A modified method for corner mouth lift in scar-prone patients

Abstract

Corner mouth lift is in increasing demand among young patients in East Asia. Although various surgical methods exist for corner mouth lift, many patients are reluctant to undergo surgery due to fears of postsurgical scarring. We present a new technique aimed at reducing postoperative scarring. The technique involves triangular excision of the corner of the mouth and incision of the commissure with transposition of a lateral vermilion flap to lift the corner of the mouth. The muscle around the corner of the mouth is dissected to release tension. The corner mouth lift was successfully performed in all patients. It can be effectively used even in patients, such as young Asian women, who are susceptible to hypertrophic scars.

Lifting the Mouth Corner: A Systematic Review of Techniques, Clinical Outcomes, and Patient Satisfaction

“…Nowadays, to lift or rejuvenate oral commissures both surgical techniques (eg, Z-plasty, 19 lentiform excision, 20 triangular excision, 21 a triangular excision combined with a subnasal lift; 22 or more extended methods, eg, a combination of an incision with DAO transection 6 , 22 , 23 ) and nonsurgical techniques (eg, injecting botulinum toxin [Botox, Allergan, Irvine, CA], fillers or a combination of these 24 ) have been described in the literature. Perkins et al provided an overview of the indications and (dis)advantages of surgical mouth corner lifting procedures.…”

Extended Superolateral Cheek Lift With a Short Preauricular Scar: A Local Anesthesia-based Practicable Technique for the Correction of Moderate-degree Facial Aging Signs

“…Surgical procedures (facelift and less invasive alternatives such as absorbable barbed sutures producing a lifting action) and nonsurgical rejuvenation procedures (neuromodulator and filler injections) are the main options in the management of facial aging that involve the cheeks, eyebrows, mandibular area, and neck. 1,[4][5][6][7][8] Although it offers a permanent and clear outcome, the facelift is a complicated procedure that takes a long time to recover from, along with the fear of postoperative scarring, 5,7 while nonsurgical rejuvenation procedures are associated with temporary or limited efficacy. 4,6,7 Nonetheless, patients between 30 and 50 years of age, with aging signs limited to malar and nasolabial segments of the midcheek and the neck, do not yet require major interventions for aging signs in other areas of the face and therefore seek less complicated options such as day surgeries.…”

“…1,[4][5][6][7][8] Although it offers a permanent and clear outcome, the facelift is a complicated procedure that takes a long time to recover from, along with the fear of postoperative scarring, 5,7 while nonsurgical rejuvenation procedures are associated with temporary or limited efficacy. 4,6,7 Nonetheless, patients between 30 and 50 years of age, with aging signs limited to malar and nasolabial segments of the midcheek and the neck, do not yet require major interventions for aging signs in other areas of the face and therefore seek less complicated options such as day surgeries. [8][9][10] For such patients, the use of the SMAS flap is found to be effective for the enhancement of the neck, jowls, and midface and does not require hospitalization.…”

“…9 These individuals are too young to be an appropriate candidates for facelift surgery; however, while noninvasive methods may increase the quality of the skin, they cannot eliminate sagging in addition to their limited and temporary efficacy and risk of unnecessary volumizing effects. 7 Most of these techniques developed for agerelated changes cannot be used in young women seeking mouth lift surgery for purely esthetic purposes. 7 Thus, a useful technique applicable to this age group of patients has not yet been established.…”

“…7 Most of these techniques developed for agerelated changes cannot be used in young women seeking mouth lift surgery for purely esthetic purposes. 7 Thus, a useful technique applicable to this age group of patients has not yet been established.…”