服務項目 》Lip Reduction
Lip Reduction
by Dr. Lih-Ren Jong
Eyes, nose and lips are located in front view of face. There are quite noticeable. Blepharoplasty and rhinoplasty are common practice in Asian countries to beautify eyes and nose. But lip aesthetics is neglected by most of plastic surgeons. Hyaluronic acid is a useful tool to augment lips, but related reports of lip reduction in Asian people are rare. People with thick lips usually purse their lips unconsciously to reduce show of lips. After lip reduction, they do not have to hide their thick lips.
It is hard to define beautiful lips. There is no universal standard of lip beauty. Beautiful lips in Caucasian country may be though to be too thick in Asian country.
There are some basic concepts:
- Lower lip should be thicker than upper lip. If upper lip is 1 cm in width, lower lip should be 1.5-1.7 cm in width.
- Lips will be thinner when aging. A person with thin lips looks older. It is recommended not to excise too much lip tissue. Number 1 reason is that it is hard to revise the surgery if lip is excise too much . Number 2 reason is that thin lips is not aesthetically acceptable.
- Lower edge of upper lip should be M shape (Mark as M' in below picture). A person with M shape upper lip looks like he or she is smiling. Presently thinner M shape upper lip with fuller lower lip is a preferred lip shape.
Upper left is Angelina Jolie's lips. Upper right is the ideal lips (Angela Baby) for Asian women.
Below are lips of some Asian woman's stars. (Fan Bing-Bing, Lin Chi-ling, Zhang Zi Yi, Vivian Hsu, Shu Qi).
Below are lips of some Asian man's stars.
From the left to the right: Kai Ko, Aaron Kwok, Takeshi Kaneshiro.
From the let picture to the right one: Rain (Jung Ji-hoon), Bae Yong-joon, Fukuyama Masaharu.
Men with small lips and obvious tubercle of upper lip look femine.
Unusually large lips aesthetically can make a person appear or feel unattractive. In addition, adverse stereotypical characterizations amplify this characteristic and associate it with being dumb or mentally slow.
Teeth is closely related with lips. Below right is typical dental relationship. Below right is a case with bimaxillary protrusion. Teeth protrude anteriorly which influences the lip posture. After correction of dental relationship, protruded lips will improve at the same time. Lip reduction surgery maybe is not needed. Lips appear thicker in people with small chin. Chin augmentation procedure is more important than lip reduction.
What is the reason why the lips look like smiling after lip reduction surgery?
Below left was before picture. Right was after picture. The width of lips become smaller after lip reduction surgery, but the surgery do not change the distance between the mouth corners. If the distance between mouth corners was 1, the before width of lips was 0.6. The after width was 0.4. Lip width became narrower. In another word, the mouth became wider porportionally. Wider mouth looked similar to smiling.
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麻醉方式：手術前會先做神經阻斷，也就是如牙科般打神經，上半嘴唇或下半嘴唇麻掉以後，再打嘴唇局部麻醉時不會痛，就可以進行手術了。對很緊張的人可以做全身麻醉，再進行手術。
手術如何進行：嘴唇是一個容易出血的組織。以往的手術方式是: 用器械夾緊要切除的嘴唇組織做止血，接著做嘴唇組織切除再快速縫合，這種方法拿下來的嘴唇組織是細長形的。做縮唇手術時設計是最重要的，針對每個人的需求不同設計也跟著不同。看似簡單的切除手術，在嘴唇部位的困難點有：
- 嘴唇是容易滑動又滑溜的結構，手術時固定嘴唇是很重要的，不然切口會不整齊，不對稱。
- 因為有口水的關係，手術前做的切除部位記號在切除前容易不見。沒有了記號就沒有辨法精確切除嘴唇組織。
- 如上所言，嘴唇是容易出血的部位。有經驗的醫師就可以克服以上的問題。
手術做法：在局部手術下將嘴唇的黏膜切除再加以縫合即完成手術。下左圖是下唇縮唇時切除的部位圖，右圖是手術後的疤痕，看不出來疤痕。
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以下是一些病例介紹。
上圖例是做完縮上唇手術後三年的追蹤照片。
上圖例是做完縮上唇及下唇手術後三年六個月的追踨照片。
其他縮上唇參考案例。
上圖例在他院玻尿酸打下唇，因為打太淺，造成下唇有水泡狀的現象（箭頭處），右圖是縮上唇及將下唇過多玻尿酸擠出來後的照片。其他縮上下唇參考案例。
從左至右是術前，術後一週（拆線時），術後數月後。
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嘴唇太薄看起來會較老。玻尿酸是一種常拿來豐唇的填充物。
自體脂肪也可以用來豐唇，但手續麻煩，而且在嘴唇部位打進去的脂肪會消失掉。
所以鍾醫師認為，打玻尿酸會較好。上唇打出唇珠的感覺，下唇豐厚一起會要好看。以上是案例介紹。
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- 傷口痛才需服用止痛藥（白色藥丸，成分與普拿疼相同acetaminophen 500mg）不傷胃，一次一粒，間隔4-6小時一粒。
- 早晚各一次將眼藥膏（成分為氯四環素Chlorotetracycline）薄薄塗抹在傷口處。
- 抗生素（綠白色膠囊，成分Cephalexin 500 mg），飯後服用一次一粒，一天三次。
- 手術後前三天可以用冰敷幫忙消腫止痛，第四天可以改温敷來改善腫脹瘀青現象（冰温敷時間以敷三十分鐘，休息三十分鐘為原則）。睡覺時盡量保持頭高於心臟可減輕患部腫脹。
- 手術後三天如嘴唇腫漲較多的話，請採流質或軟質飲食。
- 某些人術後較腫，嘴巴不易閉合，會有暫時性流口水現象。
- 刷牙時小心傷口。
- 一週後回診拆線。縫合傷口的肉線有些人會有一週內部份掉落。
- 前兩週減少嘴巴表情。
- 術後前一～二個月，在笑的時候會有嘴唇拉緊的暫時現象。
- 手術結果約要三個月後會較穩定。
如果你有其他問題，可以寄到 service@LRclinic.com.tw 我們會儘快答覆你。有關手術費用的問題，因為採取的手術方式得看過診後才可以得知，請不要透過網路詢價。
