case_images: PMC3235669_01
case_images: Pre-operative patient's photograph.
case_images: CRIM2011-824634.001.jpg
case_images: PMC3235669_01_CRIM2011-824634.001.jpg
case_images: fig1
case_images: A 35-year-old male patient came to our department with chief complain of deposits on his teeth and also complained that his upper lip was large and unusual because of which he felt ashamed and wanted to get it corrected (Figure 1).
case_images: Frontal view of double lip.
case_images: CRIM2011-824634.002.jpg
case_images: PMC3235669_01_CRIM2011-824634.002.jpg
case_images: fig2
case_images: Upon examination, a thick upper lip was seen with midline constriction band between two mucosal bulges which was even visible at rest (Figure 2).
case_images: Dissection of hyperplastic upper labial tissues.
case_images: CRIM2011-824634.003.jpg
case_images: PMC3235669_01_CRIM2011-824634.003.jpg
case_images: fig3
case_images: Under local anesthesia, hyperplastic upper labial tissue was demarcated and excised by a transverse elliptical incision from one commissure to another with central Z plasty using blunt and sharp dissection (Figure 3).
case_images: Sutures placed.
case_images: CRIM2011-824634.004.jpg
case_images: PMC3235669_01_CRIM2011-824634.004.jpg
case_images: fig4
case_images: The surgical defect was closed using interrupted vicryl sutures (Figure 4).
case_images: Immediate postoperative view.
case_images: CRIM2011-824634.005.jpg
case_images: PMC3235669_01_CRIM2011-824634.005.jpg
case_images: fig5
case_images: Sutures were removed after a week and postoperative healing was uneventful (Figures 5 and 6).
case_images: Postoperative view after 1 week.
case_images: CRIM2011-824634.006.jpg
case_images: PMC3235669_01_CRIM2011-824634.006.jpg
case_images: fig6
case_images: Sutures were removed after a week and postoperative healing was uneventful (Figures 5 and 6).