{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T05:40:19Z","timestamp":1756359619591,"version":"3.44.0"},"reference-count":12,"publisher":"BMJ","issue":"9","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,9,2]]},"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:p>Double lip or macrocheilitis is a rare facial anomaly, mostly congenital in origin. It commonly involves the upper lip than the lower lip. It may occur in isolation or as part of the Ascher\u2019s syndrome. It results due to deposition of excessive areolar tissue and non-inflammatory hyperplasia of labial mucosa gland of pars villosa. It may be acquired as a result of injury to the lips or lip-biting habit. The double lip becomes conspicuous when the lips are retracted during smiling resulting in the characteristic \u2018cupid\u2019s bow\u2019 appearance. This disfigurement can pose aesthetic and functional problems and may result in psychological distress. A surgical intervention is must for restoration of functions and to address the aesthetic concerns. The present article reports a case of non-syndromic double upper lip with triple labial frena and its surgical management with laser on one side and with scalpel on the other side.<\/jats:p>","DOI":"10.1136\/bcr-2021-243156","type":"journal-article","created":{"date-parts":[[2021,9,21]],"date-time":"2021-09-21T13:06:28Z","timestamp":1632229588000},"page":"e243156","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Non-syndromic double upper lip with triple frena: cosmetic cheiloplasty"],"prefix":"10.1136","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9403-8813","authenticated-orcid":false,"given":"Monika","family":"Gupta","sequence":"first","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, Maharishi Markandeshwar College of Dental Sciences and Research, Ambala, Haryana, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Harshita","family":"Vig","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, Maharishi Markandeshwar University, Mullana, Haryana, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yajas","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, Maharishi Markandeshwar University, Mullana, Haryana, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aliza","family":"Rizvi","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, Maharishi Markandeshwar University, Mullana, Haryana, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,9,21]]},"reference":[{"key":"2025082722043893000_14.9.e243156.1","first-page":"466","article-title":"Congenital maxillary double lip: review of the 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