Jeong Tae-Kwang
HB Plastic Clinic, Seoul, Korea.
Plast Reconstr Surg Glob Open. 2020 Feb 26;8(2):e2653. doi: 10.1097/GOX.0000000000002653. eCollection 2020 Feb.
The mouth and perioral area play a primary role in emotional expression, and these are among the most important areas projecting youth and attractiveness. A downturned corner of the mouth presents negative feelings such as sadness, depression, and tiredness. A corner mouth lift (CML) may restore more attractive and youthful appearance, which can favorably affect first impression, self-esteem, and the quality of life in patients.
From December 2016 to September 2018, 498 patients underwent a CML. There were 434 women and 64 men. The mean age was 38.99 years (19-63 years) and 34.19 years (21-67 years) in female and male patients, respectively. A total of 432 cases (86.7%) were primary surgical cases, whereas 66 (13.3%) were secondary cases. There were 178 patients (35.7%) who only underwent CML, whereas the remaining patients (64.3%) underwent the CML contemporarily with other perioral surgery such as subnasal lift.
Most patients were satisfied with the results. However, some patients showed unsatisfactory outcomes such as hypertrophic scar, asymmetry, persistent swelling, or undercorrection. The most common complaints immediately after surgery were swelling and bruise, which were improved spontaneously within 1-2 weeks. Postoperative scar and undercorrection were the most common complications that required revision surgery.
CML showed reliable and satisfactory outcomes in most patients. It could be a good option for patients who desire CML regardless of their age.
口腔及口周区域在情感表达中起主要作用，是展现年轻和魅力的最重要区域之一。嘴角下垂呈现出悲伤、抑郁和疲倦等负面情绪。嘴角提升术（CML）可恢复更具吸引力和年轻的外观，这能对患者的第一印象、自尊和生活质量产生积极影响。
2016年12月至2018年9月，498例患者接受了嘴角提升术。其中女性434例，男性64例。女性患者的平均年龄为38.99岁（19 - 63岁），男性患者的平均年龄为34.19岁（21 - 67岁）。共有432例（86.7%）为初次手术病例，而66例（13.3%）为二次手术病例。178例患者（35.7%）仅接受了嘴角提升术，其余患者（64.3%）在进行嘴角提升术的同时还接受了其他口周手术，如下鼻唇沟提升术。
大多数患者对结果满意。然而，一些患者出现了如肥厚性瘢痕、不对称、持续性肿胀或矫正不足等不理想的结果。术后最常见的主诉是肿胀和瘀伤，这些在1 - 2周内会自行改善。术后瘢痕和矫正不足是最常见的需要再次手术的并发症。
嘴角提升术在大多数患者中显示出可靠且令人满意的结果。对于渴望进行嘴角提升术的患者而言，无论其年龄大小，这可能都是一个不错的选择。
