Correction of a gummy smile with Botox in Moscow at Diamed
Most of our patients, before visiting cosmetology, mistakenly believed that the only way to get rid of their “horse smile” was surgery. Fortunately, there are less traumatic methods, one of which is Botox injections. They relax muscles by blocking nerve impulses. On average, a patient requires 2-3 units. 2 weeks after the injection you will forget about your gummy smile!
Sometimes a gummy smile is aggravated by a thin lip, in which case your esthetician will advise adding a little volume for medical purposes only.
Correction of a gummy smile
Currently, the Gradient clinic uses the following methods for correcting a gummy smile:
Botulinum toxin injections:
The botulinum toxin drug is injected into the nasolabial fold area. Botulinum toxin blocks the sensitivity of muscles to nerve impulses, thereby immobilizing them. As a result of injections, the upper lip remains motionless and does not rise during a smile. Accordingly, the gums are not exposed. The procedure is simple and painless. However, the effect of botulinum toxin is reversible - after six months, the ability to transmit nerve impulses is restored and the procedure must be repeated. More details
Hyaluronic acid injections:
You can also correct a gummy smile by increasing the volume of the upper lip using a gel based on hyaluronic acid, which will not only enlarge, but also make the lip less mobile. This method can be used either alone or in combination with botulinum therapy. More details
Important! Only with a direct examination of your face can a cosmetologist accurately determine which methods of correcting nasolacrimal grooves and dosages of drugs will help achieve the desired result in your particular case .
How is a gummy smile corrected?
Before the procedure, your doctor will invite you for a free consultation and confirm that the procedure will help you improve your aesthetic appearance. If you have an anatomically short upper lip or small teeth, a cosmetologist will not be able to correct your situation. But these are quite rare reasons.
Once confirmed, your esthetician will discuss with you a customized gummy smile correction plan tailored to the size and location of the levator labii muscles.
The procedure is painless, discomfort is minimal and lasts a very short period. But if you are afraid of injections, the doctor will offer you an anesthetic cream.
Injections are given directly into the muscles that produce a gummy smile. They are located on both sides of the nose. Within 3-4 days you will observe a transformation, the upper lip will seem to increase in height, covering your gums. You will see the absolute result 15 days after correction.
Diagnosis and indications for gingival smile correction
It is generally accepted that with a full spontaneous smile, visualization of no more than 2 mm of gingival tissue is aesthetically attractive.
People who show more gum when they smile may experience psychological discomfort that causes them to try to control their smile in an attempt to hide the imperfection.
Rice. 1 Example of restoring dental aesthetics instead of correcting a gummy smile
It is worth noting that the only indication for correction of a gummy smile is the patient’s desire.
Before proceeding with the selection of methods for correcting a gingival smile, the practitioner must identify the etiology of the defect.
How to correct lips: expert recommendations on choosing a method
The only indication for correction of a gummy smile is the patient’s desire.
As a cosmetic dentist, the author notes that a gummy smile is often a concern for patients with discoloration or other aesthetic dental deficiencies. Therefore, based on his own experience, the doctor recommends first restoring the aesthetic appeal of the dentition and only after that, if the problem is still relevant for the patient, proceeding directly to the correction of the gummy smile.
What to do after correction of a gummy smile
After the procedure, you should follow a few simple recommendations:
- try not to smile for two days
- You should avoid facial massage for at least a month
- for 2 days, do not lift anything heavy, do not tilt your head down for a long time, avoid physical exertion
- During the week, avoid direct sunlight, do not visit the bathhouse or sauna.
On average, the effect after correction of a gummy smile lasts 4-6 months. Afterwards, the procedure should be repeated to maintain the aesthetic condition. If you don't continue to correct, nothing will happen! Your upper lip will just return to its previous state. You can resume injections at any time. Or don’t stop them, because they are absolutely harmless to the body.
Correction of a gummy smile with Botox price
| Service | Time | Price |
Botox, Dysport, Botulax, Xeomin by area | ||
| Correction of a gummy smile with Botox | 15 minutes | 1650-2640r |
Botox, Dysport, Botulax, Xeomin in units A11.02.002 | ||
| Botox 1 unit | 330r / 297p* | |
| Botulax 1 unit | 250rub | |
| Dysport 1 unit | 100r | |
| Xeomin 50 units | 15 minutes | 13500rub |
| Xeomin 100 units | 15 minutes | 21000rub |
| (during the procedure, the ratio of Botox:Dysport units is 1:3, so the cost of treatment with these drugs is approximately the same) | ||
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Postoperative care
Usually, after surgery, the doctor gives recommendations regarding scarring of the incisions. They must be strictly followed. Besides:
- For a week, preferably a week and a half, the patient should not smile, not to mention openly laugh.
- Hard and hot foods should be avoided.
- It is worth giving up those foods that require long and hard chewing.
- After each meal, and this is several times a day, you should definitely rinse your mouth with solutions intended for sanitization. They must be prescribed by a doctor.
Patients do not stay in the hospital for a long time, because surgical procedures are performed under local anesthesia. Thanks to the laser scalpel, the procedure is almost bloodless, the incision is precise and thin. Cosmetic scars after such manipulation are not visible.
To reduce the risk of complications, as well as to alleviate your condition as much as possible, you need to adhere to the rules that the doctor will tell you about before or after the operation. Depending on the corrective technique, the recommendations will partially differ, and the duration of recovery will take place at a different pace.
- To reduce pain, it is advisable to avoid spicy, sour, hot, cold and hard foods. The more complex the operation, the softer food you can eat.
- Alcohol and smoking are also completely excluded for the entire recovery period.
- To quickly heal wound surfaces in the mouth, you need to rinse it with herbal decoctions or antiseptic solutions.
- Do not forget about hygienic care, but do it with soft bristles without strong pressure. Do this especially carefully if there are still surgical sutures in the mouth.
Remember that in case of any complications, discomfort, and especially fever or bleeding, you should immediately consult a doctor.
Signs of a gummy smile
Excessive exposure of gum tissue is considered as a cosmetic defect that can lead to serious psychological problems: self-consciousness, self-doubt, and rejection of one’s own appearance. Patients experience constraint, since the visibility of gums in the anterior and lateral parts of the alveolar process of more than two to three millimeters is considered unaesthetic. In addition, the anomaly may itself be a symptom of hyperfunction of the facial muscles, morphofunctional disorders of the dental system and facial skeleton.
Thus, with a gummy smile associated with excessive vertical growth of the upper jaw, patients complain of enlargement of the lower part of the face and lack of lip closure at rest. In 75% of cases of excessive visibility of gum tissue, retrusion of the upper incisors (the inclination of the crowns towards the oral cavity) can cause concern. If the defect is caused by gingival hyperplasia, the patient may complain of “swelling” of the gum tissue and bleeding when brushing teeth.
How much does it cost to correct a gummy smile?
The cost of correcting a gummy smile is determined individually after examination by a dermatocosmetologist. Sometimes 4 units of botulinum toxin are enough, sometimes 8 units in combination with filler.
You can sign up for a free consultation with a cosmetologist by calling:
+7 (495) 255−50−11.
Botulinum toxin injections
| Botulinum toxin injections - 1 unit - Promotion!!! | 300 rub. |
| Dysport injections – 1 unit | 100 rub. |
| Xeomin injections – 1 unit | 300 rub. |
Contour plastic:
| SoftFil cannulas | 500 rub. |
| Revanesse Ultra - 1.0 ml | 14,000 rub. |
| Sculptra - 10.0 ml | 35,000 rub. |
| Sculptra - 10.0 ml x 2 bottles. Promotion! 10% discount | 63,000 rub. |
| Correction of retracted scars with Collost filler 7% - 1.0 ml | 10,000 rub. |
| Correction of retracted scars with Collost filler 15% - 1.5 ml | 18,000 rub. |
Radiesse injections
| Radiesse - 0.8 ml | 12,000 rub. |
| Radiesse – 1.5 ml | 20,000 rub. |
| Radiesse - 3.0 ml | 38,000 rub. |
Juvederm injections
| Juvederm Ultra 3 – 1.0 ml | 15,000 rub. |
| Juvederm Ultra 4 – 1.0 ml | 15,500 rub. |
| Juvederm Smile – 0.55 ml | 12,000 rub. |
| Juvederm Volbella – 1.0 ml | 16,000 rub. |
| Juvederm Volift (with lidocaine) – 1.0 ml | 16,000 rub. |
| Juvederm Voluma – 1 ml | 16,000 rub. |
| Juvederm Voluma – 2 ml | 30,000 rub. |
| Juvederm Voluma – 3 ml | 43,000 rub. |
| Juvederm Voluma – 4 ml | 55,000 rub. |
Restylane injections
| Restylane – 1ml | 14,000 rub. |
| Restylane Perlane – 1 ml | 16,000 rub. |
| Restylane Perlane – 2 ml | 30,000 rub. |
| Restylane Perlane – 3 ml | 43,000 rub. |
| Restylane Perlane – 4 ml | 55,000 rub. |
Belotero injections
| Belotero Soft – 1.0 ml | 14,000 rub. |
| Belotero Balance – 1.0 ml | 14,500 rub. |
| Belotero Intense – 1.0 ml | 15,000 rub. |
| Belotero Intense – 2.0 ml | 27,000 rub. |
| Belotero Intense – 3.0 ml | RUB 38,500 |
| Belotero Intense – 4.0 ml | 49,000 rub. |
| Belotero Intense – 6.0 ml | 65,000 rub. |
| Belotero Volume – 1.0 ml | 16,000 rub. |
| Belotero Volume – 2.0 ml | 30,000 rub. |
| New! Belotero Lips Contour | 12,000 rub. |
| New! Belotero Lips Shape | 12,000 rub. |
| Promotion! Belotero Lips Shape + Contour | 18,000 rub. |
Yvoire injections
| Yvoire Classic – 1.0 ml | 14,000 rub. |
| Yvoire Volume – 1.0 ml | 15,000 rub. |
| Yvoire Volume – 2.0 ml | 27,000 rub. |
| Yvoire Volume – 3.0 ml | RUB 38,500 |
| Yvoire Volume – 4.0 ml | 49,000 rub. |
| Yvoire Volume - 6.0 ml | 65,000 rub. |
Stylage injections
| Stylage L – 1.0 ml | 15,000 rub. |
| Stylage L - 2.0 ml | 27,000 rub. |
| Stylage L - 3.0 ml | RUB 38,500 |
| Stylage L - 4.0 ml | 49,000 rub. |
| Stylage L - 6.0 ml | 65,000 rub. |
Dentistry
There are still some options that your doctor may suggest if you experience a deficiency such as a gummy smile. Correction can be carried out using frenuloplasty, that is, excision of the frenulum of the upper lip. Another option is correction of the gingival margin. In the latter case, using a laser, the doctor removes excess tissue and forms a new contour.
If the problem is a malocclusion, an orthodontist will help. Fortunately, even quite serious problems can be corrected with the help of braces and braces. Of course, this is more effective in adolescence, but it works for adults too. The disadvantage of this method is that not everyone wants to wear braces on their teeth for a long time, and they are also difficult to care for. But the beauty is probably worth it.
Injection correction of a gummy smile: botulinum toxin preparations and dermal fillers
The goal of a gummy smile correction is to reduce the amount of gum visible, ideally to less than 3mm. It is important to understand that in some cases, only dental or surgical intervention is advisable, however, in this article, attention will be focused on injection methods of correction - injections of botulinum toxin and dermal fillers. They are popular due to the minimal recovery period or its complete absence, as well as a more attractive price.
Injection correction of a gummy smile is advisable in cases where the cause of its occurrence is insufficient volume or hypermobility of the upper lip.
According to research, botulinum toxin injections into the levator muscles of the upper lip can be an effective method for correcting a gingival smile. As a result of the injection of botulinum toxin into the muscles that elevate the upper lip, they are paralyzed and the degree of contraction of the upper lip during a smile is reduced.
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Most often, the drug is injected into a point located in the depression under the wing of the nose, since it determines the surface anatomy of the muscle that lifts the upper lip and the wing of the nose. The author recommends injecting 2-3 units of botulinum toxin into one point.
If the cause of a gingival smile is a thin upper lip, the problem can be corrected with the help of dermal filler, which allows you to increase the volume of the lip and lower its edge a little lower.
Rice. 2 Before and after botulinum toxin injection to correct a gummy smile with hypermobile upper lip (photo by Dr. Peter McQuillan, Harley Street Dental Studio)
Injection correction of a gummy smile is advisable in cases where the cause of its occurrence is insufficient volume or hypermobility of the upper lip.
In all 32: correction of a gingival or gummy smile
It is important to understand that the effect of injection procedures is temporary, and they must be repeated every 3-6 months - the patient should be warned about this.
If the gingival smile has been formed due to several etiological factors, a multidisciplinary approach must be used to obtain optimal results. A cosmetologist should know when to contact a cosmetic dentist and vice versa.
Based on materials from Aesthetics magazine.
Source: estet-portal.com
Surgical correction of the upper lip and upper frenulum
The surgical method consists of excision of a section of the mucous membrane on the inner surface of the upper lip and further attachment of the muscle fibers of the lip slightly lower than their original state.
If the cause of excessive visualization of the gums - and errors in eating and speaking - is a greatly shortened upper frenulum, which forms a dense cord and does not allow the upper lip to be lowered to the desired level, it is corrected.
As a rule, such an operation on the frenulum is performed in childhood.
After the surgical field has healed, the desired visual effect is achieved.
Cost of smile correction
The cost of correction depends on how the correction is performed. The cost is variable and depends on the region of residence of the patient. In the periphery, such a service is cheaper, but practice shows that more professional and experienced specialists can be found in Moscow, the region and St. Petersburg.
- Orthodontic treatment costs 30 thousand rubles or more. Depends on the material from which the correction systems are made and its service life.
- Surgical intervention costs at least 50–70 thousand rubles. The more experienced the specialist, the more expensive his work.
- Cosmetic correction is the most budget-friendly of all options. Injections cost 10–20 thousand rubles.
Classification
Correction of a gummy smile is planned taking into account its length, the condition of the upper lip, and the depth of the gingival groove. The dimensions of the crown parts of the teeth, the ratio of the length of the crown and the root, the position of the incisors of the upper and lower jaw are taken into account. Pay attention to the presence of abrasion of the cutting edges of the frontal group. It is difficult to combine all these parameters into a single classification, so four types of gingival smile are usually distinguished depending on the area of gum exposure and the muscles involved:
- Frontal. Gum exposure is more than 2-3 millimeters between the fangs. The deficiency is formed due to hyperfunction of the muscle that lifts the upper lip and the muscle that lifts, in addition to the lip, the wing of the nose.
- Lateral. This option involves visualizing more than normal gum tissue only in the lateral areas. The zygomaticus major and minor muscles are involved in the process.
- Mixed. Gum tissue is excessively exposed throughout the alveolar process - between and behind the fangs. It is formed due to increased activity of the zygomatic muscles and levator labii.
- Asymmetric. Excessive gum exposure is observed mostly on one side - right or left. The anomaly occurs with the participation of unilateral hypercontraction of the zygomatic minor and major muscles and/or the muscle that elevates the upper lip.
We invite you to familiarize yourself with What you can and cannot do after tooth extraction: recommendations for oral care for quick healing.
Some researchers believe that only the levator muscle of the upper lip and ala nasal is involved in the formation of a gingival smile and it is necessary to act only on it. Other experts say that the muscles that cause excessive exposure of gum tissue are the orbicularis and depressive septum nasal muscles. Still other authors consider all the muscles mentioned in the classification to be the culprits of the anomaly: the levator alae nasi with the upper lip, the zygomatic minor, the levator one of the upper lip.
