Case Reports in Medicine 3 Figure 5: Immediate postoperative view. Figure 6: Postoperative view after 1 week. constriction due to attachment of upper labial frenum which was similar to our case but cases without central constriction have also been reported [7]. Double lip has generally been associated with Ascher’s syndrome but Parmar and Muran- jan [8] and Costa-Hanemann et al. [9] described its pres- ences with cases having diﬀerent clinical presentation and suggested that it was a new syndrome. The treatment of double lip is surgical mostly done for cosmetic reasons. Sometimes surgery may be necessary when hyperplastic tissue interferes with speech and mastication. The surgery involves excision of excess mucosa and sub- mucosal without involving underlying muscular layer. Treat- ment can either be done under general or local anesthesia. Due to presence of central constriction we used double ellip- tical incisions combined with central vertical Z plasty [7]. However W plasty can also achieve similar results [10]. Sur- gical experience of the surgeon should dictate this choice [3]. Because of progressive nature of disorder or suspected Ascher’s syndrome the patient should be followed up because blepharochalasis and nontoxic enlargement of thyroid gland can develop later [5]. Although recurrence is rare, Palma and Taub [3] reported a case of upper lip with recurrence. The patient in this report was followed up for 2 years before he stopped attending. No recurrence was seen during this period. References [1] A. Alkan and M. Metin, “Maxillary double lip: report of two cases,” Journal of Oral Science, vol. 43, no. 1, pp. 69–72, 2001. [2] D. M. Cohen, J. G. Green, and S. L. Diekmann, “Concurrent anomalies: cheilities glandularis and double lip,” Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodon- tology, vol. 66, pp. 397–399, 1988. [3] M. C. Palma and D. I. Taub, “Recurrent double lip: literature review and report of case,” Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology, vol. 107, no. 3, pp. e20–e23, 2009. [4] W. D. Martins, F. H. Westphalen, R. Sandrin, and E. Campagnoli, “Congenital maxillary double lip: review of the literature and report of a case,” Journal of the Canadian Dental Association, vol. 70, no. 7, pp. 466–468, 2004. [5] J. S. M. Daniels, “Congenital double upper lip: a case report and review of the literature,” Saudi Dental Journal, vol. 22, no. 3, pp. 101–106, 2010. [6] I. B. Lamster, “Mucosal reduction for correction of a maxillary double lip. Report of a case,” Oral Surgery Oral Medicine and Oral Pathology, vol. 55, no. 5, pp. 457–458, 1983. [7] M. Eski, M. Nisanci, A. Aktas, and M. Sengezer, “Congenital double lip: review of 5 cases,” British Journal of Oral and Maxillofacial Surgery, vol. 45, no. 1, pp. 68–70, 2007. [8] R. C. Parmar and M. N. Muranjan, “A newly recognized syndrome with double upper and lower lip, hypertelorism, eyelid ptosis, blepharophimosis, and third ﬁnger clinodactyly,” American Journal of Medical Genetics, vol. 124, no. 2, pp. 200– 201, 2004. [9] J. A. Costa Hanemann, D. Tostes Oliviera, M. Fernandes Gomes, M. J. Da Silva Dos Anjos, and E. Sant’Ana, “Congenital double lip associated to hemangiomas: report of a case,” Medicina Oral, vol. 9, no. 2, pp. 155–158, 2004. [10] J. Guerrero-Santos and J. T. Altamirano, “The use of W- plasty for the correction of double lip deformity,” Plastic and Reconstructive Surgery, vol. 39, no. 5, pp. 478–481, 1967.