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Plastic Surgery International
Volume 2012 (2012), Article ID 206481, 8 pages
Clinical Study

Lip Height Improvement during the First Year of Unilateral Complete Cleft Lip Repair Using Cutting Extended Mohler Technique

1Institute of Plastic and Craniofacial Surgery, SOBRAPAR, Campinas, SP, Brazil
2Plastic Surgery Division, Department of Surgery, Universidade de São Paulo (USP), São Paulo, SP, Brazil

Received 22 July 2012; Accepted 1 December 2012

Academic Editor: Renato Da Silva Freitas

Copyright © 2012 Cassio Eduardo Raposo-Amaral et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Objective. To compare the cutaneous lip height at early and late postoperative periods and to objectively determine the average amount of lip height improvement during the first year of unilateral complete cleft lip repair using Cutting extended Mohler technique. Methods. In this prospective cohort study, 26 unilateral complete cleft patients and 50 noncleft subjects were included. Photographs were taken between 12 and 16 weeks (T1) and also taken between 12 and 13 months after surgery (T2). The cutaneous lip height distance (photogrammetric lip analysis) obtained in these two periods of time were measured and statistically analyzed. Results. The average lip heights were in T1 and in T2 ( ). The average lip height asymmetry in the noncleft individuals was . Conclusion. Since all principles to obtain a symmetrical Cupid’s bow were performed, the postoperative pull-up of Cupid’s bow is probably owed to the scar contracture, which improves by 2 times during the first year after surgery.