Technique 2

When treating the area adjacent to the red part of the lip without treating the philtrum (Figs. 5.89 and 5.90) the whole upper lip might form a pout. In this case a horizontal line might appear in the area of the upper lip after treatment.

Very small doses should be used in order to avoid a dysfunctional mouth. Furthermore, slight asymmetries are quite common for this area.

Table 5.11. Overview of the muscles responsible for the gummy smile

Muscle

Action Synergists

Antagonists

M. orbicularis oris

Deep fibers: direct closure M. incisivus labii superi-of lips oris and inferioris and Superficial and decussat- m. mentalis ing fibers: lip protrusion

The five upper lip levators, the m. depressor anguli ori and m. labii inferioris and the m. buccinator

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