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Amy On a recent lecture trip to the US I was asked by an esteemed American colleague and fellow Pankey Dentist Dr David Kell DDS to teach a course on cosmetic principles and also botox. Dr Kell was particularly keen for help with his wife Amy's 'gummy smile'. Amy was faced with the traditional options of complex jaw surgery to reposition her entire upper jaw higher, extensive surgical correction of her gums plus repositioning of her teeth either orthodontically or with veneers or both! Or difficult, often unsightly and unpredictable plastic surgery to reposition her lip. I had mentioned to Dr Kell previously our techniques with botox for correction of hyperflexible upper lips, one cause of 'gummy smiles', a technique the Americans had not heard of. David asked me if I would demonstrate this with his wife's case to the study group. Amy also asked for an eyebrow lift, elimination of forehead, crows feet and frown lines! Never wishing to dissapoint a discerning lady I did all of the above. Having left the US the next day Amy & Dr Kell kindly sent back photos of her face, smile & lines prior to my treatment and two weeks later. It was a pleasure to treat Amy and help my good friend and colleague and his study group learn a new technique that will hopefully help many more people achieve the smile they want. With careful adjustment of future doses David will be able to acurately reposition Amy's top lip to reduce her gumminess even more if they wish. I hear Amy is overjoyed that she now will not have to endure any complex cosmetic surgery!
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