Gummy Smile Correction
Spring beauty trends
Gummy smile is characterized by excessive display of gums on smiling.
Gummy Smile Correction - Achieve the smile of your dreams
What is a gummy smile?
A gummy smile is characterized by an excessive display of gums on smiling. It is a personal aesthetic condition which rests in the eyes of the beholder. It's a condition where more of a person's gums are revealed when he/she smiles, which in technical language is called an excessive gingival display. Though it is a fairly common condition, it is a major hurdle in the overall personality of an individual and is often a cause of low self-esteem and confidence in men and women.
What are the points to be considered in a Gummy Smile?
- Height, shape & colour of teeth.
- Movement of lips when one smiles.
- The angle of the jaw compared to the rest of the face.
- *3 to 4 mm of the exposed gum line is considered to be disproportionate.
What are the causes of Gummy Smile?
- Bad Bite - When the upper and lower jaw is not properly aligned with each other.
- Hyperactive Upper Lip - When muscles of the upper lip and under the nose are repeatedly overused it can cause the top lip to get raised exposing the gum tissues.
- Excessive Gum Tissue - The most common reason for a gummy smile is the overgrowth of gum tissue during the eruption of permanent teeth.
- Vertical Maxillary Excess - Bones on the upper jaw grow longer than their typical length.
- Lip Size - When the upper lip is a shorter size.
- Medications - Conditions like Gingival Hyperplasia can be caused by drugs preventing seizures, immunosuppressive drugs & cardiovascular medications etc.
Depending on the cause as mentioned above, the treatment procedure is planned. It could be
- Botox injection into muscle
- Gum surgery
- Lip repositioning surgery
- Orthognathic Lefort 1 surgical osteotomy and setback
What should the Discussions during Surgery Consultation at Kayakriti include
Since Gummy Smile Reduction is a cosmetic correction, we need to be aware of the patient's expectations.
- Discussion regarding the patient's facial profile.
- Medical History to be enquired about.
- Discuss if the patient has conditions that can affect wound healing (like diabetes, hypothyroidism etc)
- Enquiry regarding any drug allergies.
- Enquiry regarding adverse habits.
- Discuss s options for surgery
- Discuss the complications and the outcome of the chosen procedure.
What criteria does a candidate opting for Gummy Smile Correction surgery fulfill for better results?
- Should be healthy without any chronic medical issues.
- Follow instructions well & should be cooperative.
- Should preferably be a non-smoker.
- Should be well aware of the planned surgery.
- Should be well motivated for the surgery.
- Should have realistic expectations.
- Should not have sores in mouth.
- Should not have bleeding disorders.
- Preferably should not have prior teeth restoration work like dental implants.
What is Dr Amit Agarwal's focus during the consultation at Kayakriti?
- Examine facial profile, muscle activity, jaw disparity if any.
- Status of teeth
- Assess general health & present medical conditions.
- Take photographs.
- Discuss options for surgery.
- Inform & discuss if any other supplemental procedure is required for best results.
What are the questions to be asked with your surgeon about the surgery?
- Am I good candidate for the procedure?
- What is the best procedure for gummy smile correction?
- How is the chosen procedure done?
- How long will the surgery take?
- Will there be scars after surgery?
- When can I return to daily routine?
What are the Preparations to be done before surgery?
- Monitor current medications after discussing them with the doctor.
- Stop smoking at least 2 weeks before surgery.
- Do not take any anti-inflammatory drugs, aspirin or any herbal supplements as they aggravate bleeding.
- The dentist will clean your teeth thoroughly before the procedure.
- Get the investigations done as advised by Dr Amit Agarwal.
- Admission will be done on the same day at the centre.
- A written consent form will be signed explaining the procedure after the admission.
What are the procedures for correction of a gummy smile?
Botox
Botulinum Toxin, also called Botox, injections used to paralyze the elevator muscles in the lips. This will help in covering the teeth with the lips and reducing the gummy smile
Oral Surgery
If too much of your gums cover the surface of your teeth, we will recommend you a dental consultation with Dr Shweta Jain. She will do a procedure known as a gingivectomy. This is also known as gum contouring and involves the removal of extra gum tissue.
- In the first step, you will be given anaesthesia to keep you from feeling any pain during the surgery
- In the next step, with the use of a scalpel or laser, your gum will be reshaped to reveal more of the teeth' surface
- After surgery, mild bleeding of the gums and soreness may be present for about a week.
Lip Repositioning Surgery
If your lips are the cause of your gummy smile, Dr Amit Agarwal will suggest lip repositioning surgery. The procedure changes the position of your lips relative to your teeth. Sectional removal of underlying connective tissue of the upper lip prevents the elevator muscles from lifting the upper lips too high above the teeth. This procedure also lengthens your upper lip.
- The surgery is performed under local anaesthesia
- Once your mouth is numb, two incisions will be made on the underside of your upper lip and a section of connective tissue will be removed from the area.
- The incisions will be stitched with sutures
- The procedure takes about 45 minutes & antibiotics & painkillers are prescribed post-operatively.
- It takes about a week to recover from the surgery.
Orthognathic Surgery
If your upper jaw is part of the reason for your gummy smile and you have an excessive gingival display, Dr Amit Agarwal will recommend orthognathic surgery for its correction. LeFort 1 osteotomy and setback will balance the length of your upper and lower jaws. Proper planning through a CT scan is required to perform this surgery.
- The patient will be given General anaesthesia
- The surgeon will remove a section of bone from your upper jaw to balance the length of your upper and lower jaws.
- The upper jawbone will be reattached with tiny plates and screws. If your lower jaw sits too far back, it may have to be adjusted too.
- You may have to wear elastics to hold your jaw in position while it heals for a few weeks.
- The procedure takes about 2-3 hours & You will be kept in the hospital/centre for 2 days on iv antibiotics & painkillers
- It takes about a week or two to recover from this procedure.
Recovery after Gummy Smile Correction surgery
- Recovery time following a gummy smile surgery is a few weeks. Limitations on diet persist for two weeks as does restriction on regular oral care.
- Most patients return to work a week or two after the procedure. Complete healing of the gums can take up to three months.
- You will be able to see the results instantly, however, precautions need to be taken not to stretch the muscles too much which may cause the stitches to loosen or break.
- A soft and bland diet would be preferred for 7 days after the procedure.
What are the Risks and Complications post-surgery?
- The lips are among the most sensitive parts of your body, so it's important to work with an experienced surgeon to minimize your risk of side effects. However, there are possibilities for adverse side effects including-
- Rare chances of infection and bleeding and poor wound healing (seen more in smokers, diabetes, hypothyroidism and persons with multiple diseases).
- Numbness or altered skin sensation which improves with time
- There can be pain which subsides with time and slight medication.
- Risk of teeth loosening and loss over time
- Prolonged swelling and skin discolouration.
- Possibility of revision surgery.
These are the risks and possible complications which should be discussed by you with Dr Amit Agarwal before the procedure.
What are the Do's & Don'ts post Gummy Smile Correction?
- You should always discuss any previous surgery or medical conditions without hesitation.
- You should immediately consult Dr Amit Agarwal if you have any complication.
- You should always maintain a healthy lifestyle for best and prolonged results.
What are the Frequently Asked Questions (FAQs)?
If you are bothered by how your smile appears, this surgery can help you feel more confident.
If you have an excessive gingival display while smiling and are bothered about it, you are a candidate for gummy smile correction. To determine the candidacy for gummy smile treatment, a proper clinical & radiographic analysis is required.
Apart from a cosmetically pleasant appearance, the treatment helps maintain proper chewing function also.
No. It won't be painful as it's done under general anaesthesia and appropriate painkillers are prescribed by your surgeon
Quitting smoking is a perfect solution even without surgery as it involves many health risks, but it's totally up to your wish whether you want to quit or not. But you should surely stop smoking at least 2 weeks before the surgery
The results of this procedure are visible immediately but are more prominent after the swelling and bruising subside.
- Teeth that remain partially covered by gum tissue due to improper eruption.
- Short upper lip.
- Smaller teeth as compared to the gums, either due to wear or genetics.
- Hyperactive upper lip that lifts too high while smiling.
- Enlarged or long gums (gingival hypertrophy)
Gummy Smile Correction
Indivisual results may vary from person to person.
These pictures are shown for the purpose of education only.
Shaping dreams through
Know your surgeon better
Best plastic surgeon, Dr. Amit Agarwal is an American Board Certified, extensively trained, and best Plastic & Aesthetic surgeon in Lucknow. He is the Chief Plastic Surgeon heading the Department of Plastic, Microvascular, and Craniofacial surgery at Vivekananda Polyclinic and Institute of Medical Sciences, Lucknow, U.P, India. He maintains a busy practice at Avadh and Nishat Hospital and his own center - Kayakriti Plastic Surgery & Dental Center. He was formerly a Consultant in the Department of Plastic Surgery and Burns at the prestigious SGPGI, Lucknow.
MS, DNB (General Surgery) MCh, DNB (Plastic Surgery),
MNAMS, FACS, FICS, FRCS (Edinburgh, UK)
His Credentials
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Privacy
We believe your experience with us should be comfortable and hassle-free to make it one of your best lifetime experiences for yours. We, here at the clinic, take full precautions to maintain your privacy in any manner. We also provide a staff who will receive you from the gate and take you to the chamber directly if you demand.
Trust
Our Surgeon is highly qualified and internationally certified with a team of skilled staff to perform any surgical or non-surgical treatment on your body.
Safety
When you plan to undergo any surgery you should always keep in mind that it's your body and it's a surgery. We, here always keep your safety a priority and will never recommend you to undergo any such procedure which is not safe for you. We also provide you with a detailed description of the complications which may occur after the surgery during the consultation as it's a surgical procedure so there may be some complications depending on the way your body reacts.
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Frequently Asked Questions
If you have flat or small breast and you want to improve your breast and hip contour ratio then you are a good candidate for it. The answer will be best provided after the first consultation with Dr Amit Agarwal.
Acute pain will be there for almost a week which gradually reduces and there will be soreness and swelling which may take up to 3 weeks to subside.
You can join your work and daily routines after a week of the procedure and can start exercising after 3 weeks of it.
Yes, you have to wear it round the clock unless we suggest you to remove it.
This surgery does not affect the ducts or the areas of the breast involved in milk production. Thus, it does not affect the breast feeding.
This surgery does not affect the ducts or the areas of the breast involved in milk production. Thus, it does not affect the breast feeding.
Kayakriti Plastic Surgery & Dental Center
D-43, Near Punjab National Bank, Rajajipuram, Lucknow, Uttar Pradesh - 226017, India
Phone No. +919695940009, +919695940006
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