Esthetic evaluation of frontal labial morphology after double V-Y closure following le fort I osteotomy

Ten orthognathic surgery patients who had their maxillary circumvestibular incision closed with a double V-Y closure were compared with 10 unoperated controls. Pre- and post-operative frontal photographs were presented to nine oral and maxillofacial surgeons and nine orthodontists. The examiners answered a set of questions designed to evaluate changes in maxillary exposed vermilion height, contour of the Cupid's bow, and the final esthetic result. Results of the study show that any changes in the definition of Cupid's bow or the vermilion height with double V-Y closure are difficult to discern clinically and that this procedure produces an esthetically acceptable outcome.