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Invited commentary| Volume 65, ISSUE 3, P361-362, March 2012

Combined autologous free dermis graft and lipofilling for correction of post-traumatic upper lip notching

  • Ulrich M. Rieger
    Correspondence
    Corresponding author. Department of Plastic, Reconstructive and Aesthetic Surgery, Medical University Innsbruck (MUI), Anichstrasse 35, 6020 Innsbruck, Austria. Tel.: +43 512 504 80088.
    Affiliations
    Department of Plastic and Reconstructive Surgery, Medical University Innsbruck (MUI), Anichstrasse 35, 6020 Innsbruck, Austria
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  • Gerhard Pierer
    Affiliations
    Department of Plastic and Reconstructive Surgery, Medical University Innsbruck (MUI), Anichstrasse 35, 6020 Innsbruck, Austria
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Published:October 05, 2011DOI:https://doi.org/10.1016/j.bjps.2011.09.036
      With great interest we have read the article “Acellular human dermis, a good option for correcting the free border deficiency in secondary cleft lip deformity.” by KN Lee and KS Koh.
      • Lee K.N.
      • Koh K.S.
      Acellular human dermis, a good option for correcting the free border deficiency in secondary cleft lip deformity.
      The authors share their experience in correcting deficiency of the free border of the upper lip after primary cleft lip repair using a combination of V-Y-advancement of the labial mucosa with either acellular human dermis or temporoparietal fascia. The authors report consistent volume of the augmented free border with both techniques with a mean follow-up of more than a year.
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      References

        • Lee K.N.
        • Koh K.S.
        Acellular human dermis, a good option for correcting the free border deficiency in secondary cleft lip deformity.
        J Plast Reconstr Aesthet Surg. 2012; 65: 356-362
        • Nicolle F.V.
        • Matti B.A.
        • Scamp T.
        Dermal and fascial autografts in facial aesthetic surgery.
        Aesthetic Plast Surg. 1992; 16: 219

      Linked Article

      • Acellular human dermis, a good option for correcting the free border deficiency in secondary cleft lip deformity
        Journal of Plastic, Reconstructive & Aesthetic SurgeryVol. 65Issue 3
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          Free border deficiency is often seen after repairing the primary cleft lip. Mild deficiency of this area can be corrected by rearranging available local tissue, but, in severe cases, the absolute shortage of tissue requires recruitment of other tissues for a satisfying result. Although many types of materials have been used, filling materials alone have not provided favourable results. We have therefore attempted to overcome these limitations by combining V-Y advancement of the labial mucosa, with providing additional tissue to the deficient area with acellular human dermis or temporoparietal fascia.
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