I'm very unhappy about the way my smile looks. I'm no doctor but I think it has to do with some muscle pulling my mouth downwards and I wonder if it can be corrected with surgery. With a lot of effort I can smile "normally" but my face looks all worked out if I do that. When I smile in a spontaneous fashion my mouth is pulled downwards. Perhaps related to this, the muscles in my lower jaw seem to have developed quite bit, producing an effect which I dislike. (I'm a transgender person, btw.)
Answer: Downturned smile and surgery The range of responses you are receiving relates to the complexity of your question. Important to the answer is if you have had any previous surgical procedures or injectables (Botox or some form of filler). Allowing any injectable to dissipate prior to pursuing any option is absolutely necessary. If you have had previous facial surgery, you may have nerve or soft tissue issues that also may need time to resolve. If these factors aren't playing a role, an in-person consultation is really important because you are describing a very dynamic process that is difficult to capture with still photos. With that said, I would offer that my overall impression is to not immediately consider a surgical solution. The third photo you provide appears to be a very natural smile, and perhaps some some form of creative repetitive muscle training/exercise would be beneficial. While this would not be considered a textbook approach, there is no downside, and it taps into our natural muscle training potential. I hope this doesn't throw too much into the mix for you, but I thought an alternate approach may be worth considering. Best regards.
Helpful 1 person found this helpful
Answer: Downturned smile and surgery The range of responses you are receiving relates to the complexity of your question. Important to the answer is if you have had any previous surgical procedures or injectables (Botox or some form of filler). Allowing any injectable to dissipate prior to pursuing any option is absolutely necessary. If you have had previous facial surgery, you may have nerve or soft tissue issues that also may need time to resolve. If these factors aren't playing a role, an in-person consultation is really important because you are describing a very dynamic process that is difficult to capture with still photos. With that said, I would offer that my overall impression is to not immediately consider a surgical solution. The third photo you provide appears to be a very natural smile, and perhaps some some form of creative repetitive muscle training/exercise would be beneficial. While this would not be considered a textbook approach, there is no downside, and it taps into our natural muscle training potential. I hope this doesn't throw too much into the mix for you, but I thought an alternate approach may be worth considering. Best regards.
Helpful 1 person found this helpful
May 9, 2018
Answer: Facial Muscle Support Lacking. Neuromuscular Reconstruction or DNA Appliance and Epigenetic Orthopedics/ orthodontics You are a candidate for Epigenetic Orthopedics/ orthodontics to grow your maxilla or a neuromuscular reconstruction.
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May 9, 2018
Answer: Facial Muscle Support Lacking. Neuromuscular Reconstruction or DNA Appliance and Epigenetic Orthopedics/ orthodontics You are a candidate for Epigenetic Orthopedics/ orthodontics to grow your maxilla or a neuromuscular reconstruction.
Helpful
Answer: Thank you for your question. It appears from your picture that you have an over active DAOI muscle which is pulling down the corners of your mouth. You would be a good candidate for botox. This takes only a few minutes to perform. This is not permanent. I hope you find this information useful.
Helpful
Answer: Thank you for your question. It appears from your picture that you have an over active DAOI muscle which is pulling down the corners of your mouth. You would be a good candidate for botox. This takes only a few minutes to perform. This is not permanent. I hope you find this information useful.
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October 31, 2017
Answer: Downturn smile I would look into possibly botox and facial fillers before doing any kind of surgery. A good cosmetic dermatoldogist or plastic surgeon may be able to give you what you are looking for without doing surgery. Good Luck.
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October 31, 2017
Answer: Downturn smile I would look into possibly botox and facial fillers before doing any kind of surgery. A good cosmetic dermatoldogist or plastic surgeon may be able to give you what you are looking for without doing surgery. Good Luck.
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October 29, 2017
Answer: Smile option Hi:It is difficult to clearly see exactly what is the actual reasoning for the muscle pull, however, I believe it has more to do with narrow upper and lower arch. Making the both arches wider with porcelain veneeers could be one solution. However, clinical exam, and study models are necessary to evaluate properly.Best,Dr. Maddahi
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October 29, 2017
Answer: Smile option Hi:It is difficult to clearly see exactly what is the actual reasoning for the muscle pull, however, I believe it has more to do with narrow upper and lower arch. Making the both arches wider with porcelain veneeers could be one solution. However, clinical exam, and study models are necessary to evaluate properly.Best,Dr. Maddahi
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