Efficiency of Gummy Smile Correction Using the Myotomy of the Elevator of the Upper Lip Muscle

Technique: Two 5mm incisions are made at the inner lateral aspect of the nostrils, and one in the columella. Using a periosteum elevator, the gingival mucosa is freed from the maxilla. Skin and subcutaneous tissue were blunted dissected from the underlying musculature of the upper lip. A frenuloplasty is performed to lengthen the upper lip. Both elevator of the upper lip muscles are dissected and divided.