Can Plastic Surgery Fix My Inability to Close My Mouth? - Plastic Surgery

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Mouth


Hello doctor: I cannot close my mouth tightly; my upper and lower lips are separated, and my teeth are visible.
Can this be improved through cosmetic surgery?

Xiao Wei, 20~29 year old female. Ask Date: 2008/10/24

Dr. Zhou Hongzhang reply Plastic Surgery


It is unclear whether Mr.
"Xiao Wei" has any other medical history, such as congenital abnormalities (cleft lip, cleft palate) or a history of significant trauma (such as maxillary or mandibular fractures).
Such issues are rare and require an in-person consultation for proper assessment.
If there are any other significant abnormalities, it is recommended to visit the Craniofacial Center at Linkou Chang Gung Memorial Hospital for evaluation.

Reply Date: 2008/10/24

More Info


The inability to close the mouth, often referred to as "open mouth" or "lip incompetence," can arise from various underlying conditions. These may include congenital abnormalities such as cleft lip and palate, neurological disorders, or structural issues related to the jaw or teeth. In some cases, trauma to the jaw or facial structures can also lead to this condition.
When considering plastic surgery as a solution, it is essential to first identify the root cause of the problem. If the issue is due to a congenital defect, surgical intervention may be beneficial. For instance, individuals with cleft lip or palate may require reconstructive surgery to improve both function and aesthetics. In such cases, a multidisciplinary approach involving oral surgeons, plastic surgeons, and orthodontists is often necessary to achieve optimal results.

If the inability to close the mouth is due to structural issues, such as misalignment of the jaw (malocclusion), orthodontic treatment may be required prior to or in conjunction with surgical options. Orthognathic surgery, which involves repositioning the jaw, can correct these misalignments and improve the ability to close the mouth effectively.
In cases where the issue is related to muscle function, such as in certain neurological conditions, surgical options may be limited. Physical therapy or other non-surgical interventions might be recommended to improve muscle control and coordination.

It is crucial to have a thorough evaluation by a qualified healthcare professional, preferably a plastic surgeon or an oral and maxillofacial surgeon, who specializes in facial reconstructive procedures. They will conduct a comprehensive assessment, which may include imaging studies, to determine the most appropriate course of action based on the specific diagnosis.

In summary, while plastic surgery can potentially improve the ability to close the mouth, the success of such interventions largely depends on the underlying cause of the condition. A personalized treatment plan, developed in consultation with experienced medical professionals, is essential to achieve the best possible outcome. If you are experiencing this issue, I recommend scheduling a consultation with a specialist who can provide a detailed assessment and discuss the available options tailored to your specific needs.

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