How many units of Botox is needed to reduce the amount of lifting of the upper lip when smiling, so as to correct a gummy smile?
Botox Units Needed to Correct Gummy Smile?
Doctor Answers (9)
Promoted Local Answer Promoted local answers are based on Featured Doctor activity within your current location.
Go Away Gummy Smile!!
I think I agree with everyone who said just a little Botox will lessen the problem. When you make the appt with the derm or plastic surgeon just ask if they have done that before...
Good luck and keep on smiling either way!
Botox of the upper lip
Botox can work very well to correct a gummy smile. Caution must be taken, however, as excessive Botox in the lower face may have very obvious cosmetic and functional impairment. I always start conservatively in this area - you can always add more if needed. I usually use a dose of 2 units on each side and ask the patient to return to my office in a week to evaluate. I strongly urge you to go to someone who has experience injecting the lower face with Botox and feels comfortable dealing with muscle denervation in this area. Good luck.
Take the Gummy out of the Smile
I start very conservatively. I always tell my patients that when we were kids, we studied addition before subtraction and that holds true especially with Botox, where no antidote other than time is available.
I start off with 3-5 units on each side and would see the patient again in a week's time, if a touch up is needed, it is injected then. Also the extent of the gummy smile is also taken into consideration. There are people with such a significant gummy "show" that more should be injected from the first setting. In any case, patients should be told that the effect lasts about 4 months and that they may feel funny when smiling as the lack o movement can come as quite a surprise to some of them.
You might also like...
Botox Units for Treating the Gummy Smile
Good Day Oz Girl,
It takes about 5-6 units of Botox to treat the gummy smile, even in Aussies. Make sure that you choose a physician who is experienced in this area of injections.
Good luck and be well.
Gummy smil and botox
If you have a true gummy smile, then surgical impaction of the maxillae may be the best and permanent result you are looking for. Botox injected into the upper lip may improve the gummy smile , but also may cause a lip droop.
Botox is very good for treating the 'gummy smile'. It is placed in the muscles that are beside the nose- weakening the upward pull and thus the amount of lift of your lip. If too much is place then you may have an incomplete smile.
Usually 1 to 2 units are placed per side. You should have a check at 2 weeks.
With Warm Regards,
Trevor M Born MD
Botox around mouth and lips
I do not treat these areas with Botox because of the risks. Several dermatologists do and I would only recommend going to those dermatologists that treat the mouth regularly and have good consistent results.
I usually start with 1-2 units per side in just the right spot. Warning: be sure you have full lips. If your lips are thin, or your upper lip is long, you will not like how you look. The injection into this levator results in a slight lip drop.
Web reference: http://www.drmarylupo.com
Botox for gummy smile
If you truly have a gummy smile, Botox is not the definitive treatment for you. Although it may be temporary, it could distort your smile slightly and create some asymmetry while you are at rest.
The treatment of a gummy smile is surgical, and I recommend consulting with a plastic surgeon and/or an oral surgeon trained specifically in orthognathic surgery, which is they type of surgery involved in treating you condition.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.
You might also like...
Ask a Doctor
Get personalized answers from board-certified doctors. For free.