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Non-syndromic double upper lip with triple frena: cosmetic cheiloplasty
  1. Monika Gupta1,
  2. Harshita Vig2,
  3. Yajas Kumar2 and
  4. Aliza Rizvi2
  1. 1Department of Oral and Maxillofacial Surgery, Maharishi Markandeshwar College of Dental Sciences and Research, Ambala, Haryana, India
  2. 2Department of Oral and Maxillofacial Surgery, Maharishi Markandeshwar University, Mullana, Haryana, India
  1. Correspondence to Dr Monika Gupta; monikabox{at}


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’s 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 ‘cupid’s bow’ 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.

  • dentistry and oral medicine
  • mouth

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  • Contributors MG was the operating surgeon. MG handled study design and concept. MG and HV handled the manuscript preparation. MG and YK involved in manuscript editing. MG and AR incharge of manuscript review.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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