Aesthetic correction in the presence of dental problems: what is possible and what is not

The issue of joint work of representatives of different medical specialties to correct aesthetic deficiencies in one patient is often discussed at various training events. Today, dermatologists, cosmetologists, plastic surgeons, and even gynecologists are used to working together and achieving the best results. Special attention should be paid to the issues of aesthetic correction in the presence of dental problems. What can and cannot be done to the patient in this case – in an exclusive interview for estet-portal.com said Marina Soyher, candidate of medical sciences, general director of the Institute of Biotechnology and Interdisciplinary Dentistry.

Is there a relationship between the work of the facial and masticatory muscles of the face?

Indeed, our face – it is a multifunctional system that changes very quickly throughout life.

It is impossible to consider facial and chewing muscles in the gap, because when we chew and clench our teeth, our forehead muscles are activated, and when we frown – chewing muscles are activated.

It is important for a dermatocosmetologist to know this when he plans his injections for the correction of the upper third of the face, because he will give his patient some kind of guarantee, for example, that the effect of the drug will be maintained for 6-8 months. And if suddenly the patient comes in 2 months and says that the effect of the drug is over - we start to puzzle and think who is to blame – doctor, drug But it turns out that the problem is completely different, and that behind these deep forehead wrinkles was hiding the hypertonicity of the chewing muscles, and we have a patient who has dysfunction of the chewing muscles, their activity. And this activity leads to a reduction in the effect of the drug administered to correct the upper third of the face.

What dental problems are contraindications for aesthetic correction?

During reconstructive dental procedures, such as implantation followed by orthopedic treatment or orthodontic treatment of dental problems, some therapeutic and preventive measures by dermatocosmetologists may have relative contraindications. This is so because orthodontists move teeth very actively, and the soft tissues of the face follow them. The movement of teeth occurs in three-dimensional space. And if a patient comes to a cosmetologist, for example, nasolabial wrinkles are corrected for him, and literally a month later he comes with a clear, pronounced facial asymmetry, naturally, the patient will complain to the dermatocosmetologist. And the specialist dermatocosmetologist himself does not understand that now another part is hiding behind this problem, the work of an orthodontist. It turns out,

It is very important for dermatologists to understand that during the period of treatment at the orthodontist it is necessary to temporarily postpone volumizing procedures, threads, injection techniques, for example, hyaluronic acid injections.

 During this period, biorevitalization, physiotherapy are indicated, but aesthetic correction with volumizers must be postponed until later. And then, when the orthopedist and the orthodontist have finished their work, there will be small changes that will require aesthetic additional correction. And the dermatocosmetologist himself will see that he needs less hyaluronic acid, and other threads, and not those that he planned to use initially, and then we will get the maximum aesthetic result.