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Botox to treat Gummy Smile Correction (Effects of Repeated Administration)

wanderlustdreamFeb 14, 2016
What are the side effects, Long term and short-term, for the repeated use of Botox to treat gummy smiles?

Answers (4)

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Dr. Kyle Coleman, MD
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Dr. Kyle Coleman, MD
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Dr. Hratch Karamanoukian, MD, FACS
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Edward Buckingham, MD

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.

+15 answers
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Jonathan Kulbersh, MD

Botox does not work immediately. It will take 3-5 days for it to start working and it will have max effect 7 days after injection.  It is normal that you do not appreciate a change at this time. I hope this helps.

+19 answers
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Jeffrey Ridha, MD

The effects you are noticing are most likely cumulative from both treatments.  It's true that Botox effects around the mouth can be of a shorter duration, which can be dose-related, and also has to do with how much motion, function and blood flow there is in the muscles of the lip....

+6 answers
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Bryson G. Richards, MD

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

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Martin Jugenburg, MD

Thank you for your question. You can use a small amount of Botox to the upper lip to obtain a slight lip curl - the lip curl can make the lip appear larger. Ask an expert injector about this technique and find out if you are a candidate. Best, 

+14 answers
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Harold J. Kaplan, MD

Hi Sunset.  A little bit of heaviness or "numbness" is normal after Botox for a gummy smile.  The feeling should not last a full three months and it will get better as the product slowly wears off.  Good luck.

+6 answers
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