Double Lip: A Review of Literature and a Case Report

Abstract

Ascher’s syndrome is a rare congenital anomaly causes recurrent edema of the upper eyelid resulting in blepharochalasis in one hand and similar edema of the lip resulting in a double lip on the other hand. Double lip is characterized by two soft, flabby masses of tissue on either side of the midline of the lip. This anomaly primarily causes an aesthetic problem, and it becomes more apparent during speak and smile. Thus, unaesthetic appearance remains the main patients’ complain for surgical correction. A 33-years-old male patient complained gradual enlargement of his upper lip resulting in unpleasant appearance causing him embarrassment during smile and speech. The patient was systemically healthy no history of systemic diseases, no family history for the reported condition. Clinical examination revealed bilateral blepharochalasis clinically presented as atrophy of redundant upper eyelid skin with an obvious double upper lip at rest with the inflated appearance on smiling. Based on patient’s demand for enhancing appearance and smile, surgical treatment of the double lip by transverse elliptical incisions from both commissures to the midline was performed in order to reduce the excessive bulk of redundant tissues. Ten days later, sutures removed, healing was more than satisfactory, and treatment resulted in improved esthetic with high patient satisfaction.