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Comisuroplastia · Corrección de las comisuras de la boca

Anesthesia Local
Duration 1 hour
Hospitalization Ambulatory
Postoperative needs Steri-strips
Results Immediately visible. Settlement 1 year.
More information
Comisuroplastia Comisuroplastia
MMG FACIAL PLASTIC SURGERY
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.

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Treatment alternatives

Type I 1. Application of botulinum toxin-botox in the depressor muscle of the angle of the mouth (needs to be repeated every 4 months).

2. Definitive Comisuroplasty.
Tipo II Application of botulinum toxin-botox in the depressor muscle of the angle of the mouth with or without filler implant (needs to be repeated every 4 months).

2. Commissuroplasty, definitive.
Type III Antimicrobial/antifungal creams usually alleviate the problem momentarily.

2. Application of botulinum toxin-botox in the depressor muscle of the angle of the mouth with or without filler implant (needs to be repeated every 4 months).

3. Commissuroplasty with or without skin fold correction, definitive. It requires treatment of the infection prior to its correction.
Type IV 1. Botulinum toxin-botox application in the depressor muscle of the angle of the mouth with or without filler implant (needs to be repeated every 4 months).

2. Facelift of the lower third combined with commissuroplasty with or without skin fold correction, definitive.

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Correction of the corners of the mouth

The commissuroplasty procedure is performed under local anesthesia in an outpatient procedure that usually lasts about 30 minutes.

The stitches are removed after 10 days. In the meantime, it is advisable to wear protective plasters. The incisions fade over the months.

The expected result is an improvement in the position of the commissures and a relief of the symptomatology as well as a better appearance.

Our commissuroplasty procedures incorporate a treatment for scars using PRP, growth factors. We also offer the possibility of applying a laser treatment on the scars of the operation on the corners of the mouth one week and one month after the intervention.

The combination of these two treatments improves the quality and healing time of scars.

We carry out this intervention in Palma de Mallorca.

The price of the intervention is delivered after consulting with Dr. García Ceballos.

During the consultation you will be able to see before and after photos of cases similar to yours.

If you travel or consult us from anywhere in Spain, UK or Europe you can request your telematic consultation via Skype.

It is convenient to put yourself in the hands of a specialist in Plastic cosmetic and reconstructive surgery to carry out this type of intervention.

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FAQ
Frequently Asked Questions

Commissuroplasty consists of the correction of the oral commissures when they are depressed downward. In some occasions the lowering of the corners of the mouth can produce a loss of saliva and infection, repeated infections in the corners of the mouth and an unsightly effect.

The expression of sadness produced by a descent of the oral commissures is corrected according to the degree of descent:

  • For mild degrees, we apply botulinum toxin in the depressor muscles of the angle of the mouth. This alone can correct a moderate or mild sag.
  • For advanced degrees, the combination of botulinum toxin with fillers, usually hyaluronic acid or by means of a fat graft, is used.
  • For severe grades, this would be those in which the expression of sadness is accompanied by a loss of saliva, with or without infections of the commissures. The indication is surgical. The procedure is performed under local anesthesia.

Surgical correction of the oral commissures is performed under local anesthesia and consists of an incision along the transition between the vermilion and the skin and then repositioning the edges in a higher position.

Yes, you will be able to eat after a commissuroplasty operation. Even so, it is advisable not to make excessive efforts when opening the mouth.

Like all surgical incisions, they are more noticeable at the beginning and less noticeable as time goes by.
Our commissuroplasty procedures We also offer the possibility of applying a laser treatment to the scars of the operation of the corners of the mouth a week and a month after the intervention to accelerate the healing of the scars.

The price of a plastic surgery corner ranges from 1.000€ to 2.000€.

Yes, you will be able to laugh after a mouth corner operation.

Yes, the expression of sadness due to a drooping of the vocal commissures can be corrected in a non-surgical manner as long as the degree of sadness is mild or moderate. The treatment would consist of the application of botulinum toxin with or without hyaluronic acid filler or a fat graft.

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