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?

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.

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

Ira Shapira, DDS · 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.

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.

Botox lip flip vs gummy smile?

Answers (7)

Answer: Reverse Vestibuloplasty can leave muscles intact and treat gummy smile. Consider DNA Appliance.

Answer: Reverse Vestibuloplasty can leave muscles intact and treat gummy smile. Consider DNA Appliance.

Answer: Botox Lip Flip

Answer: Botox Lip Flip

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Everything you need to know about Botox for Gummy Smile

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Botox lip flip vs gummy smile?

Answers (7)

Answer: Reverse Vestibuloplasty can leave muscles intact and treat gummy smile. Consider DNA Appliance.

Answer: Reverse Vestibuloplasty can leave muscles intact and treat gummy smile. Consider DNA Appliance.

Answer: Botox Lip Flip

Answer: Botox Lip Flip

Browse related questions

Recommended reading

Everything you need to know about Botox for Gummy Smile

Our mission is to create a world where every investment in modern beauty is Worth It.