35, female - How can I improve my smile without jaw surgery? (Photos)

Question

35 y/o female. I have never been happy with my smile and I’m looking to change it without having jaw surgery. I previously had a consultation for jaw surgery but decided against it. Besides braces as that seems to be an obvious choice for me, how else can I help improve it? I Some things I don’t like are: -amount of gum above my teeth -amount of space visible on sides of teeth when I smile -the shape of my chin and jaw when I smile including the asymmetry and the lines it produces on the sides -shape of my teeth -jaw line Note I have used botox in the past for the gummy smile but it doesnt last very long. I’m willing to do anything and everything Thanks

Christopher Swicord, DMD · Answer

I highly recommend a multi-disciplinary approach. 
1) Orthodontic treatment to correct your midline and to intrude the upper teeth. I recommend seeing an orthodontist and go over the risks of relapse of treatment, and how to avoid this after treatment in step 2. 
2) After Treatment, you can get a gingivectomy to lengthen the teeth and "recover" the reduced length, and the teeth should be crowned. This combination will reduce the amount of gums showing, make your teeth symmetrical, and give you a nice bright smile! 
you can also get you posterior teeth crowned to bulk them out buccally. This would fill in some of the Dark Corridors or "space on the sides" you are concerned about. 
I recommend working with a Periodontist and a Cosmetic Dentist/ Prosthodontist for these steps. 
3) Botox will help your lips with a "Lip Flip". It looks like they get thin when you smile on the angles. This should also cover some of the Dark Corridors you are concerned about.
These treatments will greatly improve your smile. There are many people out there who wish they had your smile, so stay confident and smile! But if you would like to enhance your beauty without surgery this plan will work!

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