How to improve smile? Gummy smile only when smile big, left corner of mouth does not lift not sure since when (Photo)

Hi, I’m Lauren, the aesthetic injector at Colorado Plastic Surgery Center. Based on everything you’ve shared—your age, history with braces, gummy smile, and facial creasing—Botox can be an effective and non-invasive option to help with both functional and aesthetic concerns. Botox relaxes that muscle, so your upper lip doesn’t rise as high—reducing gum show in a subtle, natural-looking way. I would encourage you to consult with an experienced provider who can assess your needs and goals.

Hi! Botox in the lower face could improve symmetry on your smile. You can treat the muscles that are pulling up the smile on the left which would make it more symmetrical with the other side. Additional, treating your DLI muscles would reduce the downward pull of your lower lip if the gumminess of the lower lip is a concern as well. While these injections could make things more symmetrical, overall it would make your smile "smaller" - just something to keep in mind.

Thank you for reaching out with your concerns regarding your smile. Based on the details you provided, it sounds like you have a few specific issues you’d like to address: a gummy smile, asymmetry in the corners of your mouth, midline correction, and a slight anterior molar crossbite.

Here are some potential treatments and considerations:

Gummy Smile:

Botox: Botox can be effective for reducing a gummy smile by relaxing the muscles that elevate the upper lip. This is a temporary solution and typically needs to be repeated every few months.
TADs (Temporary Anchorage Devices): These can be used in orthodontics to help move teeth in a more controlled manner, potentially reducing gum exposure.
Gum Contouring: This surgical option reshapes the gum line and can be a more permanent solution. Given your concern about teeth appearing too large, it's important to have a detailed consultation with your dentist or periodontist to evaluate if this would be suitable for you.
Midline Correction:

Upper Palate Expander: This can be effective for correcting midline discrepancies and expanding the upper arch. It is often used in conjunction with braces.
Rubber Bands (Elastics): These are commonly used in orthodontics to correct midline issues by adjusting the position of the teeth.
Corner of Mouth Asymmetry:

This could be due to muscle weakness or asymmetry. Consulting with a specialist, such as a maxillofacial surgeon or a dermatologist who specializes in facial aesthetics, may provide more targeted treatment options.
Crossbite:

Orthodontic Treatment: Braces or clear aligners can correct a crossbite. Your orthodontist will be able to determine the best course of action for your specific case.
Given the complexity of your concerns, a multidisciplinary approach involving an orthodontist, a periodontist, and possibly a dermatologist or maxillofacial surgeon may provide the most comprehensive treatment plan.

Please ensure to discuss all your concerns and options with your healthcare providers to develop a treatment plan that suits your needs and addresses your fears, especially regarding the potential for teeth appearing too large after gum contouring.

Botox is a great tool to help improve a gummy smile. The treatment is done in the office with final results seen after two weeks. The effects will fade gradually over three to four months. You appear to be a good candidate for this treatment.

Your gum can be cut using laser without the need for surgery, and afterward, laminate veneers can be applied. The gum cutting procedure is painless and without bleeding. We share the link below to before-and-after photos of our patient's treatment.