The Surgeon Minute

Plastic Surgery Can Turn that Frown Upside Down

Plastic Surgery Can Turn that Frown Upside Down

Plastic surgery is not just for those who want to stay forever young. New surgical techniques can help patients suffering from frowning mouth deformity, giving them good reason to smile.

New rejuvenation procedures may be effective in correcting frowning mouth deformity, according to a new study.

Currently available techniques only offer partial correction of the frowning mouth, the study authors noted. However, new surgical techniques involving lentiform excisions at the vermilion border (the exposed red portion of the lip) and at the marionette folds are effective at correcting frowning mouth deformities, a condition caused by sagging at the corners of the mouth.

The study followed 27 patients who went under the knife between 2000 and 2009 in an attempt to correct their frowning mouth deformity . The deformities and the methods of correction were divided into two separate types. In type I frowning mouth deformity, correction was performed by lentiform excisions at the vermilion border, and in type II deformity, lentiform excisions also included the marionette folds, which are the lines that radiate down from the corners of the mouth.

In some cases, patients opted to have a face lift in addition to the procedure to correct their frowning. The satisfaction in these patient’s results were the same. Correction of frowning mouth abnormalities, either as an isolated procedure or in addition to a face lift, resulted in satisfactory results for all 27 patients.

After undergoing the surgery, all patients were followed for a minimum of three months, and 88.9 percent were followed for a full year. Of the patients, 18.8 percent showed erythema (or redness of skin) and scar hypertrophy (which is a raised scar) at the sites of marionette fold removal during the early postoperative period. However, all scars improved over time, and doctors reported high patient satisfaction.

Researchers concluded that proper patient selection and counseling to deal with the temporary or possibly permanent noticeable scar formation are of utmost importance. When these measures are taken, the outcome is good and patients are satisfied with the end result.

Study results appear in the February 2010 issue of Plastic and Reconstructive Surgery, the journal of the American Society of Plastic Surgeons.

Click to add a comment
The Surgeon Minute

More in Facial Contouring

  • Let’s Talk: The Natural Choice

    Bee stung lips, over-filled cheeks it’s all part of cosmetic surgery. But not GOOD cosmetic surgery. If...

  • Ultherapy Keeps You Out of the OR with Real Skin Tightening Results

    As inundated as the plastic surgery realm is with modern technology, The Plastic Surgery Channel has devoted...

  • “Selfies” Trend Leads to Increase in Facial Procedure Requests

    Selfies –the act of taking photos of one’s self on a smart phone– is growing at a...

  • New Needling Device Unveiled: Is the Procedure Right for You?

    For decades, physicians have treated skin ailments with topical treatments like creams and lotions. Plastic surgeons use...

  • Aging Gracefully With Smaller, More Individualized Procedures

    Plastic surgery is often thought of as a collection of beauty enhancing procedures that take an aged...

  • Don’t Let Filler Face Happen To You!

    “You see it on TV and all over the media and we really want to prevent it…...

  • Boston, MA Plastic Surgeon says New Technology Has Changed Fat Grafting to the Breast

    A Boston, Massachusetts plastic surgeon says new technology has changed fat grafting and says the challenge is to figure out what applications are the most relevant in cosmetic and reconstructive surgeries. Dr. Dan Del Vecchio, a board certified plastic surgeon says fat grafting has come a long way from where it was...

  • Plastic Surgery: Facial Rejuvenation Fights Aging, Flaws

    Plastic surgery known as “facial rejuvenation” helps patients look better than they did in younger days. This...

  • Veterans Day: Hero In A Dress

    Veterans Day often brings to mind the image of an older man in uniform. But, 77-year-old Richard Ramsey is making a change. A big change. Call him “Renee.” It was June 15, 2009, when 20-year Navy veteran Richard Ramsey walked into a clinic in Bristol Township, Pa., and then walked out, three days...

  • Stem Cells Help Teen Grow Cheek Bones

    Stem cells are helping a U.S. teen grow cheekbones. Brad Guilkey’s face was malformed due to a genetic defect, but he has hope due to a new procedure. A team of doctors in Cincinnati recently broke new ground in reconstructive surgery. They used stem cells to help generate fuller cheekbones, because 14-year-old Brad...

  • Plastic Surgery: Korean Wave Growing Among Asians

    Plastic surgery among Asians reflects the “Korean Wave.” Cost is not an issue, as they are willing...

  • Michael Jackson’s ‘This Is It’ Draws Backlash

    Michael Jackson’s This Is It concert documentary has prompted some King of Pop fans to raise questions about Jackson’s final days. The upcoming Michael Jackson concert documentary This Is It has spawned a campaign called “This Is Not It.” It is backed by a global group of Jackson fans who declare the...

  • Veterans Now Offered Low-Cost Plastic Surgery

    Veterans now offered the chance to have plastic surgery at a lower cost, thanks to a new program called Faces of Honor. Watch to find out more! A group of doctors has launched a national program that provides low-cost plastic surgery to injured war veterans. The new Faces of Honor project is designed to...

  • Chin Augmentation and Implants

    Chin augmentation, which is achieved through a surgical procedure called mentoplasty, or chin surgery, is used to build a larger chin and thereby create a better profile for the patient. Surgical implants are commonly used in chin augmentation. The idea is to have the underlying structure of the patient’s face altered for aesthetic...

  • Facial Implants: Different Types

    In the world of cosmetic surgery, there is a group of procedures aimed at enhancing the contour of the human face. Facial implants including chin implants, jaw implants, or cheek implants provide rejuvenation, augmentation, and reconstruction for patients wishing to improve or repair the appearance of the face. Implant Procedures •    Chin Implant Procedure Performed...