As a last result, for dogs with chronic lip-fold infections, a fairly simple surgery (cheiloplasty) to eliminate the skin fold may be the best intervention, as it essentially makes the problem go away forever.
In the recent past there is a shift of paradigm from Angles to soft tissue profile as soft tissues largely determines the limitations of orthodontic treatment, from the perspectives of esthetics, function, anchorage planning, retention, relapse and stability.1,2 Growth modification and surgical orthodontics are also aimed at improving the esthetics.3,4 Surgical camouflage including rhinoplasty, genioplasty, cheiloplasty and maloplasty as adjunctive orthodontic procedure has become popular in the recent past again with the aim to improve the profiles.5,6 Orthodontist thus must plan treatment within the patient's limits of soft tissue adaptation and soft tissue contours.
Treatment of MRS is complex and various treatment modes have been described in literature: corticosteroids (systemic, intralesional), anabolics, antibiotics (metronidazole, tetracyclines, macrolides), clofazimine, dapsone, sulphasalazine, azathioprine, hydroxychloroquine, methotrexate, infliximab, as well as surgical intervention (cheiloplasty), but very rarely [4, 15-17].