I Have a Gummy Smile Will Botox Help?

I have been offered gum surgery but am concerned my teeth will look really long, what are my options? Wou;ld botox be better?

Doctor Answers 19

Gummy Smile and Botox

   Botox when injected in smaller amounts well above the lip can help lengthen the nose lip interval and reduce incisor show.

Los Angeles Plastic Surgeon
4.9 out of 5 stars 496 reviews

Botox For Smile Improvement

Administered by the right surgeon, preferably Board Certified in plastics, Botox can definitely help with a gummy smile. It is a simple procedure, taking only minutes and is a very great option for someone who wants something non invasive. It lasts several months and although it will need to be repeated after that time, my patients are happy with being able to get in and out and having no down time. “Dr. D”

Edward E. Dickerson, IV, MD
Fayetteville Facial Plastic Surgeon
4.7 out of 5 stars 120 reviews

Botox for gummy smiles

Botox injected by a highly trained and experienced dermatologist or plastic surgeon is a terrific option for reducing gummy smile and is also inexpensive as not much Botox is required.

Benjamin Barankin, MD, FRCPC
Toronto Dermatologic Surgeon
4.8 out of 5 stars 53 reviews

Botox and gummy smile

Properly injected Botox by a well-trained and experienced injector can help with a gummy smile. Be sure you understand how it affects your mouth and how it can change your look.

Sam Naficy, MD, FACS
Seattle Facial Plastic Surgeon
4.7 out of 5 stars 221 reviews

Botox for a gummy smile

Botox can definitely help a gummy smile.  It is a quick procedure that lasts a few months and makes patients very happy.

Martie Gidon, MD, FRCPC
Toronto Dermatologist
5.0 out of 5 stars 22 reviews

Botox for Gummy smile?

Absolutely!  Botox is very good at treating a gummy smile and is quick and easy.  I would not recommend receding your gums as this will make your mouth look older and the enamel stops at the gum line, then starts the dentin which is much softer and more susceptible to wear and future cavities.  If you want a permanent result, then a plastic surgeon with maxillo-facial training can actually shorten your midface with no damage to the teeth.  This is a big surgery and would only be recommended if you have a 'long' mid face.

Best Wishes,

Pablo Prichard, MD

Pablo Prichard, MD
Phoenix Plastic Surgeon
5.0 out of 5 stars 48 reviews

Injecting Botox into depressor septi to treat gummy smile

Botox is probably the safest and most predictable way to modify your gummy smile.  In skilled hands, the injections can precisely modulate the way your upper lip muscles move, improving the appearance of your smile.  The fact that it is temporary is both a good and bad thing - less than ideal treatments can be fine tuned easily without permanent smile distortion.  

Donald B. Yoo, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 58 reviews

Gummy smily

Excellent question.  This is one of the most rewarding proceedures that I do.  Using a neuromodulator such as Botox or Dysport can improve a gummy smile.  Typically two injection points are needed and patients are very happy.  I do recommend this proceedure for a gummy smile

Cynthia Golomb, MD
Pembroke Pines Dermatologist
5.0 out of 5 stars 2 reviews

Botox for gummy smile

I have had good success treating gummy smile by giving two injections at the sides of the nose where the nasolabial fold starts.  Sometimes as little as 5 units total gives good results.  Treatment takes just a few seconds.  Because the dosage is low, the results don't last that long and need to be repeated.  It makes sense to me to try the less invasive option first.

Richard Ort, MD
Lone Tree Dermatologic Surgeon
5.0 out of 5 stars 27 reviews

Botox v Gum Surgery for Gummy Smile

Hello Rachel,

It sounds to me like you have at least two options for your Gummy Smile:

1.  Non-surgical approach (Botox) which is an office procedure, no down time, minimal risks and complications, affordable and fairly predictable results (very good) when performed by a Board Certified Plastic Surgeon.  Of course it will need to be repeated every few months to be effective.  This is not a permanent procedure.


2. Surgical approach ( gum surgery, jaw surgery) which are more complex surgical procdures, have longer lasting results, with short and long terms risks and complications, significant costs and are associated with real recovery time. Surgery requires a greater commitment on your part and should include more than one consultation as the differences in the above procedures are significant.  This is a permanent procedure.


Consider trying Botox one time and see what you think of the result.  This treatment will give you not only better information of your appearance WITHOUT a Gummy Smile but also a better idea if this is the look that you desire.  If you are satisfied, then perhaps seek more information on the procedures that will provide to you a more permanent result.

Thanks for asking!  Dr Ellen

Ellen A. Mahony, MD
Westport Plastic Surgeon
5.0 out of 5 stars 26 reviews

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.