Commissuroplasty · Correction of the corners of the mouth
| Anesthesia | Local |
| Duration | 1 hr. |
| Hospitalization | Outpatient |
| Postoperative needs | Steri-strips |
| Results | Immediately visible. Settlement 1 year. |
The corners of the mouth can be oriented downwards, causing not only an angry and aged appearance, but also a drop in saliva, which can lead to infections called “cold sores” and irritations that are very uncomfortable for the patient.
Types of corners of the mouth:
- Type I. The corners produce an expression of sadness.
- Type II. The corners produce an expression of sadness and also an “puppet line” incipient
- Type III. The corners produce an expression of sadness and also an “marionette line” incipient angular cheilitis extended to the fold.
- Type IV. The corners produce an expression of sadness and also a “marionette line” combined with a drop in the jaw line.
Treatment Alternatives
| Type I | 1. Application of botulinum toxin-botox in the depressor muscle of the angle of the mouth (requires repeating every 4 months) 2. Definitive commissuroplasty. |
| Type II | 1. Application of botulinum toxin-botox in the depressor muscle of the angle of the mouth with or without filler implant (requires to be repeated every 4 months). 2. Commissuroplasty, definitive. |
| Type III | 1. Antimicrobial/antifungal creams usually relieve the problem momentarily. 2. Application of botulinum toxin-botox in the depressor muscle of the angle of the mouth with or without filler implant (requires to be repeated every 4 months). 3. Commissuroplasty with or without skinfold correction, definitive. It requires treatment of the infection prior to its correction. |
| Type IV | 1. Application of botulinum toxin-Botox in the depressor muscle of the angle of the mouth with or without filler implant (requires repeat every 4 months). 2. Lower third facelift combined with commissuroplasty with or without skinfold correction, definitive. |
The commissuroplasty intervention 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 convenient that you carry some protective band-aids. The incisions fade over the months.
The expected result is an improvement in the position of the commissures and relief of symptoms as well as a better appearance.
Our commissuroplasty incorporate a treatment for scars using PRP, growth factors. 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.
The combination of these two treatments improve the quality and healing time of the 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.
Our greatest asset is our customers
Commissuroplasty consists of correcting the corners of the mouth when they are depressed downwards. On some occasions, the lowering of the corners of the mouth can cause a loss of saliva and infection, repeated infections in the corners of the mouth, as well as an unsightly effect.
The expression of sadness produced by a drop in the corners of the mouth is corrected according to the degree of decline:
- For mild degrees, we apply botulinum toxin to the depressor muscles of the angle of the mouth. This by itself can correct a moderate or slight fall.
- For advanced degrees , the combination of botulinum toxin with fillers usually hyaluronic acid, is used, or through a fat graft.
- For the 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 intervention is performed under local anesthesia.
Surgical correction of the corners of the mouth 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 commissureplasty operation. Even so, it is advisable that you do not make excessive efforts when opening your mouth.
Like all surgical incisions, they are more noticeable at first and less noticeable as time goes on.
Our commissuroplasty incorporate a treatment for scars using PRP, growth factors 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 healing of the scars.
The price of a commissure plasty ranges between €1,000 and €2,000.
Yes, you will be able to laugh after an operation on the corners of the mouth.
Yes, the expression of sadness due to a drop in the vocal commissures can be corrected in a non-surgical way as long as the degree of these is mild or moderate. The treatment would consist of the application of botulinum toxin with or without hyaluronic acid filler or a fat graft.
