Does a myotomy help with my gummy smile? What is the risk of a myotomy lenghtening the philtrum?

A myotomy can be considered as a treatment for a gummy smile, particularly when the cause is related to hyperactive muscles in the upper lip, such as the levator labii superioris, levator anguli oris, and zygomaticus muscles. By weakening these muscles, a myotomy can reduce the elevation of the upper lip when smiling, thereby decreasing the exposure of the gums.

However, there are potential risks and side effects associated with a myotomy. One of the concerns is the unintended lengthening of the philtrum (the vertical groove between the base of the nose and the upper lip). This can occur if the procedure alters the resting position of the upper lip, leading to a longer appearance of the philtrum. This outcome may affect facial aesthetics and could be undesirable for some patients.

It is important to have a thorough consultation with a qualified healthcare provider, such as a plastic surgeon or a dermatologist with expertise in cosmetic procedures, to discuss your specific concerns, the potential outcomes, and any risks associated with the procedure. They can provide personalized advice and help determine whether a myotomy is the right option for you based on your individual facial anatomy and aesthetic goals.