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Friday, December 02, 2005

ST. LOUIS, March 8 /PRNewswire/ -- Doe Run Peru, a subsidiary of The Doe Run Company, announced it will sponsor a second "Smile in the Andes" campaign in La Oroya in 2005, enhancing life for hundreds of Peruvian children cleft lips or cleft palates.

The four-month project will bring experienced plastic surgeons to La Oroya, home of Doe Run Peru's metallurgical complex, to perform free surgeries for children aged three months to 18, with cleft lips or palates and some other facial, ear or hand deformities. Orchestrated through personal visits by Doe Run personnel to communities in the Peruvian highland regions of Junin, Huancavelica, Pasco, Ayacucho and Huanuco, preliminary evaluations will occur in late March. Final evaluations will be held on June 24 with procedures scheduled over six days, June 25 to July 1.

"The operations are entirely free," stated Doe Run Peru spokesperson Rosa Benel Calderon. "The company will pick up all of the expenses from transporting the child, the operation and the recovery period, as well as expenses for the family member that accompanies the minor."

In addition to medical expenses, Doe Run Peru will provide logistical support for the program including the use of the facilities and participation of doctors employed at its hospital facility in Chulec, outside of La Oroya. Operations will be performed by a team of 30 plastic surgeons, anesthesiologists, pediatricians, dentists and nurses from Rotaplast International, a community service organization established by participating Rotary Clubs. Rotoplast International has performed similar work across South America and around the world for almost 15 years.

According to Daniel Bronson, Rotaplast International's Mission Director for this team and special ambassador for Peru, "The kindness and generosity of the Doe Run Peru employees and management will change the lives of these children and their families forever. New smiles will be created, and with those will come self-images and new opportunities in life.

We know that our team of doctors and Rotarian volunteers from four countries and eight American states will help Doe Run Peru and the La Oroya Rotary Club to heal the lives of these children. However, we will also team together in searching for the cause and prevention of these deformities through the investigative work of our researchers."

A similar program was held successfully in La Oroya during 2000 with 100 children from various regions of Peru being treated. Other Rotaplast teams have served in Lima, Tacna and Huaraz between 2001 and 2004. Doctors providing services for the 2005 project will perform an average of 15 surgeries per day for an anticipated total of 140 to 160 surgical procedures on nearly 100 patients.

The Doe Run Company, along with its subsidiaries, is a privately held natural resource company focused on environmentally sound mineral production, recycling and metals fabrication. Based in St. Louis, the company and its subsidiaries serve as North America's largest integrated lead producer and third-largest total lead producer worldwide, employing more than 4,000 people. The company and its employees are committed to keeping its operations and communities clean and safe while producing essential raw materials -- lead, zinc, copper, gold and silver -- that are needed for everyday life. Doe Run and its subsidiaries have U.S. operations in Missouri, Washington and Arizona, and South American operations in Peru. For more information, visit .

Kristin Saunders

This press release distributed by PRWEB ( ), a service of eMediawire.

CONTACT: Kristin Saunders of The Doe Run Company, +1-314-469-3500

Web site:

COPYRIGHT 2005 PR Newswire Association LLC

PHOENIX, ARIZ. -- The lip that is enhanced with filler should meet definable proportions and yet retain its individuality, Arnold W. Klein, M.D., said at a clinical dermatology conference sponsored by Medicis.

"Lips are about volume but more importantly shape. Any enhancement must be undetectable," said Dr. Klein, who holds a dermatology chair in his name at the University of California, Los Angeles' David Geffen School of Medicine.

Lip augmentation requires fillers to increase facial volume in a subtle and aesthetically pleasing manner, he said. It is not about "simply eradicating lines."

The lower third of the aging face, including the lip, is the area least amenable to . Along with the thinning of both lips, he cited prominent labial mandibular grooves, the ends of the upper lips hanging down, loss of bone support from dentition and from the mandible, and decreased vertical support, he said.

According to Dr. Klein's formulation of the aesthetic lip: "The length of the closed, relaxed mouth should equal the distance between the medial aspect of the irises in the well-proportioned face." In addition, the ratio of the upper lip to the lower lip should be 1:1.6.

When the head is photographed in a postural position with a relaxed mouth, an interpupillary line drawn horizontally across the eyes should be parallel to a horizontal commissural line drawn where the lips meet.

Dr. Klein cited other characteristic facial landmarks including curvature of the dorsum and angulation of the nose. He said the base of the nose should be 18-20 mm above the upper lip, whereas the recommended distance between the lower lip and the chin is 36 mm.

Looking at the postural head position in profile, the physician should make sure both lips touch the "Steiner line," he said.

When seen in profile, the nasolabial angle should be about 84-105 degrees, he continued: "You want a good nasolabial angle."

To illustrate this, he showed a photograph in which one extended line connected the base of the nose to the tip of the nose. A second line from the base of the nose touched the "Glogau-Klein point" at the center edge of the upper lip. The angle is formed where the two lines intersect.

The G-K point describes the "ski slope" shape of the lip in profile as you move from the skin above the lip down onto the pink vermillion. There is always a little upturn, a point of reflection, which becomes lost as one ages, Richard G. Glogau, M.D., told SKIN & ALLERGY NEWS.

The cosmetic implication is that you have to recreate this shape with fillers used in the border of the lip to make the lip young and attractive. Also, if you use too much Botox on the upper lip, the orbicularis muscle flattens and makes an older looking lip. Therefore, it is generally a good idea to combine fillers with the Botox if you are trying to reestablish a youthful looking upper lip, said Dr. Glogau, who is a consultant to Allergan Inc., Medicis, and Inamed Aesthetics.

Dr. Klein cited a study of 100 women which showed that aging lips lose height (Dermatology 2004;208:307-13). He said the most important aspect of lip augmentation involves building buttresses to restore the lost height and the ends of the lips.

"You want flying buttresses to hold up the lips because of the loss of dentition," he said. "You want to restore the ends and build buttresses to support the lip. That's really important."

The choice of filling agent is less important than the physician's skill in using it, according to Dr. Klein, who disclosed ties as a consultant and/or investigator for Allergan Inc., Genzyme, Inamed Aesthetics, Anika Inc., Medicis, SkinMedica, and OrthoNeutrogena.

"It is not what you use. It is how you use it," he said, recommending physicians become really skilled in one or two products rather than plow through what he described as a delicatessen menu of filling agents on the market.

Except for correction of scars, Dr. Klein opposes the use of permanent fillers. He warned that these agents could become increasingly visible or create an unnatural appearance as facial contours change over time. "For aesthetic indications I believe permanent fillers are a formula for disaster," he said.

COPYRIGHT 2005 International Medical News Group