V-Y in V-Y procedure: new technique for augmentation and protrusion of the upper lip.

A new surgical technique for upper lip augmentation is presented. In this technique, 2 vertically parallel V-shaped incisions placed in a "V in V" fashion are used. Remarkable augmentation of the lip is provided by V-to-Y closure of the incisions. Over 7 years, this new technique, namely, V-Y in V-Y procedure, was used in 46 female patients for upper lip augmentation. The mean age of patients was 23 years, ranging from 16 to 47 years. The average follow-up was 2 years. In all patients, a satisfactory upper lip augmentation was obtained. Except a moderate edema subsiding within 2-3 weeks postoperatively, there was no complication in our patients. Despite that no filling material was used, the results were found to be long lasting at late term. The "V-Y in V-Y" procedure is a very easygoing and adjustable technique which allows the surgeon to augment the lip tubercle and the lateral segments separately, as required by the individual needs of each patient. Besides an anatomic lip augmentation by preserving and accentuating the natural contours of the lip, this new procedure provides a remarkable protrusion of the entire upper lip as an additional contribution for rejuvenation of the upper lip.