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Botulinum Toxin for Special Conditions: Gummy Smile – Advanced Points and Indications

  • Rosemarie Mazzuco
  • Beatrice Martinez Zugaib Abdalla
Chapter
  • 29 Downloads

Abstract

The lips are multifunctional structures, both physiologically and aesthetically. The physician who aesthetically treats the lips should become familiar with the functional anatomy of this important structure. Minor changes in shape, mobility, or lip size are easily identified, either positively or negatively. Likewise, the exposure of the teeth during the smile is directly related to the way the person is recognized or interpreted by others. Beauty patterns change over time, but a beautiful smile is timeless.

References

  1. 1.
    Klein AW. Dilution and storage of botulinum toxin. Dermatol Surg. 1998;24:1179–80.PubMedGoogle Scholar
  2. 2.
    Alam M, Bolotin D, Carruthers J, Hexsel D, Lawrence N, Minkis K, Ross EV. Consensus statement regarding storage and reuse of previously reconstituted neuromodulators. Dermatol Surg. 2015;41(3):321–6.PubMedCrossRefGoogle Scholar
  3. 3.
    Karsai S, Raulin C. Current evidence on the unit equivalence of different botulinum neurotoxin A formulations and recommendations for clinical practice in dermatology. Dermatol Surg. 2009;35(1):1–8.PubMedGoogle Scholar
  4. 4.
    Giordano CN, Matarasso SL, Ozog DM. Injectable ant topical neurotoxins in dermatology: basic science, anatomy, and therapeutic agents. J Am Acad Dermatol. 2017;76(6):1013–24.PubMedCrossRefGoogle Scholar
  5. 5.
    Sobanko JF, Miller CJ. Alster. Topical anesthetics for dermatologic procedures: a review. Dermatol Surg. 2012;38(5):709–21.PubMedCrossRefGoogle Scholar
  6. 6.
    Suber JS, Dinh TP, Prince MD, Smith PD. OnabotulinumtoxinA for the treatment of a “gummy smile”. Aesthet Surg J. 2014;34(3):432–7.PubMedCrossRefGoogle Scholar
  7. 7.
    Nasr MW, Jabbour SF, Sidaoui JA, Haber RN, Kechichian EG. Botulinum toxin for the treatment of excessive gingival display: a systematic review. Aesthet Surg J. 2016;36(1):82–8.PubMedCrossRefGoogle Scholar
  8. 8.
    Carruthers J, Fagien S, Matarasso SL. Consensus recommendations on the use of botulinum toxin type a in facial aesthetics. Plast Reconstr Surg. 2004;114(6 Suppl):1S–22S.PubMedCrossRefGoogle Scholar
  9. 9.
    Mazzuco R, Hexsel D. Gummy smile and botulinum toxin: a new approach based on the gingival exposure area. J Am Acad Dermatol. 2010;63(6):1042–51.PubMedCrossRefGoogle Scholar
  10. 10.
    Ascher B, Talarico S, Cassuto D, et al. International consensus recommendations on the aesthetic usage of botulinum toxin type A (Speywood Unit)–Part II: Wrinkles on the middle and lower face, neck and chest. J Eur Acad Dermatol Venereol. 2010;24(11):1285–95.PubMedCrossRefGoogle Scholar
  11. 11.
    Klein AW. Contraindications and complications with the use of botulinum toxin. Clin Dermatol. 2004;22(1):66–75.PubMedCrossRefGoogle Scholar
  12. 12.
    Levy LL, Emer JJ. Complications of minimally invasive cosmetic procedures: prevention and management. J Cutan Aesthet Surg. 2012;5(2):121–32.PubMedPubMedCentralCrossRefGoogle Scholar
  13. 13.
    Sadiq SA, Khwaja S, Saeed SR. Botulinum toxin to improve lower facial symmetry in facial nerve palsy. Eye (Lond). 2012;26(11):1431–6.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Rosemarie Mazzuco
    • 1
  • Beatrice Martinez Zugaib Abdalla
    • 2
    • 3
  1. 1.Private PracticeCarazinhoBrazil
  2. 2.ABC School of MedicineSanto AndréBrazil
  3. 3.2nd Year Resident of Internal Medicine at FMABCSanto AndréBrazil

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