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Arch Facial Plast Surg. 2004;6:179.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Lasting enhancement of the thin lip is a challenge with solutions that are less than perfect. The fact that there are many solutions to the problem is a testimony that no single treatment conquers the problem for all patients.

Injectable fillers are temporary, or they are relatively permanent and can cause granulomas. (While there have been advances in the filler field, a discussion of them is beyond the scope of this writing.) Insertional fillers (polytef, fascia) become palpable or restrict movement after a while. Surgical techniques are subject to the skill and experience of the surgeon and are not applicable to every patient.

The challenges to the lip surgeon arise, in large part, because patients are so different. Their lips are of different shapes (thin, thick, arched, bowed, puckered, etc). Their bony maxillary and mandibular structures are different (protuberant, recessive, wide, narrow, etc). Their teeth are different (big, small, close . . . [Full Text of this Article]

Greg Keller, MD
222 W Pueblo St
Santa Barbara, CA 93105-3805
(e-mail: faclft@aol.com)

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