What would I need to fix my gummy smile and plump my lips? Botox & Juvederm, or something different? (Photo)

Thank you for your question and for sharing your photographs.  A combination of Botox and filler would be likely to address your concerns.  Beautiful and natural results can be achieved.  Please be sure to see an expert injector for an in-person consultation to fully discuss your goals and expectations in order to determine the best treatment plan.  Hope this helps and best wishes! 

Thank you for your question.  Hylauronic acid products such as Restylane or Juvederm are excellent for lip enhancement.  Depending on the amount of volume you desire, there are products developed and marketed specifically for use in the lips.  Your gummy smile is a totally separate issue.  The technical term is vertical maxillary excess and has to do with the height of your maxilla, or bone of the middle portion of your face.  Botox can be used to temporarily correct or improve the smile but it impacts your smile appearance, needs repeat injections every 3-4 months and can affect your ability to purse your lips.  The gold standard treatment for this is surgical and involves shortening the bone.  Although it seems excessive, it can make a significant impact to the symmetry and appearance of your face.  I suggest an evaluation with an experienced board certified plastic surgeon.  Good luck. 

For the gummy smile, sometimes a little bit of botox can help. If you feel that your lips are not full, then fillers can be added.

You have a bit of a "gummy" smile, so a small amount of neurotoxin like Botox or Dysport above your upper lip will relax that muscle and make the area temporarily longer, covering the gums at least partly, and any number of fillers in your lips will look lovely. 

A combination of Botox and fillers should correct your gummy smile. The right filler is going to depend on your anatomy and desired goals but tend to like something from the Juvéderm family. 

You need a small amount of botox to help reduce the pull of the upper lip to relieve the gummy smile.  If you are looking to additionally plump your lip you can start with one syringe of filler and see how you like that amount of filler. More filler can be added later if you want even larger lips.

Thank you for your question.  You are absolutely correct. A little botox injected above your top lip will cause the muscle to relax and the lip won't curl up as much when you smile. If you are looking for a fuller lip as well, juvederm or restylane are great choices to provide you with a subtle plump.Feel free to call my office with any additional questions.Ariel Ostad MD PC