{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T13:39:52Z","timestamp":1777642792794,"version":"3.51.4"},"reference-count":8,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2014,7,1]],"date-time":"2014-07-01T00:00:00Z","timestamp":1404172800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["JAMA Facial Plast Surg"],"published-print":{"date-parts":[[2014,7]]},"abstract":"\n Importance<\/jats:title>\n Resection of the depressor septi in rhinoplasty has been used to correct the smiling deformity. Studying the effects of this maneuver on the upper lip length is important for operative planning, as well as for patient counseling.<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n To define an approach to the resection of the depressor septi muscle during functional and aesthetic rhinoplasty and to determine whether performing this maneuver causes any measureable change in the length of the upper lip in the repose position.<\/jats:p>\n <\/jats:sec>\n \n Design, Setting, and Participants<\/jats:title>\n A retrospective medical record review and photographic analysis were performed on 36 patients who had undergone rhinoplasty involving resection of the depressor septi by either of 2 of the investigators at a tertiary care academic center and a private practice between 2010 and 2013. All maneuvers performed during the procedure were recorded. Preoperative photographs were compared with postoperative photographs using Adobe Photoshop, and percent change in upper lip length was calculated.<\/jats:p>\n <\/jats:sec>\n \n Intervention<\/jats:title>\n Rhinoplasty involving resection of the depressor septi.<\/jats:p>\n <\/jats:sec>\n \n Main Outcome and Measure<\/jats:title>\n Percent change in upper lip length, calculated by measuring the ratio between upper lip length and intercanthal distance and comparing the preoperative and postoperative ratios.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Thirty-six patients were evaluated, including 22 men and 14 women. Postoperative photographs were taken a mean (range) of 7.06 months (7 days to 2 years) after surgery. The mean change was a 1.74% decrease in upper lip length; 24 patients (67%) had a decrease (mean [maximum], 5.89% [21.22%]), and 12 patients (33%), an increase (mean [maximum], 6.55% [12.68%]) in upper lip length. Compared with the preoperative lip length, the mean (95% CI) postoperative lip length was 100.09% (97.35%-102.83%) in women vs 95.37% (90.86%-99.88%) in men (\n P<\/jats:italic>\n \u2009=\u2009.07). No predictable factors determined whether a patient would develop a postoperative increase or decrease in upper lip length.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions and Relevance<\/jats:title>\n Resection of the depressor septi muscle during rhinoplasty is a well-documented maneuver often used in the treatment of the ptotic tip and smile deformity. This descriptive study showed that resection of the depressor septi muscle has an unpredictable but small effect on upper lip length in the repose position.<\/jats:p>\n <\/jats:sec>\n \n Level of Evidence<\/jats:title>\n \n 3<\/jats:ext-link>\n .\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1001\/jamafacial.2014.80","type":"journal-article","created":{"date-parts":[[2014,5,15]],"date-time":"2014-05-15T18:31:29Z","timestamp":1400178689000},"page":"272-276","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":11,"title":["Effect of Depressor Septi Resection in Rhinoplasty on Upper Lip Length"],"prefix":"10.1177","volume":"16","author":[{"given":"Yan","family":"Ho","sequence":"first","affiliation":[{"name":"Mount Sinai Medical Center, New York, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert","family":"Deeb","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery, Henry Ford Hospital, Detroit, Michigan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard","family":"Westreich","sequence":"additional","affiliation":[{"name":"Mount Sinai Medical Center, New York, New York"},{"name":"Lenox Hill Hospital, New York, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"William","family":"Lawson","sequence":"additional","affiliation":[{"name":"Mount Sinai Medical Center, New York, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2014,7,17]]},"reference":[{"key":"e_1_3_1_2_2","doi-asserted-by":"publisher","DOI":"10.1001\/archfaci.2011.1216"},{"issue":"5","key":"e_1_3_1_3_2","doi-asserted-by":"crossref","first-page":"370","DOI":"10.1097\/00000637-198905000-00001","article-title":"Aesthetic treatment of the columella.","volume":"22","author":"Cachay-Vel\u00e1squez H","year":"1989","unstructured":"Cachay-Vel\u00e1squez H, , Laguinge RE. Aesthetic treatment of the columella. Ann Plast Surg. 1989; 22(5):370-379. 2658720","journal-title":"Ann Plast Surg"},{"issue":"5","key":"e_1_3_1_4_2","doi-asserted-by":"crossref","first-page":"373","DOI":"10.1007\/s00266-004-0137-y","article-title":"A new approach to smiling deformity: cutting of the superior part of the orbicularis oris.","volume":"29","author":"Benlier E","year":"2005","unstructured":"Benlier E, , Top H, , Aygit AC. A new approach to smiling deformity: cutting of the superior part of the orbicularis oris. Aesthetic Plast Surg. 2005; 29(5):373-378. 16151663","journal-title":"Aesthetic Plast Surg"},{"issue":"1","key":"e_1_3_1_5_2","doi-asserted-by":"crossref","first-page":"376","DOI":"10.1097\/00006534-200001000-00061","article-title":"Importance of the depressor septi nasi muscle in rhinoplasty: anatomic study and clinical application.","volume":"105","author":"Rohrich RJ","year":"2000","unstructured":"Rohrich RJ, , Huynh B, , Muzaffar AR, , Adams WPJr, , Robinson JBJr. Importance of the depressor septi nasi muscle in rhinoplasty: anatomic study and clinical application. Plast Reconstr Surg. 2000; 105(1):376-388. 10627007","journal-title":"Plast Reconstr Surg"},{"issue":"5","key":"e_1_3_1_6_2","doi-asserted-by":"crossref","first-page":"381","DOI":"10.1007\/s00266-003-2070-x","article-title":"Relationship between tip nasal muscles and the short upper lip.","volume":"27","author":"de Souza Pinto EB","year":"2003","unstructured":"de Souza Pinto EB. Relationship between tip nasal muscles and the short upper lip. Aesthetic Plast Surg. 2003; 27(5):381-387. 14612993","journal-title":"Aesthetic Plast Surg"},{"issue":"10","key":"e_1_3_1_7_2","doi-asserted-by":"crossref","first-page":"1086","DOI":"10.1001\/archotol.1995.01890100006001","article-title":"Reduction columelloplasty: a new method in the management of the nasal base.","volume":"121","author":"Lawson W","year":"1995","unstructured":"Lawson W, , Reino AJ. Reduction columelloplasty: a new method in the management of the nasal base. Arch Otolaryngol Head Neck Surg. 1995; 121(10):1086-1088. 7546574","journal-title":"Arch Otolaryngol Head Neck Surg"},{"issue":"1","key":"e_1_3_1_8_2","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1001\/archotol.1955.03830010039005","article-title":"Role of depressor septi nasi muscle in rhinoplasty.","volume":"62","author":"Fred GB","year":"1955","unstructured":"Fred GB. Role of depressor septi nasi muscle in rhinoplasty. AMA Arch Otolaryngol. 1955; 62(1):37-41. 14387340","journal-title":"AMA Arch Otolaryngol"},{"issue":"2","key":"e_1_3_1_9_2","doi-asserted-by":"crossref","first-page":"286","DOI":"10.1097\/00001665-200603000-00015","article-title":"Relationship between depressor septi nasi muscle and dermocartilagenous ligament; anatomic study and clinical application.","volume":"17","author":"Hwang K","year":"2006","unstructured":"Hwang K, , Kim DJ, , Hwang G. Relationship between depressor septi nasi muscle and dermocartilagenous ligament; anatomic study and clinical application. 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