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Updated: May 12, 2026

Single-stage Dynamic Reanimation of the Smile in Irreversible Facial Paralysis by Free Functional Muscle Transfer
Published on: March 1, 2015
[Management of labial incompetence and gummy smile using profiloplasty]
M Foucher1, S Quenin, F Disant
1CHU Hôpital Edouard Herriot, Service ORL et chirurgie cervico-maxillo-faciale, 5 pl Arsonval, 69437 Lyon cedex 03, France.
Introduction:
Gummy smile and labial incompetence are frequent for consultation in plastic surgery. We wanted to show that rhinoplasty and genioplasty should correct these anomalies.
Patients And Methods:
Profiloplasty was performed on 20 patients. Aesthetic and functional items were evaluated.
Results:
There is a correlation between aesthetic and functional results. Results seem to be better for patients having an important labial incompetence without gummy smile.
Conclusion:
Those results are based on anatomical and surgical considerations. Some non surgical procedures do exist to treat this problem. It should be a challenge to find the place for each procedure.
