Comisuroplastia · Corrección de las comisuras de la boca

What is a commissuroplasty?

The commissuroplastyAlso known as labial commissuroplasty, it is a surgical procedure performed to correct the corners of the mouth when they are depressed downward. Although this condition may appear to be solely cosmetic, it can actually have a significant impact on a person’s comfort and oral health.

Depressed Commissures and their Consequences

When the corners of the mouth are depressed downward, this can have several unpleasant consequences. First of all, the lowering of the commissures can lead to a loss of salivaThis is not only uncomfortable, but may also increase the risk of repeated infections in these areas. The recurrent infections in the corners of the mouth in the corners of the mouth can be painful and persistent, affecting the person’s quality of life.

In addition to the medical aspects, depressed oral commissures also have an unsightly effect. They can make a person feel insecure about his or her smile and overall facial appearance. Concern about aesthetics can affect a person’s confidence and self-esteem, underscoring the importance of addressing this issue effectively.

Classification of commissuroplasties

This is a classification elaborated by Dr García Ceballos of the different grades of commissuroplasties.

The corners of the mouthThe corners of the mouth may be turned downwards, causing not only an angry and aged appearance, but also a dropping of saliva, which can lead to infections called “cold sores”.cold sores“and very uncomfortable irritations for the patient.

Types of oral commissures:

• Type I. The commissures produce a sad expression expression of sadness.
• Type II. The commissures produce expression of sadness and a “marionette line” appears. “marionette line” incipient incipient.
• Type III. The commissures producean expression of sadness and a “marionette line” appears “marionette line” incipient incipient with angular cheilitis extended to the crease.
• Type IV. The commissures produce expression of sadness and a “marionette line” appears severe “marionette line” combined combined with a severe sagging of the jaw line..

How to treat oral commissures?

Lip commissuroplasty is the solution to these problems. This surgical procedure seeks to elevate the corners of the mouth, returning them to their natural position and restoring the harmony of the smile. Although it can be considered a cosmetic surgery procedure, its impact goes beyond appearance. Lip commissuroplasty offers both functional and aesthetic benefits.

In the world of plastic surgery and cosmetic medicine, treatment of the oral commissures is a common concern for those who wish to improve their facial appearance and achieve a more harmonious smile. Drooping mouth corners can result in a dull or sad facial expression, and there are several options to address this problem, depending on the type of condition.

Type I:

Botulinum Toxin Application (Botox) in the Angle of Mouth Depressor Muscle (Requires Repeat Every 4 Months): This is a non-surgical option that involves the injection of botulinum toxin into the angle of mouth depressor muscle. This temporarily relaxes the muscle and allows the corners of the mouth to lift, giving a more rejuvenated and cheerful appearance. However, it is important to keep in mind that the effects are temporary and should be repeated periodically.

Definitive Comisuroplasty: For those seeking a more durable solution, definitive commissuroplasty is an option. This surgical procedure involves the physical correction of drooping oral commissures. The results are usually permanent and offer a noticeable improvement in the appearance of the smile.

Type II:

Botulinum Toxin Application : (Botox) in the Angle of Mouth Depressor Muscle with or without Filler Implant (Requires Repeat Every 4 Months): This option combines the application of botulinum toxin with the possibility of using a dermal filler implant. Botulinum toxin relaxes the muscle, while the filler can provide additional support to elevate the oral commissures. As in Type I, the effects are temporary and require periodic touch-ups.

Definitive Commissuroplasty: As with Type I, definitive commissuroplasty is an option for those seeking a long-term solution for drooping oral commissures.

Type III:

Antimicrobial/Antifungal Creams: In some cases, the oral commissures may be affected by dermatological conditions, such as fungal or bacterial infections. The application of antimicrobial or antifungal creams may temporarily alleviate the problem. However, it is important to address the underlying cause.

Application of Botox: Botulinum toxin may also be an option in cases of drooping oral commissures related to excessive muscle activity in this area. As with other types, the results are temporary and must be repeated periodically.

It is important to note that the choice of the appropriate treatment depends on the evaluation of a plastic surgeon or doctor specialized in cosmetic medicine. Each patient is unique and may require a customized approach. In addition, it is essential to follow postoperative recommendations and maintain open communication with your healthcare professional to ensure optimal results.

Functional benefits of commissuroplasty:

• Infection Prevention: By elevating the oral commissures, moisture accumulation in this area is reduced, which decreases the risk of recurrent infections.

• Improved Comfort: Correction of depressed commissures improves comfort when speaking, eating and smiling, avoiding irritation and discomfort.

Aesthetic benefits of commissuroplasty:

• Smile Restoration: Lip commissuroplasty restores a harmonious appearance to the smile, helping people feel more confident and satisfied with their facial appearance.

• Confidence Enhancement: By improving the aesthetics of the oral commissures, this procedure also has a positive impact on self-esteem and self-confidence.

Risks of commissuroplasty

Although commissuroplasty is generally safe, as with any surgery, there are possible complications that patients should be aware of before undergoing this procedure.

• Infection: After commissuroplasty, there is a risk of developing an infection in the incision. To prevent this, postoperative instructions should be followed carefully and prescribed antibiotics should be taken if necessary. Proper oral hygiene is also essential.

• Hematoma: A hematoma is a collection of blood under the skin. It may occur after surgery and cause swelling and pain in the treated area. Plastic surgeons in Mallorca must be prepared to drain any significant hematoma.

• Visible scars: Although plastic surgeons in Mallorca strive to make minimally visible incisions, some people may develop more noticeable scars. Care of scars after surgery is essential to minimize their visibility.

• Asymmetry: Asymmetry in the corner of the lips is a common concern in commissuroplasty. The best plastic surgeons in Spain strive to achieve symmetrical results, but each patient’s response to the procedure may vary.

• Altered sensitivity: There may be a temporary decrease in sensation in the area of the corner of the lips after surgery. This usually improves with time, but it is important to inform your surgeon if you experience persistent changes in sensitivity.

• Tissue necrosis: In rare cases, blood circulation may be compromised during surgery, which can lead to tissue necrosis at the corner of the lips. This may require additional treatment.

• Unsatisfactory results: Despite the surgeon’s best efforts, the results of commissuroplasty may not be satisfactory for the patient. It is essential to have realistic expectations and to discuss your goals and desires with your surgeon prior to surgery.

• Allergic reactions: Rarely, patients may experience allergic reactions to materials used in surgery, such as sutures or local anesthesia. This should be reported immediately to the medical team.

• Healing problems: Some people may have problems with incision healing. This may require additional treatments to achieve adequate healing.

It is important to remember that commissuroplasty, like any surgical procedure, carries risks. However, these risks are usually low when the procedure is performed by reputable plastic surgeons in Spain in appropriate facilities. Before undergoing a commissuroplasty in Mallorca, be sure to thoroughly discuss the possible risks and complications with your surgeon and follow all post-operative instructions to help minimize these risks.

Is Lip Commissuroplasty right for you?

If you experience depressed oral commissures that cause discomfort, repetitive infections or simply make you feel uncomfortable with your smile, lip commissuroplasty could be a suitable solution for you. This procedure is an effective way to address both the functional and aesthetic aspects of depressed commissures and can significantly improve your quality of life.

At Mallorca Medical Groupwe have a team of highly trained plastic surgeons, including Dr. Garcia Ceballos, MD. Dr. Garcia Ceballoswho specialize in a variety of cosmetic and reconstructive procedures, including lip commissuroplasty. Our mission is to provide you with exceptional and natural results so you can enjoy a beautiful and healthy smile.

If you are considering labial commissuroplasty or any other procedure, don’t hesitate to schedule a consultation consultation with us to discuss your needs and expectations. We are here to help you achieve your aesthetic goals and enhance your wellness general.