Aesthetic Plastic Surgery

, Volume 17, Issue 1, pp 23–29 | Cite as

Aesthetic camouflage of bilateral cleft lip scars: Technical revisions

  • Takuya Onizuka
  • Yoshiaki Hosaka
  • Kaneshige Satoh
Article

Abstract

We have attempted to change the two scar lines of bilateral cleft lip repair into one zigzag scar line. The prolabium is used to push up the columella and the nasal tip. The donor site of the prolabium is closed by transposition of the nasolabial flap. The postoperative scar shows one zigzag line at the center of the lip. This method has many advantages including an inconspicuous scar, repair of the short columella and flat nasal tip, repair of a wide nose, and repair of the whistling deformity.

Complications of this method are maxillary retardation, long lip deformity, and keloid formation. However, these can be avoided by modifying the method.

Key words

Bilateral cleft lip Zigzag line operation Wide and flat nose 

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References

  1. 1.
    Millard DR Jr: Bilateral cleft lip and a primary forked flap: a preliminary report. Plast Reconstr Surg 39:59–65, 1967Google Scholar
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    Millard DR Jr: Cleft Craft. Boston: Little, Brown, 1976, pp 303–304Google Scholar
  3. 3.
    Onizuka T, Hosaka Y, Ohne H et al: One-line-scar revision for the bilateral cleft lip based on the aesthetic aspects. J Jpn Aesth Plast Surg 6:23–34, 1984Google Scholar
  4. 4.
    Onizuka T, Hosaka Y, Sumiya N et al: Aesthetic camouflage of bilateral cleft lip scars. Aesth Plast Surg 11:241–247, 1987Google Scholar
  5. 5.
    Onizuka T, Udagawa K, Gyotoku H et al: Atypical repair of bilateral cleft lip deformity. J Jpn Aesth Plast Surg 10:2–8, 1988Google Scholar

Copyright information

© Springer-Verlag New York Inc 1993

Authors and Affiliations

  • Takuya Onizuka
    • 1
  • Yoshiaki Hosaka
    • 1
  • Kaneshige Satoh
    • 1
  1. 1.Department of Plastic and Reconstructive Surgery, School of MedicineShowa UniversityShinagawa, TokyoJapan

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