A 'gummy smile' is defined as showing more than 3mm of upper gum when smiling — affects 10-15% of the population. While the appearance is healthy, many find it cosmetically concerning. Botox offers a non-surgical solution by relaxing the muscles that lift the upper lip too high. Effect lasts 3-4 months. Op. Dr. Atakan Baş offers expert assessment to determine if Botox or surgical correction is right for you.
1. What Causes Gummy Smile
Multiple causes: hyperactive upper lip elevators (most common), short upper lip, vertical maxillary excess (bone-related), altered passive eruption (gum-related). Botox addresses only the muscular cause.
2. Target Muscle: LLSAN
Levator Labii Superioris Alaeque Nasi (LLSAN) — the muscle that elevates the upper lip and nasal ala. Relaxing this muscle reduces upper lip elevation when smiling.
3. Injection Technique
2-3 units of Botox per side. Injection at 'Yonsei point' — between LLSAN, levator labii superioris, and zygomaticus minor. Very precise—wrong placement causes asymmetry.
4. Who's a Good Candidate
Gummy smile from muscular hyperactivity (showing 3-6mm of gum). Not for: bone-related causes (need surgery), gum overgrowth (need gum reshaping), severe gummy smile (8mm+).
5. Onset and Duration
Effect 3-7 days. Peak 2 weeks. Duration 3-4 months. Repeat as needed.
6. Combination with Lip Filler
Sometimes combined with subtle lip filler to elongate upper lip. Creates more balanced appearance.
7. Risks and Side Effects
Asymmetric smile if injection misplaced. Difficulty with upper lip movements (temporary). Drooping of upper lip on one side. Choose experienced injector.
8. Alternative Treatments
Surgical: lip repositioning, crown lengthening, orthognathic surgery (for bone causes). Botox is preferred first-line — reversible, low-risk.
9. Cost vs Surgery
Botox: ~5% the cost of surgery, repeat every 3-4 months. Surgery: permanent, higher cost, recovery time. Try Botox first to see if you like the result.
10. Why Choose Veneta
Op. Dr. Atakan Baş — board-certified TPRECD plastic surgeon. Expert in delicate facial injection techniques. Personalized assessment.
11. FAQ
How quickly will I see results?
3-7 days, peak at 2 weeks.
Will my smile look different?
Yes — upper lip will lift less. Most patients love the result. Some need adjustment.
Is it painful?
Minor pinch. Numbing cream available.
How long does it last?
3-4 months. Repeat treatments needed.
Can it be reversed?
Effect wears off in 3-4 months. No specific reversal agent like for HA filler.
Combined with veneers/whitening?
Yes — gummy smile correction + veneers = complete smile makeover.
Is it safe?
Yes, when performed by experienced injector. Wrong placement can cause asymmetry.
Pregnancy?
Contraindicated. Wait until after pregnancy and breastfeeding.
Gummy Smile Consultation
Op. Dr. Atakan Baş offers expert smile assessment:
💬 WhatsApp 📞 +90 212 561 23 22
