Gummy smile (1 inch visible gum) - would removing the upper lip muscles be effective? (photos)

A gummy smile, where a significant portion of the gums is visible when smiling or laughing, can be addressed through various treatments. Since you've experienced positive results with Botox, you're likely interested in exploring more permanent solutions. Here are some potential options:

Surgical Options:

Lip Repositioning Surgery: This procedure involves repositioning the upper lip to cover more of the gums. It is less invasive than removing muscles and typically has a quicker recovery time.
Gingivectomy or Crown Lengthening: If excess gum tissue is the primary issue, a periodontist can reshape the gums to expose more of the teeth.
Orthognathic Surgery: In cases where the underlying jaw structure contributes to a gummy smile, jaw surgery might be recommended. This is a more invasive option and typically considered when other dental or orthodontic issues are present.
Muscle Modification:

Myectomy (Muscle Removal): Removing or altering specific upper lip muscles can reduce the elevation of the lip when smiling. However, this is a more invasive approach and carries risks, such as affecting lip movement or symmetry.
Orthodontic Treatment:

Braces or Invisalign: In some cases, orthodontic treatment can help adjust the position of teeth and jaws, thereby reducing gum exposure.
Continued Botox Treatment:

If you are satisfied with the results of Botox, ongoing treatments could be a viable option. While not permanent, they are less invasive and allow for adjustments over time.
Before deciding on any surgical procedure, it's important to consult with a board-certified oral surgeon, periodontist, or cosmetic dentist who can evaluate your specific condition and recommend the most appropriate treatment plan. They can provide a comprehensive assessment and discuss the potential risks and benefits of each option.