Introduction
Mouth corner droop can have a significant impact on a person's appearance and self - confidence. In New York City, a hub of medical excellence, there are numerous plastic surgery hospitals that offer treatments for mouth corner droop. This article aims to reveal the top ten large - scale plastic surgery hospitals for improving mouth corner droop in New York City, while also providing in - depth knowledge about mouth corner droop and related plastic surgery techniques.
Understanding Mouth Corner Droop
Causes of Mouth Corner Droop
The position of the oral commissures is affected by various factors. As we age, the oral commissures tend to depress over time. This is partly due to the increased contractility of the depressor anguli oris (DAO) muscles, sagging of facial fat pads (jowling), and deterioration of skin smoothness (as per the research in "Lifting the Mouth Corner: A Systematic Review of Techniques, Clinical Outcomes, and Patient Satisfaction"). Downturned oral commissures can also have a congenital origin, which may result from hyperactive DAO and mentalis muscles or an imbalance of mouth corner elevators and depressors.
Impact on Appearance and Psychology
An upward position of the oral commissures is associated with an impression of pleasure and amiability, whereas a depressed position is associated with sadness, anger, and seriousness. Moreover, drooping mouth corners create a natural pathway for saliva to escape down the marionette lines, further affecting a person's self - image and social interactions.
Treatment Techniques for Mouth Corner Droop
Invasive Techniques
- Direct Surgical Techniques:
- Lentiform Excision: Parsa et al showed a high patient satisfaction rate ( > 87.5%) and demonstrated good results according to their self - composed assessment scale in their study on simple and advanced lentiform excision. However, no objective measurements of lift of the mouth corners were described.
- Triangular Excision with DAO Muscle Transection: Pan et al used 3 - dimensional (3D) photographs to measure the position of the oral commissures before and after treatment. They described an effective lift in 78.6% (n = 125) of the patients, accompanied by a patient satisfaction rate of 70.4%.
- Advanced Z - plasty: Kim et al's extended z - plasty did result in a significant lift of oral commissure angles measured on 2D photographs, but patient satisfaction was not described in this study.
- Indirect Surgical Techniques:
- Temporal Cheek Rhytidectomy: McCollough et al assessed the lifting effect on mouth corners in 53 patients after rhytidectomy. An excellent effect on a 4 - point likert scale was described in 72% (n = 38) of the patients, although 28% (n = 15) of the patients gained minimal to no improvement. However, no objective measurement of lift of the mouth corners or patient satisfaction was described.
- Thread Lifting: Kaminer et al examined the effect of thread lifting on the position of oral commissures in 20 patients. Questionnaires based on a 10 - point likert scale showed a patient satisfaction rate of 6.9 out of 10 and an investigator satisfaction rate of 4.6 out of 10. No objective measurements of the lift of the mouth corners were described.
- Autologous Fat Grafting: Eremia and Newman assessed the effect of autologous fat grafting on the position of the mouth corners in 116 patients. The 56 patients who were treated for nasolabial folds and oral commissures showed an excellent and stable lift after 3 months. However, this successful mouth corner lift persisted in only 5% (n = 2) of the patients after 12 months, despite additional treatments (up to 3 procedures). No objective measurement of the lift of the mouth corners or patient satisfaction was described in this study.
Non - invasive Techniques
- Filler Injections:
- Raspaldo et al used hyaluronic acid (HA) as a filler in 280 patients and showed a high patient satisfaction rate on an 11 - point likert scale, with patients who received Juvederm Volbella (Allergan, Irvine, CA) with lidocaine being significantly more satisfied than patients who received Restylane - L (Galderma, Lausanne, Switzerland). Severity of perioral lines was reduced after 3 months.
- D’Aloiso et al used cross - linked carboxymethyl cellulose (CMC) as a filler in 174 patients and demonstrated a patient satisfaction rate of 90.1% after 6 months, measured by > 2 points improvement on the subject global aesthetic improvement scale (SGAIS); 53% of the patients showed good results on the marionette lines grading scale (MLGS) after 6 months.
- Solish et al used HA (Restylane) as a filler in 30 patients and showed a patient satisfaction after 42 days of good to excellent in 93.3% (n = 28) of the patients, measured on the SGAIS. All these studies describe no objective mouth corner lift after the application of a filler.
- Botox Injections: Qian et al demonstrated a significant lift of oral commissure angles measured on 2D photographs that was preserved for 6 to 9 months when injecting Botox in the DAO muscles on the position of the oral commissures in 36 patients. Unfortunately, patient satisfaction was not described in this study.
- Combination Therapy: Bae et al showed good patient satisfaction in all patients according to the SGAIS and objective measurements of the position of the oral commissures were obtained from 2D photographs in their study of a combination therapy of Botox with HA on the position of the mouth corners in 16 patients. Despite the high patient satisfaction, no statistical differences were found in the median degrees of lifting of the mouth corners 2 weeks and 3 months after treatment.
The Top Ten Plastic Surgery Hospitals in New York City for Mouth Corner Droop Improvement
1. Mount Sinai - New York
Mount Sinai's plastic surgery practice offers a full range of options in both aesthetic (cosmetic) and reconstructive (restorative) plastic surgery. Their board - certified plastic surgeons have extensive experience. The practice provides natural - looking improvements that enhance looks and strengthen self - assurance. In addition to surgical procedures, they offer an array of non - invasive enhancing treatments. Their newly designed plastic surgery suite, the Derfner - Lieberman Family Center for Plastic and Reconstructive Surgery, provides a comfortable and private environment for patients. The surgeons at Mount Sinai are faculty members of the Icahn School of Medicine at Mount Sinai, with a long tradition of providing ground - breaking plastic surgical care.
2. Weill Cornell Medicine
The department of otolaryngology - head and neck surgery at Weill Cornell Medicine offers facial plastic and reconstructive surgery. Their multidisciplinary team provides a personalized approach to treating face, head and neck aesthetic conditions. They are nationally recognized leaders in their fields. The surgeons use the latest regional anesthetics and medications that allow patients to recover quickly and heal faster. They treat a wide range of conditions related to facial paralysis, injuries, cleft lip and palate, and also offer cosmetic facial surgery such as rhinoplasty and otoplasty.
3. Laser & Skin Surgery Center of New York
Ranked first in the review of top New York plastic surgeons in 2024 Q1, this center is co - led by Dr. Lloyd Hoffman and Dr. Stelios Wilson. They offer patients unparalleled surgical expertise combined with a welcoming, spa - like environment. Their dedication to continuing education and patient satisfaction ensures exceptional care and natural - looking outcomes. With 2572 reviews and a 4.9 - star rating, they have a high level of patient approval.
4. Lexington Plastic Surgeons
Ranked second in the 2024 Q1 review, Lexington Plastic Surgeons boasts an elite team of board - certified surgeons including Dr. Michael Jones, Dr. Karan Mehta, Dr. Angel Farinas, and Dr. Kayvan Ross Tin. They offer patients cutting - edge surgical and non - invasive treatments to help them look and feel their best. By combining their areas of expertise, they provide complete care tailored specifically to each patient's unique goals, with 865 reviews and a 4.2 - star rating.
5. Neinstein Plastic Surgery
With a 4.9 - star rating and 554 reviews, Neinstein Plastic Surgery is led by Dr. Ryan Neinstein alongside Dr. Chris Funderburk and Dr. Anna Steve. They are renowned for their natural - looking outcomes and patient - first approach. Their skill in balancing patients' unique facial features and proportions leads to dramatic yet subtle transformations.
6. Kassir Plastic Surgery
Co - led by Dr. Ramtin Kassir and Dr. Philipp Franck, Kassir Plastic Surgery offers elite - level surgical care combined with genuine warmth. By taking the time to understand patient anatomy and goals, they develop truly customized plans aimed at revealing inner beauty and confidence. It has 487 reviews and a 4.6 - star rating.
7. Anna Avaliani MD Cosmetic & Laser Surgery
Led by board - certified physician Dr. Anna Avaliani, this center has 459 reviews and a 4.7 - star rating. Dr. Avaliani's dedication to continuing education ensures patients have access to the most advanced techniques available. Her visionary approach helps patients reveal their natural grace and beauty.
8. Dr. Mansher Singh, MD
Dual board - certified facial plastic surgeon Dr. Mansher Singh leads this practice. With 415 reviews and a flawless 5 - star rating, he offers patients an exceptional blend of cutting - edge techniques and timeless artistry. His passion for his work allows him to achieve natural yet transformative outcomes tailored to patients' unique anatomy.
9. Lara Devgan, MD, PLLC
Board - certified plastic and reconstructive surgeon Dr. Lara Devgan leads this practice. With 361 reviews and a 4.7 - star rating, she combines technical precision with profound empathy for her patients. Her discerning eye and custom approach aim to revitalize her patients while retaining their authentic selves.
10. Madnani Facial Plastics
Led by board - certified facial plastic surgeon Dr. Dilip Madnani, Madnani Facial Plastics has 272 reviews and a flawless 5 - star rating. Dr. Madnani offers patients both surgical and non - invasive rejuvenation using natural techniques for refreshed, graceful outcomes. His passion for teaching patients allows them to make informed decisions about their care.
How to Choose the Right Plastic Surgery Hospital
Surgeon's Credentials and Experience
It is crucial to confirm the surgeon's credentials. Surgeons should be board - certified by the American Board of Plastic Surgery, the only board recognized by the American Board of Medical Specialties to certify plastic surgeons. In addition, many top surgeons have undergone further specialized training. Their experience in performing mouth corner droop improvement surgeries can significantly affect the outcome.
Range of Services
A good plastic surgery hospital should offer a wide range of services, including both invasive and non - invasive techniques. This allows patients to choose the most suitable treatment option based on their condition, preferences, and expectations.
Patient Reviews and Reputation
Patient reviews can provide valuable insights into the quality of care and patient satisfaction at a particular hospital. Hospitals with a high number of positive reviews and a good reputation are more likely to provide excellent services.
Hospital Environment and Technology
A comfortable and private hospital environment can enhance the patient experience. Moreover, the use of advanced technology, such as 3D imaging for surgical planning and the latest anesthetic techniques, can improve the safety and effectiveness of the surgery.
Conclusion
Improving mouth corner droop is an important aesthetic concern for many people. In New York City, there are numerous top - notch plastic surgery hospitals that offer a variety of treatment options. We have introduced the top ten large - scale plastic surgery hospitals for mouth corner droop improvement, each with its own strengths in terms of surgeon expertise, range of services, and patient satisfaction. Whether you prefer invasive surgical procedures or non - invasive treatments, these hospitals can provide professional advice and high - quality care.
If you are considering mouth corner droop improvement surgery, take the time to research these hospitals, consult with the surgeons, and make an informed decision. Share this article with your friends and family who may be interested in this topic, and feel free to explore more about plastic surgery and aesthetic medicine on our website.
