Botox for one smile side? (photo)

Question

Is it possible to make gummy smile correction only in one side ? so that it would be more symmetrical

Edward Buckingham, MD · Answer

It is possible to place a neuromodulator on only one side, but given the dynamic nature of the muscles and smile caution should be had on achieving perfect symmetry. Be sure to discuss with your treating provider as to their opinion.

Kimberly Butterwick, MD · Answer

Yes, Botox can be used to correct a gummy smile and to correct asymmetry, but it should only be done by a highly experienced, board-certified dermatologist with a high level of skill. It is a little tricky because the muscles are all in balance and treating one side can result in effects on the other side. If Botox injections are placed incorrectly, it could lead to undesirable side effects around the mouth, such as asymmetry on the treated side or a top lip that doesn’t move correctly. I suggest finding an experienced dermatologist and going in for a consultation, and starting off very conservatively.

Martin Jugenburg, MD · Answer

Thank you for your question. Yes it is possible to achieve symmetry with Botox, speak with an expert injector to see if your desires are possible. Best,

Jerome Edelstein, MD · Answer

Hello,

Thank you for your question.

It is very common to have facial asymmetry and
a difference in muscle movement on each side of the face. If this is something
that bothers you, it may be helpful to discuss subtle options for injectable
treatment, (Botox or Dysport for example) with a skilled injector, and then
decide if that's the right option for you.

All the best.

Steven J. Rottman, MD, FACS · Answer

Thank you for the question. Botox or Dysport can be used to treat a "gummy smile", but it must be performed by an experienced injector. There is potential to create worsening asymmetry if not injected properly so be careful who injects you. I always recommend a board certified plastic surgeon who performs a high volume of injectables.  Hope this helps and good luck!

Jason Emer, MD · Answer

yes this can be improved with botox but has to be done conservatively and with the proper technique.  Best, Dr. Emer.

Michael A. Zadeh, MD, FACS · Answer

Yes, this can be done. Only small doses should be used. Remember, though, that perfect symmetry may not be possible. But, it can be improved. Please find an experienced injector for this. Best wishes.

Harold J. Kaplan, MD · Answer

Hi Adele.  Yes, it's possible.  The injections may turn out looking stellar, but there are potential downsides.  First, when only injecting one side, the injections should be done very conservatively so that the lip does not drop below the other side and thus lead to the opposite problem.  Second, because dosing would be very light, the results would not last long.  Typically with the dosage we use in this area, we set patient expectations of about 6-8 weeks for duration.  For the amount of asymmetry you have you may decide doing nothing is better than doing something.

Michele S. Green, MD · Answer

Botox is the not the best treatment for smile lines. While "baby Botox" can sometimes correct the gummy smile, the problem is that often you can't pucker your lips and feel uncomfortable.  Often an injection in the lip itself of Juvederm or Restylane is better cosmetically. Best, Dr. Green

Martie Gidon, MD, FRCPC, FAAD · Answer

Yes, it is possible to treat only one side of a gummy smile to gain more symmetry.  A tiny amount of Botox can be used but should be performed by an experienced injector.

Botox for one smile side? (photo)

Answers (15)

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