{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T05:14:57Z","timestamp":1777958097823,"version":"3.51.4"},"reference-count":15,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,2,23]],"date-time":"2026-02-23T00:00:00Z","timestamp":1771804800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,2,23]],"date-time":"2026-02-23T00:00:00Z","timestamp":1771804800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Cosmetic Dermatology"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The upper lip plays a central role in facial harmony and youthful appearance. Aging\u2010related changes include elongation of the philtrum, thinning of the vermilion, and reduced maxillary incisor show. Surgical lip lift shortens the cutaneous upper lip and enhances vermilion exposure, yet patient selection and outcome assessment remain non\u2010standardized.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To critically evaluate current evidence on surgical lip lift techniques, including the classical subnasal bullhorn approach and its modifications, and to provide evidence\u2010based recommendations for anatomy\u2010driven technique selection.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A PRISMA 2020\u2013compliant systematic review was conducted, with protocol registration in PROSPERO. Studies included adult patients (\u2265\u200918\u2009years) undergoing lip lift for aesthetic or aesthetic\u2010functional indications. Prospective and retrospective clinical studies and case series (\u2265\u20095 patients) published between 2017 and 2025 were identified through database searches. Data extraction focused on surgical technique, morphometric outcomes, patient satisfaction, and complications. Meta\u2010analysis was not feasible due to heterogeneity. Methodological quality was assessed using the MINORS instrument and JBI checklists.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Seven studies comprising 1754 patients were included. Subnasal bullhorn techniques and their modifications reduced philtral length from 14.0\u201314.5\u2009mm to 10.8\u201312.0\u2009mm, increased vermilion height from 5.0\u20136.0\u2009mm to 7.0\u20139.0\u2009mm, and improved maxillary incisor show from 1.5\u20132.0\u2009mm to 3.5\u20135.0\u2009mm. Patient satisfaction was high (mean GAIS score 4.4\/5). Complications were predominantly mild and transient, with revision rates of 0.6%\u20136.7%. Overall study quality was moderate.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Surgical lip lift is a safe and effective procedure for restoring upper\u2010lip proportions. Technique selection should be individualized, and further prospective studies with standardized outcome measures are needed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial Registration<\/jats:title>\n                    <jats:p>CRD420251232005<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jocd.70703","type":"journal-article","created":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T10:40:09Z","timestamp":1772966409000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Bullhorn and Beyond: Evidence\u2010Based Review and Clinical Recommendations for Lip Lift Techniques"],"prefix":"10.1111","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1037-3711","authenticated-orcid":false,"given":"Oskar","family":"Komisarek","sequence":"first","affiliation":[{"name":"Department of Otolaryngology, Phoniatrics and Audiology, Faculty of Medicine, Collegium Medicum Nicolaus Copernicus University in Toru\u0144  Bydgoszcz Poland"},{"name":"The Regional Specialist Hospital in Olsztyn  Olsztyn Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5533-4057","authenticated-orcid":false,"given":"\u0141ukasz","family":"Banasiak","sequence":"additional","affiliation":[{"name":"The Regional Specialist Hospital in Olsztyn  Olsztyn Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-8109-4696","authenticated-orcid":false,"given":"Vanessa","family":"Olichwer","sequence":"additional","affiliation":[{"name":"Student Scientific Association of Maxillofacial Surgery, Faculty of Medicine Collegium Medicum, Nicolaus Copernicus University in Toru\u0144  Bydgoszcz Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6653-4599","authenticated-orcid":false,"given":"Pawe\u0142","family":"Burduk","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Phoniatrics and Audiology, Faculty of Medicine, Collegium Medicum Nicolaus Copernicus University in Toru\u0144  Bydgoszcz Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,2,23]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/ics.12622"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00266\u2010020\u201001871\u20103"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00266\u2010023\u201003302\u20105"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00266\u2010024\u201004260\u20102"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocd.70310"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2024.04.025"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.2147\/CIA.S48102"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fsc.2019.04.004"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1089\/fpsam.2021.0077"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.30733\/std.2023.01600"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40902\u2010025\u201000459\u20108"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/GOX.0000000000002653"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000005315"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1055\/s\u20100041\u20101722906"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.14730\/aaps.2022.00759"}],"container-title":["Journal 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