Personal orbicularis mouth muscle suspension technique for lip augmentation: a case report

Abstract

The elliptical lip technique has been developed as a method to prevent dermal overfilling syndrome, a common complication in traditional lip augmentation procedures. This approach integrates an intraoral component, targeting specific anatomical points to elevate the orbicularis oris muscle, with a conventional extraoral technique. The present case report demonstrates how the elliptical technique allows for remodeling the contraction dynamics of the orbicularis oris muscle through targeted hyaluronic acid (HA) infiltrations. This dual approach—combining both intraoral and extraoral techniques—defines a new strategy for lip augmentation that avoids the common complications associated with dermal filler overload. The method involves suspending the orbicularis oris muscle via supraperiosteal HA injections, creating an upward vector that supports and repositions the entire premaxillary complex. The results of the clinical case demonstrate a natural enhancement of lip contour and volume, achieved through muscular support rather than excessive filler deposition, thereby preserving tissue expressiveness and minimizing the risk of “dermal filler syndrome.”