Сheiloplasty | MEDICH
Сheiloplasty

Сheiloplasty

Сheiloplasty is a lip surgery, which has two directions: aesthetic and reconstructive. With this method, it is possible to increase and reduce your mouth, as well as get rid of some defects in this area of ​​the face.

Reconstructive cheiloplasty is a change in the shape of the lips and carried out in a newborn age up to two weeks or at six months.

Aesthetic cheiloplasty is performed if the patient wishes to improve the shape of the mouth and give them more attractive appearance.

There is also one more type of cheyloplasty, which is aimed at reducing the volume of the lips of the patient and the length of the upper and lower one.

The procedure allows people to achieve the following results:             

  • give more volume;
  • eliminate asymmetry;
  • adjust the shape;
  • get rid of wrinkles near the lower lip;
  • eliminate fibromas and cysts;
  • eliminate “wolf mouth”, “hare lip” and other birth defects.

How is the procedure carried out?

This is a surgical intervention that requires local anesthesia, so before the operation, the patient is injected. In some clinics, if desired, intravenous anesthesia is possible. During the operation, incisions are made along the contours of the upper and lower lips, the excess skin is removed, and the edges of the incisions are joined by means of seams that disappear during the following days. The procedure lasts about an hour or two and after it ends, ice is applied to the operative place of the patient, which should help reduce edema and discomfort. Before carrying out cheiloplasty, consultation of the attending physician and submission of tests concerning the presence of certain diseases are necessary.

There are several types:

  1. A set of techniques concerning perioral wrinkles. Such changes lead to a reduction of the red border, thus being an indication for the use of cheiloplasty.
  2. Shortening cheiloplasty. It is performed in the case of a long upper or lower lip. During the operation, the ellipsoidal skin fragment is removed, and the lips acquire the necessary shape.
  3. V-Y plastic lip is used to increase the shape and give them the desired volume. The essence of this method is that the mucosa is shifted “forward” by means of V-shaped incisions, which gradually turn into a Y-shaped suture.
  4. Cheiloplasty “Paris”. It is performed similar to V-Y method, but unlike it, the cuts are performed in both vertical and horizontal planes. Thanks to this approach, it is possible to individualize the procedure and provide a positive result for every patient with any form of the mouth.
  5. Bull horn cheiloplasty. This operation is indicated for people with excessively chubby and a long upper lip. The plastic of the upper one, in this case, is most often done together with rhinoplasty and facelift for women who are older than thirty-five years old. It is by this time that the upper part of the mouth is lengthened and other methods of correction become ineffective.

Indications are the following:

  • appearance of wrinkles;
  • post-traumatic defects;
  • inborn “hare lip” and “wolf’s mouth”;
  • excessively nude gums;
  • filamentous lips;
  • too fluffy form;
  • the presence of benign formations, papilloma, fibroma, cyst;
  • asymmetry;
  • drooping of the lower lip;
  • scarring in the corners of the mouth.

Contraindications:

  • diabetes mellitus;
  • systemic lupus erythematosus;
  • violation of blood coagulation;
  • herpes in the stage of exacerbation;
  • damages;
  • exacerbation of chronic diseases.

Rehabilitation

The duration of the rehabilitation period depends on the individual characteristics of the patient’s body and the type of surgical intervention. It lasts no more than two weeks and is easily transposed for everybody.

Pay attention: The most basic requirement in this period is limitation in physical activity, and in order to avoid the appearance of severe edema and hematoma, physicians recommend applying cold to the damaged site.

Pay attention: Unpleasant side effect is scarring, which not only brings the patient negative emotions, but also forms certain deformations. This complication requires another operation, but only in a year.

Cheiloplasty at children’s pathologies

It is recommended for children with such defects as:

  • “Hare lip”;
  • “Wolf’s mouth”.

“Hare lip” or scientific “chiloschisis” is a congenital defect, which is formed by the unbaked tissues of the nasal cavity and the upper jaw, as well as with the appearance of the cleft lip. Such pathology makes the child difficult to eat, speak and so on.

Unfortunately, it is found among 2500 thousand newborn babies, but with timely surgical intervention and conducting of cheiloplasty at the cleft, it is possible to completely eliminate the defect.

“Wolf’s mouth” is the splitting of the roof of the mouth, which captures the upper lip, the upper part of the jaw and the roof of the mouth. This pathology carries all the same problems as the “hare lip» and is eliminated by a surgical way.

Such plastic at an early age rid the child of a variety of psychological and physiological problems; therefore, specialists recommend conducting a cheiloplasty among children at the age of six months.

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