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Technique for correction of the retracted columella, acute columellar-labial angle, and long upper lip

R S Flowers, E M Smith
Aesthetic Plastic Surgery 1999, 23 (4): 243-6
The excess tissue from upper lip vertical length reduction provides bulk for opening the columella-labial angle and increasing the visibility of the columella and upper lip vermillion. Decorticated centrally based transverse flaps from the lip and nostril floor, when transposed into a columellar pocket, correct commonly combined degenerative or developmental deformities. The technique delivers premaxilla, columella, and columella-labial angle mass, which simultaneously corrects the retracted columella, opens the columella-labial angle, shortens the upper lip length, and enhances vermillion visibility.

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