Would Botox and lip fillers be best for a gummy smile with thin, uneven lips? Can they be done at the same time? (photos)

Botox for a gummy smile can be done at the same time as HA fillers. However it doesn't appear from the submitted photos that Botox would be needed. Fillers should be able to achieve the volume enhancement you are wanting.

Neuromodulators and intradermal fillers can be performed at the same time to help you achieve your desired goals. It is recommended a discussion be had with your treating provider on different options. Several treatments may be required to achieve your desired results.

Thank you for sharing your question and photos. Yes, both Botox for the gummy smile and lip fillers can be done at the same time. Depending on the degree of gummy smile you are noticing, an experienced injector should be able to inject a small amount of Botox in the proper locations near the nose to give you more tooth coverage when smiling. For lips, I recommend a hyaluronic acid filler such as Restylane or Juvederm using the microcannula technique. This technique is essentially bruise-less and allows filler to be injected evenly for a natural result. When it comes to lips, it is very important to keep them looking natural so I always recommend my patients start with a conservative amount of filler initially and add more if necessary. I recommend consulting with an injector experienced with the microcannula technique for your treatments. Good luck!

Thank you for sharing your question and photographs. Though your pictures do not demonstrate a gummy smile, Botox can be used to lower the upper lip to increase coverage of the upper teeth.  That said I would recommend you first seek use of a thicker hyaluronic acid dermal filler, such as Juvederm Ultra Plus, to achieve your desired increase in lip size and then assess your mouth appearance.  Oftentimes with the added volume to the lips this will improve any subtle gum show.  

First off, while your lips are somewhat thin, I do not believe you have a gummy smile (from your photos). I would first try lip augmentation with filler like Juvederm ultra plus. If you like the look, then you may want to consider fat transfer, as it is more permanent. Be sure to consult with a board certified plastic surgeon. Good luck!