Background and objective.

The aged lip is produced by changes related to the passage of time at the level of skin, subcutaneous cellular tissue, muscle and bone, resulting in elongation and loss of volume of the lip.

We propose a clinical classification of the senescent lip to establish its surgical treatment according to its grades.

Methods.

We conduct a non-experimental, descriptive and prospective research in 2 phases: the first one with 180 patients taking the clinical measurements of the white lip, and a second one consisting on 20 patients who were classified according to the degree of labial rhytidosis and the corresponding treatment was applied. Statistical tests chi-square and Shapiro-Wilk were applied for association and statistical significance.

Results.

It was evidenced the beginning of the labial rhytidosis from the age group of 30 to 34 years and it was possible to classify the labial rhytidosis in 4 grades. Modified surgical treatment was applied in “bull’s horn”. Postoperative complications were identified: hematoma, partial dehiscence and recurrences. All the patients reported high satisfaction with the results.

Conclusions.

The proposed classification allows to establish a safe and effective surgical treatment of labial rhytidosis, adapted to the anatomical characteristics of each patient.

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