Tanya Kormeili, MD

Everyone's skin is different, it's important to discuss the treatments that are best for your skin type and the results you are looking for. We're happy to schedule you a consultation.

I am sorry you are not happy with your result.  Here is more info for you as go forward in deciding on future treatments.




As a dermatologist, I can tell you that different anatomy in each patient make me decide on whether I combine Botox (how much and exact placement) with deciding to add fillers to balance thin lips that pull up in gummy smiles. Together they two can create a very natural contour and very sexy appearance - if done correctly.


The key is to make sure you communicate what you are trying to achieve and ask specific questions from the doctor as the risks for that treatment.


I do many gummy smiles and they can be successfully treated with Botox/Dysport when performed by expert injectors. Injection of a low dose into precise points on the upper lip to reduce the “gum” showing without affecting any other motion. I have my patients smile several times, and animate their face as they are talking to me during the consultation. Where exactly I place it (and how much product) depends on the anatomy of the patient.

Factors to consider include how thin/thick the upper lip is (and if you use fillers on the upper lip you need to consider balancing the lower lip to avoid the "duck lip" tragedy!). How much the lips are pulled up and how many millimeters of gum are exposed. Any asymmetries during movement or at rest will also have to be taken into account.

I think the key is the consult to show you in the mirror what to expect. In this case Botox/Dysport may lower the upper lip so that you are not be able to show the gum line when you smile.  Because there is some risk of lowering too much, (which could affecting your singing or playing of a wind instrument, for example), using low doses and making sure that you receive precise injections by a highly qualified and certified professional are very important!

Best of luck!

As a woman I totally understand the importance of well contoured lips and smooth skin!

As a dermatologist, I can tell you that different anatomy in each patient make me decide on whether I combine Botox (how much and exact placement) with deciding to add fillers to balance thin lips that pull up in gummy smiles. Together they two can create a very natural contour and very sexy appearance - if done correctly.




Botox can take up to 2 weeks for full effect. Fillers on the other hand are immediate in their effect but can temporarily get "swollen" and go back down to normal volume!


The key is to make sure you communicate what you are trying to achieve and ask specific questions from the doctor as the risks for that treatment.


I do many gummy smiles and they can be successfully treated with Botox/Dysport when performed by expert injectors. Injection of a low dose into precise points on the upper lip to reduce the “gum” showing without affecting any other motion. I have my patients smile several times, and animate their face as they are talking to me during the consultation. Where exactly I place it (and how much product) depends on the anatomy of the patient.

Factors to consider include how thin/thick the upper lip is (and if you use fillers on the upper lip you need to consider balancing the lower lip to avoid the "duck lip" tragedy!). How much the lips are pulled up and how many millimeters of gum are exposed. Any asymmetries during movement or at rest will also have to be taken into account.

I think the key is the consult to show you in the mirror what to expect. In this case Botox/Dysport may lower the upper lip so that you are not be able to show the gum line when you smile.  Because there is some risk of lowering too much, (which could affecting your singing or playing of a wind instrument, for example), using low doses and making sure that you receive precise injections by a highly qualified and certified professional are very important!

Best of luck!

As a woman I totally understand the importance of well contoured lips and smooth skin!

As a dermatologist, I can tell you that different anatomy in each patient make me decide on whether I combine Botox (how much and exact placement) with deciding to add fillers to balance thin lips that pull up in gummy smiles. Together they two can create a very natural contour and very sexy appearance - if done correctly.


The key is to make sure you communicate what you are trying to achieve and ask specific questions from the doctor as the risks for that treatment.


I do many gummy smiles and they can be successfully treated with Botox/Dysport when performed by expert injectors. Injection of a low dose into precise points on the upper lip to reduce the “gum” showing without affecting any other motion. I have my patients smile several times, and animate their face as they are talking to me during the consultation. Where exactly I place it (and how much product) depends on the anatomy of the patient.

Factors to consider include how thin/thick the upper lip is (and if you use fillers on the upper lip you need to consider balancing the lower lip to avoid the "duck lip" tragedy!). How much the lips are pulled up and how many millimeters of gum are exposed. Any asymmetries during movement or at rest will also have to be taken into account.

I think the key is the consult to show you in the mirror what to expect. In this case Botox/Dysport may lower the upper lip so that you are not be able to show the gum line when you smile.  Because there is some risk of lowering too much, (which could affecting your singing or playing of a wind instrument, for example), using low doses and making sure that you receive precise injections by a highly qualified and certified professional are very important!

Best of luck!

As a woman I totally understand the importance of well contoured lips and smooth skin!

As a dermatologist, I can tell you that different anatomy in each patient make me decide on whether I combine Botox (how much and exact placement) with deciding to add fillers to balance thin lips that pull up in gummy smiles. Together they two can create a very natural contour and very sexy appearance - if done correctly.


The key is to make sure you communicate what you are trying to achieve and ask specific questions from the doctor as the risks for that treatment.




I do many gummy smiles and they can be successfully treated with Botox/Dysport when performed by expert injectors. Injection of a low dose into precise points on the upper lip to reduce the “gum” showing without affecting any other motion. I have my patients smile several times, and animate their face as they are talking to me during the consultation. Where exactly I place it (and how much product) depends on the anatomy of the patient.

Factors to consider include how thin/thick the upper lip is (and if you use fillers on the upper lip you need to consider balancing the lower lip to avoid the "duck lip" tragedy!). How much the lips are pulled up and how many millimeters of gum are exposed. Any asymmetries during movement or at rest will also have to be taken into account.

I think the key is the consult to show you in the mirror what to expect. In this case Botox/Dysport may lower the upper lip so that you are not be able to show the gum line when you smile.  Because there is some risk of lowering too much, (which could affecting your singing or playing of a wind instrument, for example), using low doses and making sure that you receive precise injections by a highly qualified and certified professional are very important!

Best of luck!