Это была сложная пациентка, начиная от асимметрии строения челюстей - прикуса, "каши" в нижней губе и до самостоятельного неоправданного отказа от антибактериальной терапии после операции. Что и как, смотрите поучительную историю о самой трудоемкой с моей точки зрения операции - коррекции губ и реконструкции губ.
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It was a difficult patient. She had the asymmetry of the lower jaw, feeling of "porridge" in the lower lip and refused from the antibiotic therapy after the surgery. See the consequences and the outcome of the story below (lip correction and lip reconstruction).

Ekaterina, МD: what seems to be the problem?
Olga: there is a sensation of tightness in my upper lip and there is a feeling of some sort of “porridge ” in my lover lip as if it’s growing, but there is no tightness there. I feel like there is some foreign object in my upper lip.
Ekaterina: could you tell me what happened?
Olga: In December 2002, I had lip injection of Spanish silicone, I had no issues until recently when my friends noticed there was something wrong and I’ve decided to see a doctor and ask him how deal with this issue and it turned out that gel can be removed only by a surgery.
Ekaterina: Olga, have you noticed that there is an asymmetry?
Olga: yes, did. I wore braces a couple of years ago and they had to set my jaw back as well. Now, for example when I smile you can see one of my teeth only. My lower lip is crooked and it’s quite visible.
Ekaterina: Well good luck to us then!
Olga: I wish you good luck!

Olga: It’s been a week after the surgery. I had a lip correction after I got silicone removed. I had some scars left, the healing process went wrong. We had to remove the scars and made lipofilling.
Ekaterina: Alright, could you tell us about how you are feeling now?
Olga: I am feeling well, the same is true of my lips. I am happy with the shape.
Ekaterina: and what about the healing process? Is it going well?
Olga: yes, this time everything is going very well.
Ekaterina: would you like to give some advice to our future patients? Could you explain why your lips didn’t heal well at first place?
Olga: I guess, it’s my constitutional peculiarity maybe. I think that I didn’t follow your instructions properly and didn’t take my medication on time. I was supposed to take it during five days after the surgery
Ekaterina: do you take any medication now?
Olga: yes, since the very first day.
Ekaterina: Are you happy with your lips now?
Olga: I feel very happy, thank you very much!
Ekaterina: Give us a smile, thank you!

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