Botox for Gummy Smile?

i hate my gummy smile. a doctor said maybe i could get Botocs to help. Is this true?

Doctor Answers 10

Gummy smile

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
Surgical superior positioning of the maxilla is the way to go. It is done once and you are set for life! 

New York Oral & Maxillofacial Surgeon
4.8 out of 5 stars 19 reviews

Gummy smile

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

 Botox is not a good choice for treatment of a gummy smile.  Botox will paralyze the muscle of animation and inhibit your smile. A true gummy smile is the result of vertical maxillary excess. In order to correct this, you may need a maxillary impaction to reduce the overall height of the maxilla.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

Strongly advise against Botox for gummy smile

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Hi Robin

BOTOX is great for some things. Not so great for other things. The gummy smile I think is mostly a doctor created sensitivity. Think about where you learned that this was a "issue." To counter act this "issue" BOTOX is injected into the lip elevators including the lavator labii superioris, levator labii superioris alaequae nasi, and occasionally the zygomaticus minor muscle. For sure this lowers the upper lip and covers the gums if the show when you smile. But typically this kill a beautiful big smile. Also to my eye, there is something unnatural about the effect. Also at the top of the nasolabial fold a small fullness can appear that is caused by the relaxed lavtor labii superioris. Also the treatment can result in an asymmetric smile.

Someone has under minded your confidence in what is probably a fantastic, beautiful smile. Don't get this treatment. Keep smiling.

Kenneth D. Steinsapir, MD
Beverly Hills Oculoplastic Surgeon
4.9 out of 5 stars 26 reviews

BOTOX Can Help — But Not Permanently

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
BOTOX is a popular option for reducing the appearance of a gummy smile. It works by reducing movement in the upper lip, preventing it from retracting and exposing a significant amount of gum tissue when you smile. Many people are attracted to this treatment because it is minimally invasive. However, the results are temporary, and "overtreatment" is a possibility. For permanent results, lip lowering surgery, laser gum contouring, and other procedures are possibilities. For best results, consult with a qualified cosmetic dentist or periodontist near you.

Botox and a gummy smile

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Botox may lower the upper lip to not be able to show the gum line when you smile. There is a risk of too much lowering; affecting your singing or playing of a wind instrument.  Be careful in this area.

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
4.9 out of 5 stars 39 reviews

Gummy Smile

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Botox is a very good choice for patients that suffer "gummy smile". I my experience I have had very good results with judicious use of Botox to improve this condition. You need to go to an experienced Facial Plastic Surgeon that has had injected gummy smile in the past to have your best results. Good luck.

Gustavo A. Diaz, MD
Charlotte Facial Plastic Surgeon

Juvederm for a gummy smile

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

While Botox can be used to treat a gummy smile, this procedure can be very tricky to get just right, and can be very unpredictable. You must only have it done by a very experienced injector. The potential downside can be an asymmetry of your smile or changes in your upper lip muscle dynamics!

I have favored using Juvederm for a gummy smile by enhancing the upper lip in a very natural way. This seems to work very well and is very striaghtforward. Some of my happiest patients are ones that have had this procedure done for a gummy smile! Photographs can be seen on my website of just such a patient.

You may also want to consider seeing a craniofacial or maxillofacial surgeon for consultation if your gummy sile is severe. There are some potential sugical solutions for this issue.

Brian S. Glatt, MD, FACS
Morristown Plastic Surgeon
5.0 out of 5 stars 59 reviews

Botox for gummy smile

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Yes, it will work very well. It has to be injected very precisely in the levator labii muscle which is near the junction of your nostrils with the cheek. Also the dose has to be calculated very carefully. A small amount can also be placed in the midline of the upper lip where it meets the nose (columella) and it helps bring down the center lip.


Tanveer Janjua, MD
Bedminster Facial Plastic Surgeon
5.0 out of 5 stars 126 reviews

Botox for gummy smile

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

A gummy smile has been successfully treated with Botox when performed by expert injectors. It should be a low dose into precise points on the upper lip to reduce the "gum" show without affecting any other motion. I recommend choosing a very experienced physician, someone with years of expertise in cosmetic dermatology or dermatologic surgery.

Robert A. Weiss, MD
Baltimore Dermatologic Surgeon
5.0 out of 5 stars 13 reviews

BOTOX Erases Gummy Smiles

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

I never knew what a "gummy smile" was until one of my patients was complaing of all the dental work she had done to correct her gummy smile. So evidently this not high on the spectrum of diseases or conditions that we must control.

Nonetheless, many people besides my patient are bothered by a gummy smile, which occurs when the gum show and the upper lip curls upwards. A thin upper lip may exacerbate this problem by allowing more gum to show.

Botox and sometimes the addition of a filler are very helpful in correcting this problem without the risks and expense of major jaw surgery.

Botox is injected into the area just lateral to the widest point of the nose. The muscles affected are the muscles that elevate the upper lip. Since the elevation of the upper lip is weakened, less gum shows. Sometimes, some Restylane of Juvederm can be added to the upper lip which would further erase the appearance of a gummy smile.

You should seek an experienced physician. The injections must be placed precisely. If they are not, one side may pull up while the other side is relaxed (paralyzed). Most people, even die-hard, Republicans do not like the Dick Chaney half-smile look but that's what you'll get if your physician is not careful.

Arnold R. Oppenheim, MD
Virginia Beach Dermatologist

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.