PMC3111109_01
Ascher syndrome: Blepharochalasis and double upper lip
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F1
A 13-year-old girl was presented with aesthetic deformity of the upper lip [Figure 1].
Preop repose: Bulky upper lip
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F2
On examination, her upper lip was bulky in repose [Figure 2].
Preop smiling: Double upper lip
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F3
When she smiled, a horizontal sulcus appeared in the upper lip making it appear as if she had two upper lips [Figure 3].
Blepharochalasis: Prominent on right side and excess skin more laterally
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F4
The excess skin was consistently more prominent laterally than medially [Figure 4].
Postop repose: Bulk reduced
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F5
Her lip wound healed without complications and lip symmetry maintained [Figures 5 and 6].
Postop smiling: Lip symmetry maintained
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F6
Her lip wound healed without complications and lip symmetry maintained [Figures 5 and 6].