Beautiful Smile: Gummy Smile

The gingival smile is characterized by excessive exposure of the gums and teeth when smiling or laughing. While some people are troubled by huge hypertrophic lips, the majority of our patients notice this oddity in their smile while taking a picture or when they visit our clinic for additional cosmetic procedures like rhinoplasty, short upper lip, or retrograde.

Patients with deep nasopharyngeal canals may also have difficulty breathing via their nose.

When we grin or laugh, we see excessive exposure of the middle section of the denture, possibly up to the canines, and an indentation of the upper lip inwards, whereas if we have a hypertrophic lip, they double in the smile. There are several approaches to dealing with this issue, which we will divide into surgical and non-invasive approaches.

Surgical methods

The treatment for such issues can range from osteotomies and relocating the bony component of the chin backwards or downwards, depending on the correction required, to the simple placement of silicone implants in the lightest cases.

  1. Top lip repositioning and redesign: This is a surgical procedure to relocate the upper lip and release the lifts in the upper jaw, resulting in a lovely smile.
  2. A laser is used to remove hypertrophic gums that cover the teeth's surface.
  3. The top and lower lips were thinned and redesigned, with a disguised scar on the inside.
  4. The link that holds in through the top lip is the solution and elongation of a short bridle.
  5. If there are multiple causes for an unattractive smile, a combination of the above.

Botox, which, as we all know, limits the intensive function of the muscles into which it is injected, works by inhibiting the appearance of a gummy grin while also elongating the upper lip when it is too short and reducing the nasopharyngeal groove. The medication is administered in two locations to include the upper lip's primary traction muscles.

When smiling, hyaluronic acid or fatty tissue is filled into the top lip to partially hide the upper denture and gums.

The results are great and quick, however they only last around 6 months. Botox is an excellent option for people who want to get rid of the unattractive smile without having to undergo cosmetic surgery, because it can improve both the gummy smile and the peripheral area at the same time.

Before & After

Dr. Andreas Ioannides
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