Lip flip, lip lift, novathread, botox, fillers? Best option for upper tooth show? (Photo)

Question

I experience little to no upper tooth show while speaking. Only my bottom row shows, for the most part, as seen in pictures. I've researched a lot of different options, and the lip lift procedure scares me a bit. What could be the best option here?

Jeffrey H. Spiegel, MD · Answer

A lip lift may sound scary, but it's the best for upper tooth show.  "Threads" won't work and won't last.  Botulinum may give you a slight roll for a while - but won't last and won't be predictable.  A lip lift does it right.

Jason Emer, MD · Answer

This can be Improved with filler and botox, +/- threasds but if you want lip lift you can do that as well it just has a scar. I suggest pre treating the scar area with cosmelan 2 , phyto plus, and skin ceuticals phloretin or is clinical pro heal (see emeragecosmetics.com for skincare consults that are free virtually or purchase products).  Best, Dr. Emer.

Gary Linkov, MD · Answer

There are surgical and non-surgical approaches to lip augmentation. Non-surgical approaches include botox (slight lift, reducing gum show) and filler (volume restoration). Surgically, you can have two separate incisions under the nose (italian), one incision under the nose (bull horn), one incision at the red/white upper lip junction (gull wing) or two separate incision at the corners, or a combination, depending on your desired look and anatomy. My preferred surgical technique is called the Elelyft, which is a version of the bullhorn approach. 
The ideal candidate for the Elelyft, or upper lip lift, is someone with a philtral length of 13mm or longer, no upper dental show, and/or a thin upper lip. The nasal base to mouth width ratio needs to be taken into consideration to avoid leaving the lip corners down. 
In your situation, a lip lift is ideal for improving upper tooth show however it will be important to keep the upper and lower lip porportions in mind. 
Consult with an experienced lip surgeon for a complete range of options that are appropriate for your situation.
Gary Linkov, MD
Lip Specialist / RealSelf Lip Lift Medical Reviewer
Manhattan

Lesley A. Rabach, MD · Answer

You could definitely benefit from a lip lift. This would as expose more of your teeth when your mouth is open. There should not be a noticeable scar as your surgeon will be able to tuck it in the fold of the lower nose. Long term, there are no negative side effects of a lip lift. You could also try lip fillers, however that would not increase tooth visibility, just increase volume of the lips. I would recommend consulting a board-certified facial plastic surgeon to discuss your options.

Lip flip, lip lift, novathread, botox, fillers? Best option for upper tooth show? (Photo)

Answers (4)

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