Can Mouth Widening Be Done At the Same Time As Upper and Lower Lip Vermilion Advancements?
Q: Dr. Eppley, Is it possible to do a lateral commisuroplasty at the same time with the other procedures to achieve a wider mouth then with just the upper and lower vermillion advancements and lip lift alone?
Will these procedures change my current philtrum which is concave to one which is convex?
A:While technically possible to do upper and lower lip advancements with a mouth widening procedure, this increases the risk of adverse scarring at the mouth corner area.
To change the concave philtral area to a straight or even convex one this requires the placement of an Alloderm or fat graft through the subnasal lip lift incision.
Dr. Barry Eppley
World-Renowned Plastic Surgeon