A short YouTube talk by Dr. Victoria Rose Veytsman about how smile design must consider the teeth, lips, and overall facial proportions. She recommends doing dental work before altering lips (e.g., filler) because tooth changes can reduce the need for lip enhancement. The goal is facial harmony and flow rather than perfect symmetry; 'perfectly imperfect' results can be most attractive.
Chapters
In designing the smile, we have to understand that the teeth are framed by the lips, and the lips live within the entire face. When we're planning and designing the smile, we take into account the size of the patient's lips, the shape. Are they getting filler? A lot of times when we design these smiles, we always advise patients to do the smile first, do the teeth first, because then they could potentially do less lip filler, do less to enhance the lips, because we're giving them that support. But we do have to take into account the shape of the lips, the size. Are they casting a shadow on the teeth? Do we now need to make the teeth a little bit brighter? It all plays a role in designing the smile. From the lips to the cheeks, to the shape of the face, to how wide set the nose and the eyes are, we always want everything to look in harmony and symmetric, not perfect. So it's really just reestablishing a nice flow, a nice harmony in the face, even if it's not perfect. Some of my favorite smile design cases that we've done have been perfectly imperfect, and it just looked so beautiful. And enhance the entire face.