How to correct lip eversion

In today's society, it can be said that it is a society that values ​​appearance, and facts show that a person's appearance has an impact on his or her communication, career development, etc. Therefore, people pay more and more attention to their faces. Lips are one of the important parts of our face. For women, lip makeup is also a way to enhance their charm. Some people have protruding lips. How can we correct this situation?

Surgery Indications

Lip eversion is mostly caused by facial burns, trauma, infection, and surgical sequelae. Among them, lip eversion caused by scar contracture caused by burns is the most common. Mild lip eversion or accompanied by mild deformation of the corners of the mouth affects the patient's appearance, hinders social activities, and causes psychological pressure and mental pain to the patient, but may not have a significant impact on the function of the lips. Severe lip eversion not only seriously affects the appearance and hinders the patient's normal work and social activities, but also causes local functional disorders. For example, when severe adhesion occurs in the jaw, neck or chest, the lower lip may be extremely everted, and functional disorders in eating, chewing, swallowing, language and breathing may occur. If such deformity occurs in childhood, it may be due to scar traction, often accompanied by extensive destruction of deep tissue or scar contracture, and even adhesion of bones and temporomandibular joints, resulting in loss of function of the mandibular growth center and the patient's mouth changing into a bird's beak shape.

Surgical method

The methods for correcting lip eversion include: VY advancement flap, Z-plasty, nasolabial fold flap, rectangular cheek and neck flap, full-thickness skin graft repair, etc.

1. "Z" shape plasty correction: suitable for mild lip eversion deformity caused by traction of linear scars.

2. "VY" sliding flap correction: suitable for lip eversion caused by small skin defects on the upper and lower lips.

3. Nasolabial fold skin flap correction: It is suitable for lip eversion deformity with a wide range of upper and lower lip defects, deep scars, and difficulty in achieving satisfactory results with free skin grafting.

Postoperative precautions

(1) After surgery, limit the movement of the mandible, avoid opening the mouth wide, give liquid food through a tube, comfort the child, and prevent excessive crying to avoid dehiscence of the wound on the affected side.

(2) The surgical wound surface can be exposed and coated with 75% alcohol and 3% hydrogen peroxide daily. Keep the face clean and perform oral care.

(3) The facial skin sutures should be removed 5-7 days after surgery. The sutures on the oral mucosa can be left to fall off on their own or removed after two weeks to avoid premature removal of the sutures and subsequent opening of the mouth, which may cause the wound to split.

(4) Antibiotics should be used for 3-5 days after surgery to prevent infection.