Lip asymmetry: a local correction only?

Authors

DOI:

https://doi.org/10.33448/rsd-v11i16.37622

Keywords:

Facial asymmetry; Hyaluronic acid; Dermal fillers.

Abstract

Introduction: Harmony in facial aesthetics proved to be one of the main physical aspects for a better relationship between individuals. On the other hand, asymmetry can cause individuals to present psychological and aesthetic consequences during life. Factors linked to maturation and cell death causes the decay of facial tissues, affecting the middle and lower thirds of the face. Through a thorough clinical evaluation, the treatment of facial disharmonies is ensured with the use of injectable fillers in order to harmonize the patient's profile. Objective: To report the clinical case of a female patient, Caucasian, 38 years old, with lip asymmetry and to describe the procedures that were performed with the use of facial fillers in the middle third of the face to correct lip decay. Case report: A 38-year-old female patient arrived at the private office with a complaint of lip asymmetry on the left side. After a detailed clinical evaluation and obtaining images for facial analysis, an asymmetry was observed on the left side. To start the treatment, injectable calcium hydroxyapatite biostimulators (Radiesse) and lip fillers were proposed in equal points and proportions on both sides. The patient was warned that in the first moment the lip asymmetry would be maintained, because to complement the treatment, structuring points were defined in the middle third with greater concentration on the left side of the face. At the end of the proposed treatment in the middle third region, a correction of the lip asymmetry was noted.

References

Almeida, A. T., Figueredo, V., Cunha, A. L. G., Casabona, G., Faria, J. R. C., Alves, E. V., Sato, M., Branco, A., Guarnieri, C., & Palermo, E. (2019). Consensus Recommendations for the Use of Hyperdiluted Calcium Hydroxyapatite (Radiesse) as a Face and Body Biostimulatory Agent. Plastic and Reconstructive Surgery Global Open, 7(3): 1-9

Cheong, Y. W., & Lo, L. J. (2011). Facial Asymmetry: Etiology, Evaluation, and Management. Chang Gung Medial Journal, 34(4): 341-51.

Cruz G. S., & Bred P. L. C. L. (2021). Os impactos da harmonização orofacial na odontologia: necessidade x vaidade. Brazilian Journal of Health Review, 4(6): 26579-80

Dall’Magro, A. K., Dogenski, L. C., Dall’Magro, E., Figur, N. S., Trentin, M. S., & Carli, J. P. (2021). Orthognathic surgery and orthodontics associated with orofacial harmonization: Case report. International Journal of Surgery Case Reports, 83(1): 1-6.

Faria, T. R., & Júnior, J. B. (2020). Possíveis intercorrências do preenchimento facial com ácido hialurônico. Revista Conexão Ciência, 15(3): 71-83.

Fundarò, S. P., Salti, G., Malgapo, D. M. H., & Innocenti, S. (2022). The Rheology and Physicochemical Characteristics of Hyaluronic Acid Fillers: Their Clinical Implications. International Journal of Molecular Sciences, 23(18): 1-19.

Guardia, C., Virno, A., Musumeci, M., Bernardin, A., & Silberberg, M. B. (2022). Rheologic and Physicochemical Characteristics of Hyaluronic Acid Fillers: Overview and Relationship to Product Performance. Facial Plastic Surgery, 38(2): 116-23.

Heydenrich, I. (2020). The Treatment of Facial Asymmetry with Botulinum Toxin: Current Concepts, Guidelines, and Future Trends. Indian Journal of Plastic Surgery, 52(2): 219-29.

Kobus, K., & Kobus-Zalésna, K. (2017). The treatment of facial asymmetry: Review. Advances in Clinical and Experimental Medicine, 26(8): 1301-11.

Koppel, D. A. (2017). The Diagnosis and management of facial asymmetry. Journal of Oral Biology and Craniofacial Research, 27(1): 1.

Li, K., Meng, F., Li, Y. R., Tian, Y., Chen, H., Jia, Q., Cai, H. X., & Jiang, H. B. (2022). Application of Nonsurgical Modalities in Improving Facial Aging. International Journal of Dentistry, 1-18.

Lima, N. B., & Soares, M. L. (2020). Utilização dos bioestimuladores de colágeno na harmonização orofacial. Clinical and Laboratorial Research in Dentistry. 1-18.

López-Buitrago, D. F. (2020). Diferencias en la morfología ósea entre el lado desplazado y contralateral en pacientes con asimetría facial: Estudio 3D-TC. CES Odontología, 33(2): 23-38.

Medeiros, S. F. D., Silva, R. C. S., Cirne, G. N. M., Carvalho, A. B. C., Lima, N. M. F. V., Cacho, E. W. A., & Cacho, R. O. (2020). Bem-estar e comprometimento motor facial em pacientes com paralisia facial periférica: um estudo transversal. Revista de Pesquisa em Fisioterapia, 10(1): 470-7.

Pereira A. S., et al. (2018). Metodologia da pesquisa científica. UFSM.

Pierre, S., Liew, S., & Bernardin, A. (2015). Basics of Dermal Fillers Rheology. Dermatologic Surgery, 41(1): 120-6.

Saraç, N., & Pancar, G. S. (2019). Treatment of asymmetric lip with a hyaluronic acid filler. Mucosa, 2(3): 83-5.

Srivastava, D., Singh, H., Mishra, S., Sharma, P., Kapoor, P., & Chandra, L. (2018). Facial asymmetry revisited: Part II–Conceptualizing the management. Journal of Oral Biology and Craniofacial Research, 8(1): 15-9.

Srivastava, D., Singh, H., Mishra, S., Sharma, P., Kapoor, P., & Chandra, L. (2018) Facial asymmetry revisited: Part I- diagnosis and treatment planning. Journal of Oral Biology and Craniofacial Research, 8(1): 7-14.

Swift, A., Liew, S., Weinkle, S., Garcia, J. K., & Silberberg, M. B. (2021). The Facial Aging Process From the “Inside Out”. Aesthetic Surgery Journal, 41(10): 1107-19.

Thiesen, G., Gribel, B. F., & Freitas, M. P. M. (2015). Facial asymmetry: a current review. Dental Press Journal of Orthodontics, 20(6): 110-25.

Published

28/11/2022

How to Cite

AGUIAR, T. S.; COELHO, P. M. Lip asymmetry: a local correction only?. Research, Society and Development, [S. l.], v. 11, n. 16, p. e32111637622, 2022. DOI: 10.33448/rsd-v11i16.37622. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/37622. Acesso em: 2 mar. 2024.

Issue

Section

Health Sciences