In smile design, how are the “incisal embrasures” of the upper front teeth designed according to age and gender?

Incisor creases are V-shaped natural anatomical spaces located above the points where teeth meet. The depth and form of these spaces directly determine the character of a smile; in younger individuals and women, these creases are deeper, rounded, and more prominent, giving the smile a softer, more dynamic, and feminine look. As age progresses, these V-shaped spaces flatten and disappear due to wear and tear on the teeth; in the design of male patients or when a more mature masculine expression is desired, the angles of the creases are planned with steeper, more square-like boundaries. The aesthetic surgeon shapes these tiny anatomical spaces at the micron level, creating an illusion that perfectly matches the patient’s age and gender identity.

Updated date June 10, 2026

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