Gummy Smile After Botox to Freeze Upper Lip? (photo)

Using BOTOX for "gummy" smile correction is not an easy task. Sounds like the amounts of units used is on the high side, if you are correct about that #. Or the BOTOX was to diluted or out of date. Best to return to original injecting doc to discuss. Than YOU decide if you need an other doc or not.//

You need to inject in the area where the lower lateral part of the nose (alae) meets the face to hit the levators of the lip.  It seems the injection was more for lip lines than for gummy smile.  I'd go to another physician who understands the injection point.  Steve Weiner, MD, Facial Plastic Sugeon

There are specific lip elevator muscles that cause gingival show and can be targetted specifically with neuromodulator injection for correction.  "Yonsei point" is a triangle formed by the vectors of the 3 lip elevator muscles (ie, levator labii superioris [LLS], levator labii superioris alaeque nasi [LLSAN], and zygomaticus minor [ZMi]). Injection of this point with BTX-A may be an effective treatment alternative for patients with excessive gingival display caused by hyperactive lip elevator muscles. The experience and skill of the injector will likely be reflected in the success of the procedure. Over injection may cause upper lip drooping.I recommend finding an experienced facial plastic surgeon.