Introduction of the Lip Classification of Tubercles: A Novel Approach to Minimally Invasive Aesthetic Lip Treatments.

Autor:	Harris S; private practice in London, UK., Alfertshofer M; Division of Hand, Plastic and Aesthetic Surgery, Ludwig-Maximilians-University Munich, Germany., Allen R; Department of Psychology, Goldsmiths, University of London, UK., Castellari F; private practice in London, UK., Othoro D; private practice in London, UK., Bran G; private practice in London, UK., Cotofana S; Department of Clinical Anatomy, Mayo Clinic College of Medicine and Science, Rochester, MN, USA.
Jazyk:	angličtina
Zdroj:	Aesthetic surgery journal. Open forum [Aesthet Surg J Open Forum] 2023 Mar 15; Vol. 5, pp. ojad007. Date of Electronic Publication: 2023 Mar 15 (Print Publication: 2023).
DOI:	10.1093/asjof/ojad007
Abstrakt:	Background: Lip enhancement procedures involving dermal fillers are one of the most sought after nonsurgical aesthetic treatments. However, current trends are associated with unnatural results and involve increased risks of complications and compromise to normal function. It appears that lips may be classified according to the presentation of their tubercles and this may be used to guide minimally invasive techniques which aim to preserve individual lip shapes and normal function. Objectives: To test the reliability of a classification system based on lip tubercle morphology, named the Lip Classification of Tubercles (LCT). Methods: To test the reliability of the LCT, a total of 214 high-definition photographs of patients' lips with no previous histories of lip treatments were classified independently by 4 experienced aesthetic practitioners on 2 separate occasions 3 months apart; the second followed a more detailed explanation of the classification. Results: When inter-rater reliability was calculated for the first attempt, the results were 36% and 43% for upper and lower lips, respectively. The second attempt following an education process resulted in 79% for both lips. When 1 practitioner was considered the standard, the average score for the remaining 3 showed some individual variation but improved significantly from 58% to 85%. Conclusions: The LCT is a reliable way to classify lip types based on the morphology of tubercles. (© The Author(s) 2023. Published by Oxford University Press on behalf of the Aesthetic Society.)
Databáze:	MEDLINE
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