Plastic and cosmetic surgery for everted lips:
1. Causes of everted lips: Everted lips are often caused by facial burns, trauma, infection, or post-surgical complications, with burn-induced scar contracture being the most common cause of lip eversion.
2. Defects caused by everted lip deformities: Mild cases of everted lips may be accompanied by slight corner-of-the-mouth deformation, affecting the patient's appearance and social interactions. This can put psychological pressure on patients and cause mental anguish, though it may have little effect on lip function. Severe everted lips not only significantly affect appearance, hindering normal work and social activities, but also cause local functional disorders. For instance, when there is severe adhesion between the jaw neck or chest area, the lower lip may be extremely everted, leading to functional disorders such as eating, chewing, swallowing, speech, and breathing. If this kind of deformity occurs during childhood, it may result in extensive destruction or scar contracture of deep tissues due to scar traction, potentially causing bone and temporomandibular joint adhesions that lead to the loss of mandible growth center functions, resulting in a bird-beak-like change in the patient's mouth.
3. Surgical methods for everted lips: There are many surgical methods for correcting everted lips, including V-Y advancement flaps, Z-plasty, nasolabial groove flap method, rectangular cheek-neck flap method, and full-thickness skin graft repair method.
Postoperative care for everted lip correction surgery:
(1) Postoperatively, restrict mandibular movement, avoid wide mouth-opening activities, provide tube-fed liquid food, comfort children to prevent excessive crying, to avoid the incision on the affected side from splitting open.
(2) The surgical area can be left exposed, and daily cleansing with 75% alcohol and 3% hydrogen peroxide can be done to maintain facial cleanliness and oral hygiene.
(3) Remove facial skin sutures 5-7 days after surgery. Sutures on the inner mucosa can be allowed to fall off naturally or removed two weeks later to prevent early suture removal from causing incision splitting due to opening the mouth.
(4) Use antibiotics for 3-5 days postoperatively to prevent infections. (Editor-in-Charge: chinaeye517)
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