Botox for gummy smile - How to avoid second smile line? (photo)

Question

Hi last time we did a lip flip I got this horrible line above my lip. This has happened to me two times where we have placed the lip flip in different spots, but along my lip line. Where should we place the Botox instead of along my lip to avoid the second smile line, and get rid of my gummy smile? Should we place The Botox under my nose are in my Yonsei spots instead?

Glenn Murray, MBBS · Answer

Hello

This unfortunately is a common side effect.  It is a tricky balance of lowering and everting the lip whist trying to avoid creating a line on movement. 
This is how the muscle reacts and for many they accept this, as the result outweighs the gummy smile effect they dislike.

A few things that you can do 
- lower the dose that’s injected into the obicularis oris
-Inject The Levator labii superioris Muscle ( alaeque Nasi)

I hope this helps and good luck!

Best wishe 
The Absolute Cosmetic Medicine Team

Anna Chacon, MD, FAAD · Answer

Managing a gummy smile with Botox requires precise placement to achieve the desired effect without creating unwanted lines. Here are some considerations and strategies to discuss with your practitioner:

Target Muscles: The primary muscles involved in a gummy smile are the levator labii superioris alaeque nasi (LLSAN) and the zygomaticus minor. Injecting Botox into these muscles can reduce their activity, helping to minimize the elevation of the upper lip when smiling.

Injection Sites: Instead of injecting directly along the lip line, consider targeting the Yonsei points. These are typically located higher up, near the base of the nose, which can help relax the muscles responsible for a gummy smile without impacting the area around the lip line where unwanted lines might form.

Dosage and Technique: Ensure your practitioner uses an appropriate dose and technique to avoid over-relaxation of the muscles, which can lead to a secondary smile line or other aesthetic issues.

Consultation and Customization: Every face is unique, so it's important to have a thorough consultation with your practitioner. They can assess your specific anatomy and adjust the injection plan accordingly to achieve the best results.

Follow-Up: Monitor the results and have follow-up sessions to adjust the treatment if necessary. This will help fine-tune the placement and dosage to prevent unwanted effects.

Discuss these options with your provider to tailor the treatment to your needs and avoid additional lines when treating a gummy smile.

Botox for gummy smile - How to avoid second smile line? (photo)

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Botox for gummy smile - How to avoid second smile line? (photo)

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Everything you need to know about Botox for Gummy Smile

Our mission is to create a world where every investment in modern beauty is Worth It.