Botox lip flip vs gummy smile?

Question

Hi! I had Botox for my gummy smile a year ago and wasn’t very happy with the results. I felt my smile flattened and looked too different. However my gummy smile and upper lip curling is still an insecurity for me. What is the difference in doing a lip flip and would this be a good option for me?

Peter N. Butler, MD, FACS · Answer

Hi, that's a great question.

The location to fix a gummy smile is typically near the nose to lower the lip, while a lip flip is injected directly about the pink lip to evert the lip.

Anil R. Shah, MD · Answer

A "Lip Flip" is a technique used to bring the upper lip outward, making it more full with volume. This technique does not improve a gummy smile. Injection technique is very important. Without knowing your injectors' techniques, amount of Botox units, and how often you've been receiving treatments, it is important to evaluate this online. Just know that not all hope is lost for the Gummy Smile. You may just need to readjust your treatment with your current injector of seek a new one with different technique and experience. If seeking potential treatment, I strongly recommend that you follow up with an experienced injector.
Keep smiling! 
Best, 
Dr. Anil Shah

Camille Cash, MD · Answer

I encourage you to begin by visiting with an experienced injector to discuss your concerns.  From your description, it sounds like treatment for a gummy smile is indicated and not a lip flip.

Kristin J. Tarbet, MD, FACS · Answer

If you are worried about the gummy smile, I would not suggest having the lip flip done if you are thinking that the lip flip might help. A botox lip flip will flip your upper lip up a bit which in some cases can expose the gums even more when you smile.

David Z. Gay, MD · Answer

Botox for gummy smile is given higher up just below nose to relax the muscles that pull the lips up when smiling. The lip flip injection is given just above the lip line. It relaxes the muscle in that area letting the lip rotate up and out slightly. The lip flip injection won't do anything for the gummy smile.

Peter Newen, MD - Account Suspended · Answer

Hello, a lip flip is the name of the procedure you received of Botox for a gummy smile. If you would like to contact our office we can book you in for the first available appointment. Here one of our trained nurses can assess you and see what may help! 
Irvine: 714-475-2010 
Huntington Beach: 714-230-2430

Ira Shapira, DDS (in memoriam) · Answer

It is possible to decrease lip freedom and treat the gummy smile by tightening the upper lip with a reverse vestibuloplasty.
I have done this procedure in my office with local anesthetic but it is usually done by preiodontists or plastic surgeons.I strongly suggest looking at utilizing a DNA Appliance to orthopedically correct the underlying issues rather than just looking at soft tissues,The DNA Appliance utilizes Epigenetic Orthopedics to grow the maxilla and turn a narrow V shaped maxilla into wide U Shaped maxilla developing a full wide healthy smile and giving support to facial features.Correction of the bony support does not rule out other treatments but makes all treatments work better if they are still needed.

Botox lip flip vs gummy smile?

Answers (7)

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