Ardeshir Vahidi
University of Leicester Affi liated Teaching Hospital, UK
Title: Butterfl y type excision of suspected skin lesion on upper lip and cosmetic outcome leading to a permanent augmentation of upper lip (personal technique)
Biography
Biography: Ardeshir Vahidi
Abstract
According to my previous publication, mentioning idea of “informational lines with intense sexual signals “in these two case report I do bring the practical proves for sustaining of my personal theory, evidence of need for nice line, shape and form which contents sexual signals. The fact that, lines have their own languages and words, giving the things a meaning, senseand expression, especially in this context I am referring to the Shapes, Contours on women’s face in the term of “Psychoaesthetics”. One of the most important issues in surgery of upper lip, “removing or the excision of skin lesions/moles on upper lip”, specifically on the Cupid area, could leave a considerable modified anatomical reports, (post-op asymmetrical aspect of lips and visible unwanted scar). The usual procedure in a case of excision biopsy of any skin lesion according to the British guide lines, has to be vertically and with 2 mm surrounding secure margin for not leaving any residual tissue behind. These two case reports of mine are about a patient of 55 and other 65 years old which were concerned about post-op outcome and the asymmetrical appearance of the upper lip after excision biopsy of a long standing mole. As we know the vertical excision of lesions on upper lip will leave anasymmetrical aspect of lip and a visible scar later on. So in this technique I avoid the asymmetrical aspect of the upper lip, using my personal approach of a butterfly incision which is in accordance to the guide lines of primary excision biopsy of skin lesion in UK and cosmetic post-op outcome within an invisible scar. I have to highlight the fact that after this procedure the patient has a permanent lip augmentation which will give her a unexpected cosmetic result and psychological comfort and satisfaction. Conclusion: If the removal of a mole or skin lesion from upper lip with vertical approach gives the patient a release of not having a malignant or suspected lesion, but it will give her a permanent and undoable asymmetrical lip and a vertical visible scar. I am highlighting that in my proposed technique the patient will have an excellent outcome and be psychologically satisfied as well as having the removal of a suspected lesion. Advantages: Excision biopsy is done at the limit and margin as requested in guidelines. (margin of 2 mm). Avoiding the asymmetric lip. No visible scar Excellent cosmetic aspect of the lip by a permanent lip augmentation. Patient’s psychological satisfaction. Safe revision surgery if is needed. Easy lip reconstruction for further excision in case. Disadvantages: Invisible Cupid Bow in case of mole or skin lesions over the Cupid’s Bow. Risks: Incomplete excision of lesion, Asymmetric width of Vermilion of lip. Revision surgery to be needed Methods and Instruments: Microsurgical Loops, Microsurgical tools as iris, needle holder, scissor.6/0 Vicrylrapide.suture.