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  • It is currently Wed Jun 19, 2013 5:21 pm

Correct gummy smile with filler?

This section of the forum is dedicated to discussions on various surgical techniques for facial rejuvenation, including fat transfer/fat grafting, browlift, blepharoplasty (cosmetic eyelid surgery), facelift, etc. Also, this category includes questions on hand rejuvenation via fat grafting. (Of note, Dr. Lam does not perform body rejuvenation except for hand fat grafting)
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Correct gummy smile with filler?

Postby Mysteryagain » Tue Aug 05, 2008 11:12 am

Hi Dr. Lam!!

Last year, I had my gummy smile corrected by a doc who used a bit of a filler and a very low dose of botox.
The effects of either are wearing off and my smile is starting to get gummy again.

Sadly, the doc is not in town for a while, and I am not sure the other doc in her office would work the exact same way.

If possible, I prefer to stick to fillers and to not use botox, especially as you mentioned you corrected this issue with fillers, right?

Well, I've noticed that in most online sites, the correction of a gummy smile with fillers is done by making the upper lip bigger (the filler in the upper lip). I don't want that, my lips are naturally not thin and I don't like much anyway the look of fillers in the upper lip and I would look like a fish!

The doc last year put the filler right under the tip my nose. But since she used a bit of botox too, I am not sure what was what worked the most or if both to correct the gummy smile while the correction lasted.

I wonder, what area can the filler be injected OTHER than the upper lip to correct the gummy smile?

Could I suggest or ask the other doc in her office to inject the filler in the area under the tip of the nose? Would that be enough if in enough quantity to "push the lip down" when smiling?

Hugs :)
Mysteryagain
 
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Re: Correct gummy smile with filler?

Postby dr. lam » Tue Aug 05, 2008 5:50 pm

actually, you have it a bit wrong. i do not prefer fillers to correct gummy smiles unless there is "premaxillary deficiency" in the nose area. i don't like just filling the white upper lip because if you do it lower you will create a fake looking lip. the white upper lip is very unforgiving. the area below the nose is good only if your nose has a bony deficiency there. o/w it can alter your nose angle unfavorably. i also agree filling your lip is not a great option if your lips are full already. you already know what i feel about filling the upper lip. don't get me started. bottom line: botox is probably your best option...unless you have a premax deficiency. you need to ask your doc. most docs probably don't even know what the premaxillary bone is though. if they don't, they should not be filling it. also, make sure your doc knows how to do your botox for a gummy smile.
best,
sml
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Re: Correct gummy smile with filler?

Postby Mysteryagain » Tue Aug 05, 2008 7:49 pm

Ah!!!!!! I had misunderstood you, sorry!! Now I understand and no, I don't have premaxillary deficiency. So I will go for the botox. This doc does botox for that and the one I had it before was good at it, since this one is an associate, I assume they work the same way.
Hugsssssssss
Mysteryagain
 
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Re: Correct gummy smile with filler?

Postby dr. lam » Tue Aug 05, 2008 8:32 pm

perfect.
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