Can a Nose Job Reduce 'Gummy' Smile?

  A gummy smile would not be corrected with Rhinoplasty. A safe (off label) way to correct a gummy smile is by using Botox or Dysport.  If you are going to do this however, make sure you see a physician who is experienced in using a neurotoxin for this purpose. It usually requires very little product and works very well.

A gummy smile can be caused by a variety of factors which most commonly includes: 


Vertical maxillary excess (excess bone of upper lip)

Hyperfunction of lip elevators (muscles that make you smile)

Excessive gum surrounding the teeth


In cases of vertical maxillary excess, orthognathic  and maxillofacial surgery is probably the best bet to get started.  In patients who are not candidates for either or who have already had maxillofacial surgery, a rhinoplasty can sometimes be helpful.  Rhinoplasty can reduce the presence of the nasal spine and subperiosteal release the lip elevator muscles helping to camouflage the amount of gum shown.  Botox can be helpful in specific circumstances as well.