I had botox to fix my gummy smile. Is it normal for my smile to be crooked? (Photo)

Question

its been 7 days since I got my first injection with Botox to fix my gummy smile.. I got injected with 10 units of botox and now I have a crocked smile is this normal? They told me to wait 2 weeks to see the final results.. I am not happy with my smile I don't feel comfortable.. I booked another appointment to talk to my dr and try to fix this issue.. Any suggestions? Should I add more Botox to the higher side?

Bryson G. Richards, MD · Answer

Thank you for your question and post.A little botox on the higher side will help correct the smile. It's an easy fix. Congrats on your recent treatment. Botox is a great treatment for gummy smile.- Dr. Bryson Richards

Camille Cash, MD · Answer

It can take up to 14 days for you to see your final result from your Botox treatment.  If after that time you still have concerns return to your injector for an evaluation.  A quick touch up could be all you need to give you the results you are hoping for.

Tanya Kormeili, MD · Answer

As a woman I totally understand the importance of well contoured lips and smooth skin!
As a dermatologist, I can tell you that this is a tricky area to treat. You just need a touch up to fix it! Please call you doctor and I am sure they can correct it!

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.

Best of luck!

Brian Coan, MD, FACS · Answer

Hi there Farah, thanks for sharing your photos. Botox does take up to two weeks to take full effect, so I would wait until then before receiving further injections. I understand your frustrations and am happy you have set up an appointment with your physician to speak about this. That would be my recommendation to you but you are already one step ahead. This should be easily treatable and I wish you all the best. -Dr. Coan

Jane Olson, MD · Answer

Botox and Dysport take 2 weeks for the full effect - so I recommend waiting that period of time prior to a dosage adjustment. Also, there are a couple of muscles of facial expression that contribute to the height and shape of the lip. Sometimes one side requires a little different dose or injection pattern or depth. As long as you prefer the lower side, your doctor will be able to correct the higher side by additional treatment

Larry Lickstein, MD · Answer

The mechanism of action of botox is by weakening or temporarily paralyzing muscles.  By weakening muscles of the glabella just above the nose, we can treat frown lines;  by weakening muscles of the forehead, we can treat brow furrows;  by weakening muscles around the eyes, we can treat crow's feet.  A "gummy" smile is revealed by raising the upper lip excessively, though unconsciously, while smiling.  In this case, botox can be used to weaken the elevator muscles of the upper lip.  It is likely that a few more units injected in the left upper lip elevators will be able to restore symmetry.  You should not have to hide your smile!

Robert S. Schmidt, MD · Answer

Thanks for your question. I see what you're talking about. At this point, I'd wait, because it takes two weeks for Botox to be at its maximum effect. You don't want to be chasing yourself. Additional botox to the higher side would indeed help. I'm sure this can be fixed. Good luck!

Steven F. Weiner, MD · Answer

Yes, it looks like the high side didn't take. You need to add some to that side. This should be an easy fix.

Ira Shapira, DDS (in memoriam) · Answer

Consider correcting the underlying issue which is an underdeveloped maxilla.  The DNA Appliance by Vivos can 3 dimensionally grow your maxilla with epigenetic orthopedics and grow your airway pneumopedically..Deep nasal labial grooves are caused by insufficient bone and tooth support of the soft tissues.  Ideally, you should have a full 10-12 tooth smile.  Correction of maxilla shape and size naturally corrects most of the issues.I suspect, that you also have dark circles under your eyes..due to blood with decreased oxygen and poor venous drainage.

I had botox to fix my gummy smile. Is it normal for my smile to be crooked? (Photo)

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