dermis and potentiate pigmentation.
OBJECTIVE: To evaluate the safety and efficacy of Ablative Fractional Laser (AFL) treatment associated with bimatoprost 0.03% drug delivery in hypopigmented scars.
METHODS: The patients were submitted to the AFL, followed by the application of bimatoprost 0.03% in 4 sessions with biweekly intervals. Clinical evaluations and standardized photographs were performed. Patients’ satisfaction was assessed using a 5-question questionnaire.
RESULTS: All patients had clinical improvement in the treated areas. The degree of patient satisfaction agreed with the clinical evaluation and photographic records.
CONCLUSION: The application of AFL associated with bimatoprost 0.03% drug delivery can be a potentially effective and safe treatment for hypochromic scars.

Keywords: Lasers; Hypopigmentation; Laser Therapy

INTRODUCTION: The lips have a huge importance in facial aesthetics, and the use of fillers to improve the region is growing with a variety of different techniques described.
OBJECTIVE: To report the experience with the "lip tenting" lip filling technique.
METHODS: 20 female patients between 18 and 60 years of age obtained lip filling through vertically serial punctures from the lip vermilion border, depositing a small amount of product by retroinjection, in the superficial muscular plane.
RESULTS: All treated patients reported a high degree of aesthetic satisfaction with the result of the procedure, with edema and local ecchymosis transiently present in most patients.
CONCLUSIONS: This is an easy execution technique compared to other filling techniques, presenting very satisfactory aesthetic results.

Keywords: Anatomy; Lip; Rejuvenation

INTRODUCTION: The rejuvenation of the perioral region is considered a significant challenge. Numerous therapeutic modalities are used; however, there is no specific single gold standard, and the literature agrees that the best option is to associate techniques. Fractional lasers provide excellent results, and the CO₂ laser is described as quite effective.
OBJECTIVE: To increase the efficiency of fractional CO₂ laser for the perioral region rejuvenation, using the modified CROLL technique.
METHODS: We selected 12 female patients, between 50 and 68 years, who underwent application of the CO₂ laser in two moments. Initially, the modified CROLL technique was applied to the perioral rhytids, and later the laser was used, with less power, on the entire face, including the perioral area. Three sessions were conducted with an interval of 45-60 days.
RESULTS: There was an improvement in tissue elasticity and rhytids superficialization, and the degree of satisfaction of all patients was in line with the clinical evaluation and photographic records.
CONCLUSIONS: The CO₂ laser offers excellent results for the perioral region rejuvenation, especially when enhanced with the modified Croll technique.

Keywords: Laser Therapy; Lip; Rejuvenation; Research and New Techniques

INTRODUCTION: One of the most feared complications when using facial fillers is the potential risk of intravascular injection. Therefore, all applicators must be aware of the treatment algorithm in the case of ischemia.
OBJECTIVE: This article reports a case of lip ischemia after filling with hyaluronic acid, completely reversed only after the use of warm compresses.
METHODS: Use of warm compresses in case of lip ischemia.
RESULTS: Complete reversibility of ischemia.
CONCLUSIONS: Despite not being the only measure to be adopted in an ischemia condition after hyaluronic acid filling, this case demonstrates the value of using warm compresses, which in the present report was sufficient to revert the condition.

Keywords: Cosmetic techniques; Hyaluronic acid; Lip

INTRODUCTION: The perioral region is commonly affected by non-melanoma skin cancer. Mohs micrographic surgery is the treatment of choice in this area because it has the highest cure rate and preserves healthy tissue. Several methods are available for restoring the perioral region, and their selection is influenced by the surgical wound characteristics and the surgeon's preference.
OBJECTIVE: Describe the authors’ experience in perioral reconstruction after Mohs micrographic surgery and analyze the repair methods most frequently performed.
METHODS: Retrospective study of consecutive cases submitted to Mohs surgery and perioral reconstruction.
RESULTS: The study included 108 cases from 103 patients. The mean number of Mohs surgery stages was 1.4, and the mean defect size was 16 mm. Primary closure was the most used technique for reconstruction, followed by flaps (mainly V-Y, single advancement, and rotation). The association of repair methods was used in 28.7% of cases, mostly combined with flaps. Four patients had complications (necrosis and graft infection, trapdoor effect, and partial wound dehiscence).
CONCLUSION: Primary closure was the most frequent repair method, followed by flaps. Knowing reconstruction strategies and possibilities of associations is essential for proper restoration of the perioral region, maintaining its functionality, sensitivity and aesthetics.

Keywords: Lip; Lip neoplasms; Mohs surgery; Skin neoplasms

Filling with hyaluronic acid using a pen that injects with vacuum pressure in the lips region became popular due to not using needles, but it presents risks like any minimally invasive procedure. We present a case of injection of hyaluronic acid with this device in the labial region, which resulted in a subocclusion of the inferior labial artery. It is known that the use of pressure can offer a lower precision than the methods already used classically. Therefore, it is important to warn about the risks of this device, which despite not using needles, presents the same risks of complications.

Keywords: Dermal fillers; Hyaluronic acid; Lip

To simplify the procedure and increase lip augmentation safety, we have developed the KISS - Keep Injection Simple and Safe lip filler technique. To be simple, the method recommends only the evaluation of four anatomical parameters and the filling of five labial areas. To be safe, the injection is performed only in the supramuscular plane, using cannulas with a blunt tip, inserted in four entries: two in the upper lip and two in the lower lip. Fillers are injected in specific anatomical vectors for lips volumization, projection, contour improvement, and support of cupid’s bow and lip corners.

Keywords: Hyaluronic acid; Dermal fillers; Lip