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Home / Treatments /

Botox for Gummy Smile: An Effective and Minimally Invasive Solution

April 14, 2023 • By Derm Collective (reviewed by Megan Kera, M.S., PA-C)

A gummy smile, or excessive gingival display, is a common aesthetic concern that can cause self-consciousness for the affected individual. This condition occurs when the upper gum area is prominently visible during smiling.

Various treatment options are available to address a gummy smile, and one popular minimally invasive approach is Botox treatment.

Contents

  • What is a Gummy Smile?
  • Botox as a Gummy Smile Treatment
  • Benefits of Botox for Gummy Smile Correction
  • Potential Side Effects and Risks of Botox Injections
  • Alternative Treatment Options for Gummy Smiles
  • Choosing a Botox Provider for Gummy Smile Treatment

What is a Gummy Smile?

A gummy smile is characterized by an excessive display of gingiva or gum tissue when smiling. This can result from several factors, including genetics, hyperactive upper lip muscles, overgrowth of gum tissue, or altered tooth eruption.

Gummy smiles can negatively affect an individual’s confidence and aesthetics, prompting them to seek treatment options.

Botox as a Gummy Smile Treatment

Botulinum toxin type A, commonly known as Botox, is a neurotoxin derived from Clostridium botulinum. Botox is widely used in dermatology and plastic surgery to treat various cosmetic concerns.

Botox injections have gained popularity as a minimally invasive procedure for the treatment of gummy smiles.

How Botox Works

Botox works by temporarily blocking the communication between nerves and muscles, resulting in muscle paralysis. When injected into the hyperactive upper lip muscles responsible for a gummy smile, Botox reduces their activity and lowers the elevation of the lip during smiling. This leads to a more balanced and aesthetically pleasing smile with reduced gingival exposure.

Botox Treatment Overview

To treat a gummy smile with Botox, a small amount of the toxin is injected into the area between the nose and the upper lip. The orbicularis oris and zygomaticus major muscles, which are responsible for lip elevation, are targeted.

This minimally invasive procedure relaxes the upper lip muscles, preventing them from contracting or elevating excessively when smiling.

Duration of Botox Treatment Results

The effects of Botox for gummy smile treatment are temporary, typically lasting between 4 to 6 months. Regular maintenance injections may be required to maintain the desired results. The number of units of Botox needed per treatment can vary, depending on the individual’s needs and goals.

Benefits of Botox for Gummy Smile Correction

Botox injections have become a popular and effective solution for correcting gummy smiles. Botox offers several benefits that make it an attractive alternative to surgical interventions.

Natural-looking Results

Botox injections provide subtle and natural-looking improvement to a gummy smile by targeting the specific muscles responsible for excessive lip elevation. Botox can reduce the prominence of the gum display without drastically altering the individual’s overall facial appearance.

Minimally Invasive Procedure

Botox treatment is a minimally invasive procedure, making it a popular alternative to surgical interventions like orthognathic surgery or lip repositioning surgery. It offers a quick and convenient treatment option with minimal downtime and recovery.

Temporary and Reversible Effects

The effects of Botox are temporary and reversible, allowing individuals to try the treatment without the commitment of a permanent change. This feature adds to the accessibility and appeal of Botox treatment for gummy smiles.

Improved Confidence and Aesthetics

By reducing excessive gingival display, Botox treatment can significantly improve an individual’s confidence and overall aesthetics. A more balanced smile can have a positive impact on personal and professional interactions.

Reduced Need for Surgical Intervention

Botox treatment can eliminate or reduce the need for more invasive surgical procedures, such as gingivectomy, crown lengthening, or lip repositioning surgery. This can save time, money, and discomfort for the patient.

Potential Side Effects and Risks of Botox Injections

While Botox injections have proven to be an effective treatment option for correcting gummy smiles, it is essential to understand the potential risks and side effects that may accompany the procedure.

Common Side Effects

Some common side effects of Botox injections for gummy smiles may include temporary swelling, bruising, or redness at the injection site. These side effects are generally mild and resolve on their own within a few days.

Serious Complications

Although rare, serious complications can occur with Botox injections, such as allergic reactions, infection, or unintended muscle paralysis. It is crucial to choose a qualified and experienced provider to minimize these risks.

Contraindications

Botox may not be suitable for individuals with certain medical conditions, such as neuromuscular disorders, or those who are pregnant or breastfeeding. Always consult with a qualified healthcare professional to determine if Botox is a safe and appropriate treatment option for your specific situation.

Alternative Treatment Options for Gummy Smiles

While Botox injections are a popular and minimally invasive treatment option for correcting gummy smiles, there are alternative treatments available for those who may not be suitable candidates for Botox or prefer a different approach.

These treatments address different underlying causes of a gummy smile, such as tooth and jaw misalignment, overgrowth of gum tissue, or hyperactive lip muscles.

Orthodontic Treatment

Orthodontic treatments, such as braces or clear aligners, can help address some underlying causes of a gummy smile, including tooth and jaw misalignment.

Gingivectomy

A gingivectomy is a surgical procedure that removes excess gum tissue to expose more tooth surface, improving the appearance of a gummy smile. This procedure can be paired with botox to reduce a gummy smile.

Crown Lengthening

Crown lengthening involves reshaping the gum and bone tissue surrounding the teeth to create a more balanced gum-to-tooth ratio. This procedure can be an effective solution for gummy smiles caused by altered tooth eruption or overgrowth of gum tissue.

Lip Repositioning Surgery

Lip repositioning surgery involves repositioning the upper lip to reduce its upward movement when smiling. This surgical procedure can provide a more permanent solution to gummy smiles caused by hyperactive lip muscles.

Dermal Fillers

Dermal fillers, like Dysport, can be used to fill the nasolabial fold and other areas around the mouth, providing additional support to the upper lip and potentially reducing the appearance of a gummy smile.

Choosing a Botox Provider for Gummy Smile Treatment

Finding a Qualified Injector

Selecting a qualified injector is crucial for ensuring the best possible results and minimizing risks. Look for a provider who specializes in facial aesthetics and has extensive experience with Botox injections for gummy smile treatment.

Checking Credentials and Experience

Verify the credentials and experience of potential providers by researching their background, asking for patient testimonials, and reviewing before-and-after photos of their work.

Consultation

During the consultation, discuss your concerns, expectations, and desired outcomes with the provider. The healthcare professional should thoroughly evaluate your gummy smile, review your medical history, and recommend the most appropriate treatment options based on your individual needs and goals. They should also provide information on the procedure, potential side effects, and expected results.

Takeaway

Gummy smile treatment with Botox is a minimally invasive and effective option for reducing excessive gum display. It offers natural-looking results with minimal side effects and downtime. However, it’s crucial to choose a qualified and experienced provider to ensure the best possible outcome and minimize risks. For those who may not be suitable candidates for Botox or prefer alternative treatments, other options like orthodontic treatment, gingivectomy, crown lengthening, and lip repositioning surgery are available to address gummy smiles. Always consult with a healthcare professional to determine the most appropriate treatment for your unique situation.

Sources

  • Marwan W. Nasr, MD, Samer F. Jabbour, MD, Joseph A. Sidaoui, MD, Roger N. Haber, MD, Elio G. Kechichian, MD, Botulinum Toxin for the Treatment of Excessive Gingival Display: A Systematic Review, Aesthetic Surgery Journal, Volume 36, Issue 1, January 2016, Pages 82–88, https://doi.org/10.1093/asj/sjv082
  • Fatani B. An Approach for Gummy Smile Treatment Using Botulinum Toxin A: A Narrative Review of the Literature. Cureus. 2023 Jan 21;15(1):e34032. doi:10.7759/cureus.34032
  • Rubin MG, Dover J, Glogau RG, Goldberg DJ, Goldman MP, Schlessinger J. The efficacy and safety of a new U.S. Botulinum toxin type A in the retreatment of glabellar lines following open-label treatment. J Drugs Dermatol. 2009 May;8(5):439-44. https://pubmed.ncbi.nlm.nih.gov/19537366/
  • Rajagopal A, Goyal M, Shukla S, Mittal N. To evaluate the effect and longevity of Botulinum toxin type A (Botox®) in the management of gummy smile – A longitudinal study up to 4 years follow-up. J Oral Biol Craniofac Res. 2021 Apr-Jun;11(2):219-224. doi:10.1016/j.jobcr.2021.02.006
  • Brizuela M, Ines D. Excessive Gingival Display. [Updated 2023 Mar 19]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK470437/
  • Diana Mostafa. A successful management of sever gummy smile using gingivectomy and botulinum toxin injection: A case report, International Journal of Surgery Case Reports, Volume 42, 2018, Pages 169-174, ISSN 2210-2612. https://doi.org/10.1016/j.ijscr.2017.11.055
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Last modified: July 29, 2023

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