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    SMAS for lips?


    SMAS Lip Technique

    The procedure itself is quite simple, according to Dr. Rousso. “A strip of SMAS is excised in the preauricular area during a routine cervical facial rhytidectomy,” he says. “The strip is trimmed to approximately 7 cm x 1 cm in size.”

    An intramuscular tunnel is then created from the oral commissures bilaterally in both the upper and lower lip, after which the SMAS is placed into the upper and lower lip tunnels using a tendon passer.

    “Care is taken to assure that the SMAS is symmetrically placed within the lips,” Dr. Rousso notes. “The oral commissure incisions are then closed with interrupted sutures of 5-0 gut.”

    Related: No-touch lip enhancement

    Initially, the lips will be larger than the final result. “Patients must accept the fact that the lips will be fuller than expected for approximately 2 weeks,” Dr. Rousso says. “The lips may also stay slightly stiff for approximately 6 weeks after surgery.”

    The greatest median increase was in the superior lip at 3 months, while the smallest median increase was in the inferior lip at 5 years. 

    “SMAS lip augmentation is a safe and permanent technique for improving the aesthetic appearance of the lips,” Dr. Rousso says. “It can easily be performed during a cervical facial rhytidectomy procedure and adds very minimal additional time or expense.”


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