PMC4012110_01
Pre-operative view smiling
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F1
A healthy 18-year-old girl presented with a chief complaint of a gummy smile [Figure 1] and incompetent lips [Figure 2].
Pre-operative view showing incompetent lips
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F2
A healthy 18-year-old girl presented with a chief complaint of a gummy smile [Figure 1] and incompetent lips [Figure 2].
Incision marking
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F3
A marking pen was used to outline the apical, coronal and lateral boundaries of the elliptical incision [Figure 3].
Exposed connective tissue
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F4
The epithelium was removed within the outline of the incisions exposing the underlying connective tissue [Figure 4].
Suturing done with interrupted sutures
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F5
The mucosal flap was advanced and sutured with interrupted stabilization sutures at the midline and other locations along the borders of the incision mucogingival junction using 5-0 vicryl sutures [Figure 5].
Post-operative view smiling
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F6
Reduction in the amount of GD at the 1-year follow-up visit was stable along [Figure 6] with competent lips [Figure 7].
Post-operative view with improved lip competency
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F7
Reduction in the amount of GD at the 1-year follow-up visit was stable along [Figure 6] with competent lips [Figure 7].