학술논문

Intralabial Lip Compartments and Their Potential Clinical Relevance.
Document Type
Academic Journal
Author
Cotofana S; From the Department of Clinical Anatomy, Mayo Clinic College of Medicine and Science.; Hong WJ; Department of Plastic and Reconstructive Surgery, Guangdong Second Provincial General Hospital.; Horne J; private practice.; Harris S; private practice.; Surek CC; private practice.; Frank K; Division of Hand, Plastic, and Aesthetic Surgery, Ludwig-Maximilians-University Munich.; Alfertshofer M; Division of Hand, Plastic, and Aesthetic Surgery, Ludwig-Maximilians-University Munich.; Kattil PK; From the Department of Clinical Anatomy, Mayo Clinic College of Medicine and Science.; Sakuma T; private practice.; Onishi EC; Department of Dermatology, University of the Philippines, Philippine General Hospital.; Bertucci V; private practice.; Green JB; Skin Associates of South Florida, Skin Research Institute.; Smith MP; Division of Anatomy, Department of Medical Education, Albany Medical College.; Khan A; Division of Anatomy, Department of Medical Education, Albany Medical College.; Lowry N; Division of Anatomy, Department of Medical Education, Albany Medical College.
Source
Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 1306050 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1529-4242 (Electronic) Linking ISSN: 00321052 NLM ISO Abbreviation: Plast Reconstr Surg Subsets: MEDLINE
Subject
Language
English
Abstract
Background: Aesthetic soft-tissue filler injections for lip enhancement are popular and performed throughout the world. When injecting lips with a cannula, as the cannula is advanced, resistance is perceived in consistent locations, potentially indicating boundaries between intralabial compartments.
Objective: We aimed to investigate whether intralabial compartments exist and, if so, to describe their volumes, location, boundaries, and dimensions.
Methods: This cadaveric study investigated a total of 20 human body donors (13 male, seven female) with a mean (SD) age at death of 61.9 years (23.9) and body mass index of 24.3 kg/m 2 (3.7). The investigated cohort included 11 White donors, eight Asian donors, and one Black donor. Dye injections simulating minimally invasive lip treatments were conducted.
Results: Independent of sex or race, six anterior and six posterior compartments in the upper and lower lip were identified, for a total of 24 lip compartments. Compartment boundaries were formed by vertically oriented septations that were found in consistent locations. The anterior compartments had volumes ranging from 0.30 to 0.39 cc; the posterior compartment volume ranged from 0.44 to 0.52 cc. The compartment volumes were larger centrally and decreased gradually toward the oral commissure.
Conclusions: The volume and size of each of 24 compartments contribute to the overall appearance and shape of the lips. To achieve a natural lip shape preserving aesthetic outcome it may be preferable to administer the volumizing product using a compartment-respecting injection approach.
(Copyright © 2023 by the American Society of Plastic Surgeons.)