If I have hyaluronic acid in my lips will reduce my gummy smile?

Question

Hy i have a big gummy smile, my theets are big enough so they ate not small but the problem is when i smile my upper lip is going to up so i m afraid of surgery i wanted to know if i put hyaluronic acid in my lips will reduce my smile .Thank you

Nelson Castillo, MD · Answer

Thank you for sharing your question.  Without photographs it is difficult to offer definite advice but in general a lip augmentation can help cover some of the upper jaws gums when a patient smiles.  If your smile is excessively gummy some well-placed Botox can further lower the lip to prevent this appearance.  Be sure to see an ASPS board certified plastic surgeon in consultation to discuss.

Curtis Perry, MD · Answer

Hyaluronic acid fillers can often improve a gummy smile. A careful examination is needed to give you a definitive answer.

Mark A. McCune, MD · Answer

Thank you for your question. Without seeing a photo it's difficult to gauge how much fillers could help your gummy smile. In general, lip fillers do help to reduce the amount of your gums that show when you smile. I recommend consulting with a board-certified physician to discuss your options. 
Best, Dr McCune

Omar Fouda Neel, MD, FRCSC, FACS · Answer

Thank you for your inquiry. It is difficult to provide an answer without seeing photos. Typically hyaluronic acid fillers can help reduce a gummy smile. There is no harm in consulting with a board certified plastic surgeon and trying a small amount of filler. The product isn't permanent so if you dont like your results there is no need to worry. Best of luck to you.

Robert J. Troell, MD, FACS - Account Suspended · Answer

Good Day. Many of my patients have the same concern.
Perioral beauty centers on the following:
1. straight, white teeth
2. Optimal dental show- this optimal appearance is 2/3 of the height of the maxillary central incisor tooth when smiling and 0-3 mm at rest.
3. minimal perioral wrinkles, especially of the upper lip area
4. Full upper and lower lips
How to achieve optimal dental show (not having gum show or a "gummy smile"):
a. volume replacement of the upper lip. This can be achieved with a HLA filler to the border and bulk of the lip, using a soft silastic implant, or using your own tissue, either fat, scar, tissue from a facelift (SMAS) or the tissue below your scalp (pericranium).
b. If the upper lip volume is optimized and the patient does not desire any more upper lip volume, then about 8 units of BOTOX (20 units of Disport) can relax the muscle of the upper lip (orbiculares oris) to hide additional tooth height.
Rarely is any other treatment required to treat the gummy smile or excess dental show.
Lip aesthetics use the following factors to determine lip size with an implant or fillers:
upper and lower lip size ratio
  philtrum height-upper lip height proportions
  degree of dental show
  presence of upper lip wrinkles 
  patients desired lip size
The most influential factor in choosing the lip implant size was to optimize the lip size ratio of the upper and lower lip. One ratio was derived from the ancient Egyptian golden number (1.618) of facial aesthetics. Using this golden ratio, the upper lip height is a unit of 1 and the lower lip height a unit of 1.618 
In summary, upper lip volume replacement with a HLA filler or silastic implant will improve and may resolve excess dental show known as a "gummy smile". Additional improvement may be attained adding an injection of BOTOX or Disport to the muscle above the upper lip (pre maxilla).
I hope your final look is fabulous.

If I have hyaluronic acid in my lips will reduce my gummy smile?

Answers (5)

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