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Is Lip Reconstruction Possible for Me?
In 1993, I underwent lip surgery. Doctor cut and stitched by my lips. I had no shape and had bad scars. In 1999, I underwent another procedure implanting Alloderm. However, implant could not correct the missing cupid's bow. Therefore, injectable fillers were used. During the past year, my upper lip started protruding. I visited the doctor who implanted Alloderm and he said, "I see it," and recommended I should leave it alone until better options were available. I want the implants removed and my lips reconstructed. Is this possible now?
Asked 35 months ago by
mary74 in Chicago, IL
+2
Lip reconstruction
The upper and lower lips have many subunits, which are named for their geographical location. You have lost the "cupid's bow peak", which is the central part of the upper lip. Use old photos, taken before your intial surgeries to communicate with your surgeon your aesthetic ideals but be prepared to have staged reconstruction. During the course of burn reconstruction, we often have to reconstruct the upper lip with tissue "borrowed" from the lower lip, a process...
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+1
Alloderm Gets Absorbed In Time
Alloderm grafts get absorbed over time. It is not possible to remove the implants after a few years of placement. The protrusion you are feeling might not be related to Alloderm but the result of scar maturation and contracture. You have the ability to try reversible fillers like Juvederm and Restylane to see if the lip shape can be improved. The cupids bow is a tough area but it can be improved with proper use of the fillers.
Regards
Bedminster Facial Plastic Surgeon
+1
Lip reconstruction
Lip reconstruction is a challenging surgery but can produce good results in the right hands.
A photo would be best to view where your lips are now.
In the absence of a photo what I can tell you is this:
1) It may be possible to remove the AlloDerm and advance your own tissues (from inside the mouth) to help recreate the red lip.
2) The natural curves of cupids bow are the hardest to recreate.
3) In extreme cases of lip deformity, we can transplant lip tissue from the lower lip to the upper...
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Madison Facial Plastic Surgeon
