Blog Archives
Is it possible to make my smile not as wide?
Photo courtesy of smileplus.wordpress.com
“Hi I am 20 years old, when I smile or laugh my mouth opens very wide so it seems that my smiel goes from ear to ear! is there anyway to fix it so when I’m laughing, my mouth won’t open as much?”
This is a significantly delicate and tricky proposed concern. Overall there is not a recommended surgical procedure. However, based on your anatomy there is a possibility that some expertly placed small degree of Botox can diminish some of the widening of the smile. However, nonetheless this has to be done, performed and assessed by a physician who does a significant amount of Botox treatments. Overall, I think that it is important to get a good opinion from a physician as to whether anything, if at all, should be done. Try to trust the opinion of the physician that you consult with and if you have a trustworthy physician and a physician who is well recommended and if this physician says don’t have any procedures done then importantly you should listen to this recommendation.
Lower Eyelids Look “Sad” After Weight Loss
DeLa in aucune asks:
“Hello, sometimes when i have a bad period, i loss face’s weight, and I make my eyes more sad. My lower eyelids are more “falling”. When I will regain face’s fat it will return as before? I don’t have strong cheekbones, so it’s loss forever (I’m 19) i have to go to see a plastic surgeon for fat injection?”
Fillers for lower eyelids. At a young age of 19 the best long-term picture is to keep healthy and keep your weight at an optimum level. The face does of course change with weight gain and weight loss and this is even more true in our 40s and beyond. Nonetheless fillers are likely the best answer for the tired appearance and I would encourage just a small amount of injectable initially and increase as time goes on. Start off with Restylane or Juvéderm and see how this works for you over the subsequent six to nine months or even a year. Not always does filler provide the satisfaction that you are seeking and reasonable expectations are important and this can be discussed with your plastic surgeon. More permanent options in the future include fat injections if you are properly motivated and generally reasonably high success is achieved in expert hands. – David Santos MD, FACS
Botox for Orbicularis Oris Muscle
fanny123 in USA asks:
“Can Botox be used for the orbicularis oris muscle? That particular muscle is too built up on my face and gives me a masculine appeal. I attached a photo of a woman who’s muscle around her top lip is built up similarly to mine. It’s the part circled in red.”
Botox(R) can be used for the orbicularis oris muscle. This is the muscle that encircles the lips and is predominantly responsible for pursing the lips, whistling, kissing and some of the function related to smiling. Nonetheless, one of the most common concerns about the lips is that of vertical lines, or “smoker’s” lines. Small doses of Botox(R) delivered into the wrinkles can achieve some good reduction of the vertical lines when done by an experienced cosmetic physician. It is important not to use too much Botox(R) in these areas as it can affect overall function of the mouth, but small doses do an excellent job of improving these vertical lines. Thus, as far as the orbicularis oris muscle this is the major area that can be treated. – David Santos MD, FACS
