A new approach to smiling deformity: Cutting of the superior part of the orbicularis oris

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dc.contributor.authorBenlier, E
dc.contributor.authorTop, H
dc.contributor.authorAygit, AC
dc.date.accessioned2024-06-12T10:59:22Z
dc.date.available2024-06-12T10:59:22Z
dc.date.issued2005
dc.departmentTrakya Üniversitesien_US
dc.description.abstractA diagnosis of an aesthetic smiling deformity, which is functional rather than anatomic, is essential for provision of the best treatment in rhinoplasty. Smiling deformity consists of three elements: (a) the nasal tip tending to retrodisplace and rotate inferiorly; (b) the lower part of the upper lip moving superiorly; and (c) a horizontal groove occurring in the midphiltral area. An active depressor septi and orbicularis muscle can accentuate a drooping nasal tip and shorten the upper lip during smiling. Downward movement of the nasal tip and a sharper nasolabial angle usually are aesthetically unpleasant. During the study period (January 2000 to January 2004), the authors identified 38 patients with smiling deformities, 16 of whom underwent dissection and transposition of the paired depressor septi during rhinoplasty. The remaining 22 patients experienced hyperactivity of both the depressor septi and orbicularis muscles, as diagnosed by a descending nasal tip and a shortened upper lip at animation. These patients underwent a modification of the depressor septi and orbicularis muscles. No relapse was evident up to 2 years postoperatively. Repositioning of the depressor septi nasi muscle improved only mild cases. However, modification of the orbicularis and depressor septi muscles was a valuable adjunct to rhinoplasty for moderate and severe forms of smiling deformity. The new approach for smiling deformity provided an aesthetically pleasant appearance for the patient both at rest and when smiling.en_US
dc.identifier.doi10.1007/s00266-004-0137-y
dc.identifier.endpage377en_US
dc.identifier.issn0364-216X
dc.identifier.issue5en_US
dc.identifier.pmid16151663en_US
dc.identifier.scopus2-s2.0-27144463590en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage373en_US
dc.identifier.urihttps://doi.org/10.1007/s00266-004-0137-y
dc.identifier.urihttps://hdl.handle.net/20.500.14551/20404
dc.identifier.volume29en_US
dc.identifier.wosWOS:000232799000008en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSpringeren_US
dc.relation.ispartofAesthetic Plastic Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectDepressor Septi Nasien_US
dc.subjectOrbicularis Orisen_US
dc.subjectSmiling Deformityen_US
dc.subjectDepressor Muscleen_US
dc.subjectNasal Tipen_US
dc.subjectRhinoplastyen_US
dc.subjectColumellaen_US
dc.subjectAnatomyen_US
dc.titleA new approach to smiling deformity: Cutting of the superior part of the orbicularis orisen_US
dc.typeArticleen_US

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