Customizing Perioral Enhancement to Obtain Ideal Lip Aesthetics: Combining Both Lip Voluming and Reshaping Procedures by Means of an Algorithmic Approach

Abstract

Achieving predictable results with oral lip enhancement procedures is now possible. These procedures are categorized as either lip-reshaping or lip-voluming techniques. By performing these techniques appropriately and simultaneously, the limitations of both are overcome and ideal lip aesthetics can be obtained in one operative setting. An algorithmic approach is presented to facilitate choice of techniques and when to combine them. This article also highlights the combination concept, discussing lip-reshaping procedures such as multiple mucosal advancements, modified paranasal lip lifts, and corner lip lifts performed in concert with voluming by means of fat transfer. However, the main focus of this article is on the fat transfer and simultaneous mucosal advancement (FATMA) procedure, one that has produced remarkable results in terms of permanency and aesthetic appeal. One-year to 7-year follow-up results are presented.