A short interview-style YouTube conversation between Dr. Victoria Rose Veytsman and Dr. Kay Durairaj (recorded Feb 21, 2024) about how lip fillers affect dental aesthetics and smile design. Key points: overfilled lips can cast shadows that hide teeth and make smiles appear lost; some fillers spread or migrate beyond the lip border and affect the cutaneous lip area; management options include dissolving or adjusting filler, or altering dental color/volume to compensate, then reintroducing filler once support is improved.
Chapters
Just like the gums frame the teeth, the lips really frame the smile.
Does lip filler make your life hard? Because I've seen.
Yeah. When we look at the face and we look at redesigning the smile, just like the gums frame the teeth, the lips really frame the smile. When lips are a little bit overfilled, it creates a shadow on the teeth. And the biggest thing that people say is my smile just gets lost in my face. You don't see my teeth. And that's because the shadow, the lip now has created this overcast darkness on the teeth, and it's very hard to see them. So what we have to do at that point is get them to a place where they're stable with their lip filler. Either get a little bit dissolved or make some adjustments to get a little bit more volume in the teeth to sort of compensate for the lips. Yeah.
Some of the fillers that spread or migrate outside the border of the lip.
Are affecting.
Kind of the cutaneous part of the lip. I mean, I'm seeing all that in our practice. I imagine in dentistry, it really impacts the art of the result.
Exactly. And I've had cases where lips have been a little bit larger, and so we've had to go quite a bit brighter with the color.
Yeah.
Because how else do you have a smile that pops if they're hidden behind the lips? Or we have patients dissolve the lip filler. They're reluctant to do. So we get the ideal aesthetics with the teeth and then get the filler back, because now you've got more support and you can do less.