Gum Lift: Q&A
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Can a Nose Job Reduce 'Gummy' Smile?
I just recently had a jaw surgery which I hoped would reduce my gummy smile but unfortunately in my case that was not possible. Can a nose job help my upper lip in a way where it can reduce the gumminess?
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31 Doctor Answers |
Asked by
Yassamin
in Canada
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Treatment of a gummy smile
In my experience, Botox or Dysport work very well for reducing the appearance a gummy smile if the issue is too much lift of your upper lip. Rhinoplasty, a wonderful procedure for changing the shape of your nose, is not indicated for this purpose.
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Rhinoplasty reshapes the nose
A gummy smile is caused by the muscles around the mouth and the maxillofacial underlying structures. Rhinoplasty is very good at bringing symmetry and balance to the face, but does not affect the smile.
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Gummy smile
A gummy smile could be due to several factors. you will need to be evaluated to find out what procedures could be done to improve your smile. These procedures could be combination of jaw surgery (if maxillary excess), gum surgery (if excess gingiva and bone surrounding teeth). There is also another technique called lip repositioning . This will limit the amount of your lip movement during , therefore covers the excess gum.
you don't need to get a nose job if...
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Toronto Cosmetic Dentist
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Rhinoplasty for Overexposed Upper Gums
In certain cases of overexposed upper gums, yes, rhinoplasty surgery can reduce the show. This usually requires the nasal tip to be set back, releasing what we frequently see as a “tension” nose.
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Gummy Smile
Gummy Smile is best treated by reducing the height of the upper jaw (maxilla): the bone is trimmed to create better proportion in the facial bones.
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Gummy smile may or may not be helped with a Rhinoplasty
A gummy smile may be caused by numerous factors. A very careful analysis of your face, your smiling face, your nose, your septum, and your craniofacial skeleton is necessary. Do not get a rhinoplasty just to shange your smile. That really is not the reason. You can correct the gummy smile simply with Botox or Dysport. However, there are certain manuevers with a rhinoplasty that you can do to minimize a gummy smile. The key to your question is get...
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Gummy smile can be helped with Botox not Rhinoplasty
A gummy smile would not be corrected with Rhinoplasty. A safe (off label) way to correct a gummy smile is by using Botox or Dysport. If you are going to do this however, make sure you see a physician who is experienced in using a neurotoxin for this purpose. It usually requires very little product and works very well.
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Gummy Smile Correction
A gummy smile is most commonly due to a skeletal abnormality in which the upper jaw is simply too long (vertical maxillary excess). This can be corrected by orthognathic surgery (jaw surgery) in which the upper jaw is cut horizontally and a wafer of bone is removed to shorten the bony length (vertical maxillary impaction). This is the definitive way to correct this problem. Alteration of the anterior nasal spine of the nose during rhinoplasty or reduction of hyperactive...
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Rhinoplasty and Gummy Smile
A gummy smile can be caused by a variety of factors which most commonly includes:
Vertical maxillary excess (excess bone of upper lip)
Hyperfunction of lip elevators (muscles that make you smile)
Excessive gum surrounding the teeth
In cases of vertical maxillary excess, orthognathic and maxillofacial surgery is probably the best bet to get started. In patients who are not candidates for either or who have already had maxillofacial surgery, a...
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No, a rhinoplasty does not reduce a gummy smile. Botox, however, works great
During a rhinoplasty, there are certain maneuvers that may alter the smile, including diminishing the upward movement of the lip. There are procedures to help reduce a gummy, but a rhinoplasty is not the procedure of choice.
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Gummy smile
A gummy smile can be improved with durring a rhinoplasty. This is done by cutting a muscle durring part of the operation. The effect is a lowering of the upper lip. This can be simulated pre-operatively by applying botox to the muscle.
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Gummy smile correction
Sometimes a gummy smile can be partially corrected with modification of the muscle of the upper lip or the tip of nasal structures that can be palpated inside the upper lip. This may change the shape of your smile. This will probably have limited ability to change the overall presentation of your smile.
Best,
Tal Raine MD
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Computer imaging before Rhinoplasty
There are a number of causes of a gummy smile, such as excess height of your upper jaw, hyperactive lip re tractor muscle, overly strong nasal spine bone, excessively long upper incisors, etc. If you had an upper jaw surgery your gummy smile should have been improved somewhat. At this point make sure your surgeon has experience and expertise to make a correct diagnosis as to your residual gummy smile. In my practice we treat patient for a gummy smile all the time, ...
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A nose job will not reduce a gummy smile.
A nose job (rhinoplasty) changes the appearance of the nose only. Upper jaw surgery would be required to fix a gummy smile. This is complex surgery that must be meticulously planned. Often it is preceded by orthodontics.
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Rhinoplasty will not reduce the appearance of a gummy smile
Rhinoplasty will not reduce the appearance of a gummy smile. You should consider seeking a plastic surgeon or maxillofacial surgeon who has much experience with vertical maxillary excess to consider upper jaw surgery if this is a significant concern.
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Rhinoplasty does not usually fix a gummy smile
Rhinoplasty is a popular and effective surgery to recontour the shape of your nose. This procedure will alter the shape, size, and contour of your nose which may change the focus from your smile. However, it will not affect the structures that are causing your gummy smile.
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Rhinoplasty and gummy smile
There are a few things done during a rhinoplasty that could reduce a bit of your gummy smile - but that depends upon your need for a rhinoplasty! If your problem is a gummy smile, you need to be evaluated by an experienced surgeon to determine what (maybe a rhinoplasty, maybe not) could be done to help you.
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Rhinoplasty And Changes To The Upper Lip
Rhinoplasty is unlikely to address your concerns regarding a gummy smile. Although rhinoplasty can change the relative appearance of one's lip and smile, it is not likely to do so in your case. You are better off finding a plastic surgeon who has experience in performing upper lip modification. Good luck.
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Gummy smile
I think a rhinoplasty can help a gummy smile, slightly. By releasing the depressor muscles of the nose, the lip is not pulled up so much. I would augment this with Botox, however.
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Rhinoplasty to improve gummy smile
No, a nose job (rhinoplasty) cannot reduce a gummy smile. The rhinoplasty can reduce a plunging tip, which can be associated with a gummy smile upon animation. By releasing the depressor septi muscle of the nose and lifting the tip, it could give the illusion of a longer length to the upper lip.
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Rhinoplasty for Gummy Smile
Rhinoplasty surgery will do little or nothing to ireduce a gummy smile. As other physicians have stated, the use of intermittant botox injections or a VY plasty may be helpful depending on the severity of your problem.
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Gummy Smile
A gummy smile is usually due to vertical maxillary excess. This is often treated with maxillary surgery to reduce the height. WIthout examining you, it would be difficult to say what could help further.
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Gummy smile and rhinoplasty
Unfortunately, a rhinoplasty won't reduce a gummy smile. The best treatment for this depends on your individual examination, and may range from a temporary treatment such a Botox to a full surgical procedure to reduce your maxillary bone. I suggest seeing a plastic surgeon with expertise in craniofacial surgery who can advise you on the best treatment. Good luck, /nsn.
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Rhinoplasty and upper lip position
Depending upon the type of rhinoplasty you have and whether your nose is retrodisplaced or not and dropped closer toward your face, you can often improve a gummy smile. The white cutaneous upper lip can be dropped several mm depending upon whether or not the depressor septal nasi muscle is released which pulls on your septum. Also, other techniques in rhinoplasty may help some as well. I hope this information helps.
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Gummy smile
Jaw surgery should have reduced the gummy smile due to a long face. A rhinoplasty may help, but it would require an examination of the nose at rest and on smiling to determine if and how much improvement can be expected.
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V Y Lip advancement for gummy smile
On a temporary basis, Botox can work well to reduce the lip lifting muscle. On a more permanent basis, a VY lip advancement can reduce a gummy smile.
Many patients a gummy smile also have lip size deficiency and could benefit from autologous fat fascial grafts to increase lip size as well (LiveFill).
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Nose job to reduce 'gummy' smile
Only if the 'gummy smile is related to the anatomic deformity of the anterior nasal spine and the muscles surrounding it. These can be released during the rhinoplasty. But if the issue is more involved as a maxillary problem than No a rhinoplasty will not help. Go see a boarded surgeon.
From MIAMI
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Nose Job and the Gummy Smile
Depending on the EXTENT of your gum show on smiling and the cause for it, it may be improved by 1. removing a horizontal wedge/sliver of the central bone of the face (Maxilla) as you mentioned, which reduces the height of the bone and allows the existing upper lip to better cover the upper incisor teeth.
2. Botox can selectively weaken the extent of central lip lifting by the thin muscles that run alongside the nose. This the quickest and most efficient way to do so.
Occasionally the...
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Rhinoplasty Surgery will not improve your "gummy smile" but a Botox treatment might.
If you're seeing too much of your upper gums when you smile, you might benefit from carefully placed Botox in your upper lip. This could weaken the muscle below your nose that lifts your lip, to decrease the amount of visible upper gum.
I hope this is helpful for you.
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Gummy smile correction
Depending on the shape and nature of your gummy smile, a transection of the depressor septi muscle can also help in reducing the elevation of your lip. This can be done during rhinoplasty or as an independent procedure. Botulinum toxin can also be used to alter function of this muscle along with treatment of the levator labii muscle. I would base this treatment on the shape of your smile. Good luck.
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Botulinum toxin for gummy smile
A gummy smile can be caused by a vertically long maxilla & I assume you had some form of orthognathic surgery to correct this. Use of botulinum toxin into the levator labii alaeque nasii muscle (the muscle that elevates the lip) can correct the gummy smile.
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