Evidence map›Paper›PMID 36937993›Full record

ArticleAesthetic surgery journal. Open forum2023

Introduction of the Lip Classification of Tubercles: A Novel Approach to Minimally Invasive Aesthetic Lip Treatments.

Steven Harris, Michael Alfertshofer, Rory Allen, Fabrizio Castellari, Don Othoro, Greg Bran, Sebastian Cotofana

Abstract read
In one paragraph

Article in Aesthetic surgery journal. Open forum, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. 4D Lips Technique Based on Anatomy for Naturalization.Plastic and reconstructive surgery. Global open · 2026
    Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Steven Harrisprivate practice in London, UK.
Michael AlfertshoferDivision of Hand, Plastic and Aesthetic Surgery, Ludwig-Maximilians-University Munich, Germany.ORCID https://orcid.org/0000-0002-4892-2376
Rory AllenDepartment of Psychology, Goldsmiths, University of London, UK.
Fabrizio Castellariprivate practice in London, UK.
Don Othoroprivate practice in London, UK.
Greg Branprivate practice in London, UK.
Sebastian CotofanaDepartment of Clinical Anatomy, Mayo Clinic College of Medicine and Science, Rochester, MN, USA.ORCID https://orcid.org/0000-0001-7210-6566

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Lip enhancement procedures involving dermal fillers are one of the most sought after nonsurgical aesthetic treatments. However, current trends are associated with unnatural results and involve increased risks of complications and compromise to normal function. It appears that lips may be classified according to the presentation of their tubercles and this may be used to guide minimally invasive techniques which aim to preserve individual lip shapes and normal function. Objectives: To test the reliability of a classification system based on lip tubercle morphology, named the Lip Classification of Tubercles (LCT). Methods: To test the reliability of the LCT, a total of 214 high-definition photographs of patients' lips with no previous histories of lip treatments were classified independently by 4 experienced aesthetic practitioners on 2 separate occasions 3 months apart; the second followed a more detailed explanation of the classification. Results: When inter-rater reliability was calculated for the first attempt, the results were 36% and 43% for upper and lower lips, respectively. The second attempt following an education process resulted in 79% for both lips. When 1 practitioner was considered the standard, the average score for the remaining 3 showed some individual variation but improved significantly from 58% to 85%. Conclusions: The LCT is a reliable way to classify lip types based on the morphology of tubercles. Level of Evidence 3:

Identifiers

PMID36937993
PMCPMC10016322

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.