Gummy Smiles, Sad Mouth, Smoker Lines and other small areas

It is important to note that only a minimal dose of muscle relaxant can be administered to the above areas and that the normal time of 3-4 months of effectiveness does not apply to these areas especially for the first few treatments. Some have lectured on the long-term benefits of muscle relaxant treatment, basically viewing it as a ‘prevention’ as well as a short-term ‘treatment’ for wrinkles. Please book in for a face to face consultation with one of our practitioners for a personalised assessment.

Gummy smile

Having a minimal gum line showing is one of the most important factors of a beautiful smile. Most people find the display of gum tissue to be less attractive because it causes an asymmetrical smile. A gummy smile can be caused by an overactive muscle above the upper lip. The name of this muscle is called the Levator Labii Superioris Alaeque Nasi(LLSAN). Very few patients offer feedback saying that they did not like the result of their smile after their muscle relaxant treatment. However, in less than 1% of cases patients would rather choose to have dermal fillers in their lips to reduce the gummy smile as well as to achieve other aesthetic outcomes.

Smoker lines

For vertical lines just above the lips, treatment with muscle relaxant can be extremely effective in the early formation of the lines. Patients with a history of cold sores should be cautioned as any injection to this area can bring on the breakout of a cold sore. Treatment to this area may also temporarily cause difficulties in sucking through a straw and whistling. In rare cases, it may also cause a slight change in the patients’ speech. It is important to point out that these side effects usually only last 2-3 weeks and are is not generally noticeable by 3rd parties, mainly just the patient themselves. If these side effects are concerning you, dermal fillers should be considered for a better result.

Muscle relaxant in the top lip can deliver a more desirable cosmetic result after a few treatments. Patients have reported having their upper lip more ‘lifted’, pronounced and more defined without having to have dermal fillers.

Depressor correction/Sad mouth

The Depressor Anguli Oris (DAO) muscle is one of the contributors to the ‘sad mouth’ and drooping appearance of the mouth corners. The action of the pulling down of the outer corner of the mouth is also referred to as the mouth frown. A small amount of muscle relaxant with multiple treatment can product a more satisfying result in the long term.

A potential temporary side effect of this treatment is that very occasionally, the muscle relaxant mediation can diffuse to one of the neighbouring muscles causing a mild asymmetrical smile for 2-3 weeks. However, do not be alarmed, this side effect will pass without any long-term implications. Please inform your practitioner if you have had a facelift, thread lift or any surgery to that area as this could have caused the shifting of the DAO muscle. The injector should consider this change of the muscle position when performing treatment.

Another cause for the ‘sad mouth’ appearance, is the hollowing of the marionette area. The loss of fat pad to that area can be replaced with dermal fillers with more immediate results and higher satisfaction for the patient.

Chin dimples (Orange peel chin)

Wrinkles to the chin area are caused by the hyperactivity of the mentalis muscle. The chin wrinkles might only appear when you are talking, smiling, eating or expressing emotions, however, having muscle relaxants to this area early can prevent the formation of permanent wrinkles to the area.

Nasal/bunny lines

These slightly diagonal lines that can appear on both sides of the nose bridge. It can appear when someone is smiling, laughing or making a ‘disgusted’ look. We estimate about 1 in 20 patients report that their treatment either did not work to their satisfaction or did not work at all. This is due to the complex group of muscles in this small area. The Nasalis is generally the muscle to treat according to medical literature and guidelines. However, other adjoining muscles could be more dominant and hence cause an unsatisfactory result. To improve the result, often a follow up after 2-3 weeks is important so our practitioner can assess and make adjustments. Occasionally, dermal filler can be used in combination with muscle relaxant to improve patient satisfaction. When effective, patients often report a much smoother look on their nose after a few treatments.

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