Dr. Victoria Veytsman explains a holistic, face-first philosophy for smile makeovers: treat the smile as the foundation or scaffolding of the face and evaluate lips, nose, eyes, facial shape, and skin color in a 360-degree approach. She argues restoring dental structure can provide soft-tissue support that may reduce the extent of later procedures (fillers, facial surgery), so clinicians should rebuild dental support first and then consider more conservative adjunctive treatments.
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I always say work on the foundation of the face first. The changes we make to the smile can enhance the entire face. Don't just look at the smile. We look at the lips, we look at the nose, the eyes, the shape of the face, the color of the skin, and all of that. In doing our smile makeovers, we take a very holistic 360 approach with looking at every feature on the face and seeing how everything works together. Oftentimes, I get patients that are perhaps consistent considering other procedures like fillers, like facial surgery. I always say work on the foundation of the face first. To me, the smile is the foundation or the scaffolding in the face. We work on that first, we restore that to its ideal, and then from there, you could potentially be more conservative with other procedures. For instance, if you've lost volume in your teeth over the years, and now we've rebuilt that, now your soft tissue and cheeks and lips have more support, perhaps the filler you get could be a little bit less. Or if you're considering facial surgery or face left, maybe they could be a little bit more conservative there. Start with the foundation, and then we go outwards.