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BIAQUIS BN3A Cheiloplasty Cheiloplasty could be termed as the opposite of lip augmentation, since it is a cosmetic procedure of lip reduction. Abnormally large lips or protruding lips ar e reduced in size through Cheiloplasty. However, this lip procedure could also b e used for lip augmentation. Cheiloplasty or lip reduction could be used to redu ce one or both the lips for a balanced appearance. How Is It Done? In Cheiloplasty, the surgeon would administer a local anesthetic or mild sedatio n before making tiny incisions inside the lips or at the border of the lips. Aft er that, the surgeon would slowly extract fat tissues or skin strips from the li ps using a syringe. When enough fat or skin strips had been removed, the incisio ns would be closed with appropriate sutures. The entire process could take about 1 or 2 hours. Cheiloplasty (Cleft Lip Repair) Post-Operative Instructions Appearance After cleft lip surgery there will be sutures (stitches) in your child's lip. The amount of sutures in the incision line will depend on the extent of th e initial deformity and the technique used by the surgeon for closure. The area will be pink around the sutures and slightly swollen. To protect the lip from th e child rubbing or pulling on the area, the surgeon will order restraints for th e child's arms. Wound Care The suture line should be cleaned frequently to prevent crust formation and infection. You may use a cotton-tipped applicator and half strength hydrogen peroxide. The doctor may prescribe an ointment for you to put over the incision and sutures. A thin layer of ointment will be necessary. Be sure to keep the ar m restraints on, especially if your child wants to rub the area. Pain By the time your child is ready to go home from the hospital he should n ot be experiencing much discomfort. The doctor may suggest pain relief medicatio n if needed. Periods of irritability may be due to the arm restraints or hunger. Tender loving care is recommended. Cuddle and talk to your child often. Offer f requent small feedings if necessary. Diet Follow your physician's recommendation for the best type of feeding meth od for your child. The Mead Johnson Nurser with a large cross cut opening (such that there is a steady flow of liquid through the opening when the bottle is hel d upside down) should be acceptable. Care should be taken to make sure that the child receives enough liquids. Hold your child in a semi-sitting position and fe ed him slowly. Small frequent feedings may be necessary for the first week. When to Call Symptoms of infection are bright redness, pus-like drainage, or swelling . Call us if you observe any of these symptoms. If you child starts to run a fev er (over 101F) check to make sure that he is getting enough liquids. Dehydration can cause the body temperature to rise. Is he getting a cold? Is anyone else in the home ill? Check these facts and then give us a call. It is important that th e child receives enough nourishment. If he won't eat, try the TLC approach. If y ou still can't get him to take food or liquids, please give us a call. Return to Clinic You will be given an appointment to return to the clinic for a post-oper ative check when your child is discharged. This will usually be about a week aft er surgery. Bring any questions you may have with you to this appointment. If yo u are unable to keep the appointment, please be sure to call and reschedule.