Uneven smile & deep smile lines - want weaker side to be pointier, any treatments? (Photos)

Question

I don’t want to make upward side less active. Hey, so I have an uneven smile. Dentist said it’s due to muscle not dental issue. I asked a med spa and they said they recommended massages which won’t address the deep smile lines and they recommended getting Botox/filler for my gummy smile, but med spa said she only sees my uneven smile being fixed by making the side I like that’s upturned weaker. Weak side isn’t just weak or downturned, it’s also crooked. I want to know if there’s anything possible to fix this. It’s a big insecurity. Thanks!

Anna Chacon, MD, FAAD · Answer

Addressing an uneven smile and deep smile lines can be challenging, but there are several potential treatments and approaches you can consider. Since your concern is primarily muscular and not dental, the focus will be on addressing the muscle function and possibly enhancing the symmetry of your smile without making the more active side less active.

### Treatment Options:

1. **Botox (Botulinum Toxin):**
   - **Purpose:** Botox can be used to relax the muscles on the more active side to create a more balanced appearance.
   - **Consideration:** Since you mentioned not wanting to reduce the activity of the upward side, this may not be the ideal solution for you.

2. **Dermal Fillers:**
   - **Purpose:** Fillers like hyaluronic acid can be used to add volume to the weaker side, helping to create a more symmetrical appearance.
   - **Consideration:** This can also help with deep smile lines by providing structural support and smoothing out the area.

3. **Facial Exercises and Physical Therapy:**
   - **Purpose:** Strengthening the weaker side through targeted exercises may help improve muscle tone and balance.
   - **Consideration:** This approach requires consistent effort and time but can be a natural way to address the issue.

4. **Neuromodulation:**
   - **Purpose:** Techniques like electrical stimulation can be used to strengthen the weaker muscles.
   - **Consideration:** This is often used in physical therapy and might require guidance from a specialist.

5. **Surgical Options:**
   - **Purpose:** In some cases, surgical intervention might be considered to correct muscle imbalance or reposition muscles.
   - **Consideration:** This is typically a more invasive option and would require consultation with a plastic surgeon or a specialist in facial reconstructive surgery.

6. **Laser Treatments and Microneedling:**
   - **Purpose:** These treatments can help with the skin's appearance and improve deep smile lines by promoting collagen production.
   - **Consideration:** These are generally used for skin texture and tone rather than muscle function but can complement other treatments.

7. **Consultation with a Specialist:**
   - **Purpose:** A consultation with a facial plastic surgeon or a neurologist who specializes in facial nerve and muscle function could provide a comprehensive evaluation and personalized treatment plan.
   - **Consideration:** They may offer advanced options or combinations of treatments tailored to your specific needs.

### Next Steps:

1. **Consult Multiple Experts:**
   - Visit a facial plastic surgeon, a dermatologist with experience in cosmetic treatments, and possibly a neurologist to get multiple opinions and a comprehensive evaluation.

2. **Discuss Your Goals Clearly:**
   - Make sure to communicate that you do not want to reduce the activity of the more active side but rather enhance the weaker side.

3. **Consider a Combination Approach:**
   - Often, a combination of treatments (e.g., fillers for volume, exercises for strength, and laser for skin texture) can provide the best results.

4. **Evaluate Non-Invasive Options First:**
   - Start with less invasive treatments like fillers and exercises before considering surgical options.

5. **Monitor Progress and Adjust:**
   - Work with your healthcare provider to monitor the results and make adjustments as needed.

### Personal Care and Maintenance:

- **Regular Facial Exercises:** Consistently practice exercises designed to strengthen the muscles on the weaker side.
- **Skincare Routine:** Maintain a good skincare routine to help with the appearance of smile lines.
- **Healthy Lifestyle:** Ensure a balanced diet and hydration, as overall health can impact skin and muscle tone.

By carefully considering these options and seeking professional advice, you can find a treatment plan that best addresses your concerns and helps you achieve a more balanced and confident smile.

Uneven smile & deep smile lines - want weaker side to be pointier, any treatments? (Photos)

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Uneven smile & deep smile lines - want weaker side to be pointier, any treatments? (Photos)

Answers (1)

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Recommended reading

Everything you need to know about Botox for Gummy Smile

Our mission is to create a world where every investment in modern beauty is Worth It.