A combined method of oral commissure lifting for perioral rejuvenation in Asians

Pan, Bailin; Zhao, Runlei; Wu, Siqiao; Lin, Hengju; Yan, Liang-Jun; Hao, Guang; Chen, Jing; Nian, Fuhong

doi:10.1016/j.bjps.2020.05.077

Cited by 2 publications

(11 citation statements)

References 22 publications

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“…In total, 962 patients were enrolled in the 11 studies. 8 , 19 , 20 , 23 , 29-35 Ten studies reported gender of which 95.7% was female (n = 870). 8 , 19 , 20 , 23 , 29 , 31-35 Of the studies enrolled in this systematic review, 6 assessed an invasive technique to lift oral commissures in 426 patients 19 , 20 , 23 , 30-32 ( Supplemental Table 1 ) and 5 studies assessed a noninvasive technique in 536 patients 8 , 29 , 33-35 ( Supplemental Table 2 ).…”

Section: Resultsmentioning

confidence: 99%

“… 8 , 19 , 20 , 23 , 29-35 Ten studies reported gender of which 95.7% was female (n = 870). 8 , 19 , 20 , 23 , 29 , 31-35 Of the studies enrolled in this systematic review, 6 assessed an invasive technique to lift oral commissures in 426 patients 19 , 20 , 23 , 30-32 ( Supplemental Table 1 ) and 5 studies assessed a noninvasive technique in 536 patients 8 , 29 , 33-35 ( Supplemental Table 2 ). All studies reported the mean age or age variance of the patients and 7 studies 8 , 20 , 23 , 29 , 33-35 described differences in ethnicity or skin type on the Fitzpatrick scale ( Supplemental Tables 1 and 2 ).…”

Section: Resultsmentioning

confidence: 99%

“… 8 , 19 , 20 , 23 , 29 , 31-35 Of the studies enrolled in this systematic review, 6 assessed an invasive technique to lift oral commissures in 426 patients 19 , 20 , 23 , 30-32 ( Supplemental Table 1 ) and 5 studies assessed a noninvasive technique in 536 patients 8 , 29 , 33-35 ( Supplemental Table 2 ). All studies reported the mean age or age variance of the patients and 7 studies 8 , 20 , 23 , 29 , 33-35 described differences in ethnicity or skin type on the Fitzpatrick scale ( Supplemental Tables 1 and 2 ). Four of the 11 included studies were prospective clinical trials, 8 , 29 , 33 , 34 and all these 4 studies assessed a noninvasive mouth corner lifting technique.…”

Section: Resultsmentioning

confidence: 99%

“…As for direct surgical techniques to lift oral commissures, 3 studies were included that examined: (1) a simple and an advanced lentiform excision (Parsa et al 20 ), (2) a combination of a triangular excision with DAO muscle transection (Pan et al 23 ), and (3) an advanced Z-plasty (Kim et al 19 ) ( Supplemental Table 1 ). Parsa et al showed a high patient satisfaction rate (>87.5%) and demonstrated good results according to their self-composed assessment scale; however, no objective measurements of lift of the mouth corners were described.…”

Section: Resultsmentioning

confidence: 99%

“…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.…”

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confidence: 99%

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

Sluis

Gülbitti

Dongen

et al. 2022

Aesthetic Surgery Journal

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Background Mouth corners are an essential part of the centro-facial area for perception of attractiveness and emotions. Downturned mouth corners are a result of aging or have a congenital origin. Different mouth corner lifting techniques are described in the literature. Objectives This review was performed to systematically assess and compare invasive and non-invasive mouth corner lifting techniques and their effectiveness, patient satisfaction and adverse effects. Methods MEDLINE (via PubMed), EMBASE and The Cochrane Central Register of controlled trials databases were searched for clinical and observational studies published in peer-reviewed academic journals with abstracts available (searched from May 18, 2019, to December 18, 2021). Outcomes of interest were aesthetic mouth corner lifting techniques, the degree of lift as well as the longevity of the lifting effect, patient satisfaction and adverse effects. Techniques were subdivided in invasive techniques and non-invasive techniques. Results Eleven out of 968 studies were included in the qualitative analysis. In general, surgical techniques seem to have a better mouth corner lifting effect in comparison to non-surgical techniques; however, objective evidence is weak, and surgery inevitably results in a scar. Reported patient satisfaction was good for both surgical and non-surgical techniques and no severe complications have been described. Conclusions Surgical techniques seem to have a better lifting effect on mouth corners than non-surgical techniques. Nevertheless, objective evidence is weak, and a scar is inevitable.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

mentioning

confidence: 99%

See 3 more Smart Citations

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

Sluis

Gülbitti

Dongen

et al. 2022

Aesthetic Surgery Journal

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A Novel 3-Point Injection Technique for OnabotulinumtoxinA in the Upper Depressor Anguli Oris

Moradi¹,

Khalifian²,

Alghoul

et al. 2023

Dermatol Surg

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BACKGROUND AND OBJECTIVE To evaluate the efficacy and safety of onabotulinumtoxinA (ONA) injections to the depressor anguli oris (DAO) to improve downturned mouth. PATIENTS AND METHODS/MATERIALS This prospective, placebo-controlled, study enrolled subjects aged 18 to 65 years. Injections were performed using a novel 3-point technique in the upper DAO (1.5 U/injection site). The primary end point was a DAO contraction scale 1-grade improvement. Subjective evaluation was performed using the Global Aesthetic Improvement Scale (GAIS). RESULTS Ten subjects received ONA and 10 placebo (saline) injections. In ONA-treated subjects, DAO scores showed significant improvements at Weeks 4 and 12 (p , .001) compared with baseline. No significant difference between visits was observed for placebo-injected subjects. Global Aesthetic Improvement Scale scores showed that 100% of subjects were improved compared with baseline at Week 4% and 90% at Week 12. By contrast, 90% and 80% of placebo-treated subjects had "no change" in their DAO appearance at Weeks 4 and 12. Subject GAIS assessments matched the live evaluator at Week 4; 60% continued to report improvement at Week 12. Treatment was well tolerated. CONCLUSION OnabotulinumtoxinA injections to the DAO using a 3-point technique provide clinically meaningful improvements in appearance. Treatment was well tolerated and in most individuals lasted at least 12 weeks. IDENTIFIER ClinicalTrials.gov NCT04240535.

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A combined method of oral commissure lifting for perioral rejuvenation in Asians

Cited by 2 publications

References 22 publications

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

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

A Novel 3-Point Injection Technique for OnabotulinumtoxinA in the Upper Depressor Anguli Oris

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