Upper lip rolls under when I smile - how to help a gummy smile? (Photos)

An expert with lip augmentation and correction can relax your upper lip with Botox so that it doesn’t roll under, revealing your gums when you smile. A touch of Volbella could be used to correct the slight asymmetry in your upper lip, too. You could add volume as well, but that’s up to you. Consulting with a board-certified dermatologist will help you get a more relaxed and flattering smile.

Dear Iceprincessdd,Thank you for your question and photos. I would recommend a combination of Botox and fillers to help with your gummy smile. Botox into the muscles above the lips will relax the muscles and prevent the gummy smile. Fillers will give you fuller lips. I have seen great results with this combination. When you are ready, please look at before and after photos on my website and we can set up a complimentary in-person consultation to address your concerns and answer all of your questions.Best regards,Nima Shemirani

Thank you for sharing your question and photograph.  Fillers like Volbella will only increase the size of your upper/lower lip and will not materially address your gummy smile.  I do advocate a hyaluronic acid filler into your lip to help maintain its fullness when you smile.  As for your gummy smile I would recommend a small amount of botox to either side of your nose to help lower your lip and prevent the excessive gum show.  Hope this helps.

Thanks for sending in the photos. I have seen many people in your situation. Botox/Dysport injected in nasi muscle above the lip, relaxes the muscle. I would also recommend lip filler as well. Just a little in your top and bottom lips. Trust me it makes all the difference when you smile, your top lip won't disappear. I recommend getting a formal consultation with a dermal filler expert. Best, Dr. Emer

Thanks for posting your photos. You likely need a combination of dermal filler and Botox/Dysport. A formal consultation will be required and you may need several sessions with careful follow up. Be sure the person you choose to do your injections is someone you can build a longterm patient-doctor relationship to maintain your results.

In my opinion the best treatment for a gummy smile is injection of Botox into the levator labii superioris alaque nasi muscle bilaterally. Only a very small amount of product is needed and the results last 6 months. You must seek an injection with experience to avoid smile asymmetry.

Thank you for your question.  Correction of a gummy smile is one of the off label treatments I provide with a neurotoxin like Botox Cosmetic.  It takes an experienced injector to carefully inject Botox in the precise area of the mouth, so that gummy smile is corrected but muscle movement needed for activities such as talking, eating, kissing are not interruptd.  By disguising the gummy smile,  we can create a more aesthetically pleasing smile. Remember if this is done incorrectly, you will have a partially frozen mouth for up to three months, so I suggest that you choose your physician based on experience and competence and not by price.
Wishing you happiness on your aesthetic journey,

Dr. Bonakdar

Hello, thank you for your question and photos. Luckily, this is a quick and simple fix. A few units of botox will correct the gummy smile.
Best of luck!

Thank you for your question. A trial of Botox in small doses may be effective for you. I recommend that you schedule an in-person consultation to determine how best to treat your concerns. 

A nice improvement would be seen with properly placed Botox or Xeomin injections above the top lip.  Additionally, some well placed Volbella would enhance the volume of the top lip, bringing you the balance you are after.