No-touch lip enhancement
Researchers describe their experience in a new study documenting 410 patients treated with an approach they use for lip enhancement, called the “no-touch technique.”
The study’s lead author Christopher C. Surek, D.O., a plastic surgery resident at University of Kansas Medical Center, Kansas City, Kansas, tells Cosmetic Surgery Times that the no-touch technique was originally described by the study’s senior author Javier Beut, M.D.
“The ‘no-touch’ concept is rooted in avoiding any direct needle injection into the wet or dry mucosa. All facets of the technique utilize cutaneous needle and cannula insertion ports,” Dr. Surek says. “The reason for this is that the mucosa swells quickly if repeatedly violated with needle injection, and we feel that this can distort the anatomy making it more challenging to determine appropriate volume and symmetry when performing lip injection.”
Dr. Surek and colleagues retrospectively analyzed patients having lip enhancement procedures between 2001 and 2014. The researchers determined the lip profile by the position of the white roll, which they accessed with a 30-gauge needle at a point 5 mm lateral to the oral commissure and at the base of the philtral columns, according to the study’s abstract.
To enhance lip projection, they entered the labial commissure with a 25-gauge cannula, going into the submucosal space between the white and red rolls.
“Lip augmentation is a direct reflection of the prominence of the red line and can be approached in a perpendicular fashion with a needle or cannula descending to the level of the wet-dry junction,” the researchers write.
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