Gummy Smile Tox Treatment
Reduce Excessive Gum Show with Precise Neuromodulator Injections
- ExpertiseTop 1%Injector in the country
- ExperienceOver 11,000Patients treated
- Excellence590+Five star reviews
Why Choose Dr. Avaliani for Gummy Smile Treatment?
A gummy smile, where excessive gum tissue shows above the upper teeth when smiling, is one of the most common cosmetic concerns Dr. Avaliani treats. Using precisely dosed BOTOX or Dysport injections, she relaxes the hyperactive muscles that pull the upper lip too high. The result is a naturally balanced smile with less gum show, achieved in minutes with virtually no downtime.
Precise Micro-Dosing
Only 2-4 units of BOTOX or 5-10 units of Dysport are needed. Dr. Avaliani’s conservative approach prevents over-correction that could affect speech or eating
Board-Certified Physician
11+ years of aesthetic medicine experience. Dr. Avaliani’s deep knowledge of facial muscle anatomy ensures safe, predictable gummy smile correction
Quick & Painless
The entire treatment takes under 5 minutes with just 2 tiny injection points beneath the nose. Return to your day immediately with no visible marks
A Reputation Built on Results
5.0-star rating with 565+ verified patient reviews and a reputation for natural-looking injectable results that never look overdone
Personalized Approach
Every gummy smile treatment begins with a thorough physical examination to determine the exact cause and degree of excessive gum show Dr. Avaliani will assess your smile dynamics, upper lip mobility, and gum exposure during a detailed consultation to determine the precise injection points and dosage for your ideal result.
What Is Gummy Smile Tox Treatment?
Gummy smile tox treatment uses a small amount of botulinum toxin (BOTOX or Dysport) to relax the levator labii superioris alaeque nasi, the muscle responsible for lifting the upper lip excessively high when you smile. By carefully weakening this muscle, the upper lip rests slightly lower, reducing the amount of gum tissue visible and creating a more balanced, aesthetically pleasing smile.
At Dr. Avaliani’s practice, gummy smile treatment is performed with exceptional precision. She conducts a detailed physical exam and reviews your medical history before treatment. Only 2-4 units of BOTOX (or 5-10 units of Dysport) are injected at specific points near the nose using ultra-fine needles. The conservative dosing is critical: too much product can drop the upper lip too low, affecting speech and eating.
How Gummy Smile Tox Treatment Works
The gummy smile treatment follows a precise, well-proven protocol:
- Dr. Avaliani evaluates your smile dynamics, measures gum show, and identifies the exact muscles causing excessive lip elevation
- A small dose of BOTOX or Dysport is injected into 2 precise points beneath the nose using an ultra-fine needle
- The neuromodulator relaxes the levator labii superioris muscle, preventing it from pulling the upper lip too high
- Results appear within 3-7 days as the muscle gradually relaxes and the upper lip settles into a lower, more balanced position
- With regular maintenance every 3-4 months, results become more consistent and the muscle may require less product over time
Gummy Smile Concerns We Treat
Excessive Gum Show When Smiling
More than 3-4 mm of gum tissue visible above the upper teeth when smiling. Neuromodulator injections relax the overactive lip elevator muscle to reduce gum exposure and create a naturally balanced smile.
Uneven Gum Line
One side of the upper lip lifts higher than the other, creating an asymmetric gum line when smiling. Precise, targeted injections on the more active side can balance the gum show for a more symmetrical smile.
Hyperactive Upper Lip
An upper lip that rises excessively high due to overactive levator muscles. Botulinum toxin weakens the muscle just enough to keep the lip from elevating beyond a natural position, without affecting your ability to smile or speak.
Self-Conscious About Smile
Avoiding smiling in photos or covering your mouth when laughing due to excessive gum show. A quick neuromodulator treatment restores confidence so you can smile freely without self-consciousness.
Asymmetric Smile
A smile that appears uneven because one side elevates more than the other, exposing more gum on one side. Precisely dosed injections on the dominant side create balanced, symmetrical smile dynamics.
Post-Dental Work Gummy Appearance
Gummy smile that has worsened or become more noticeable after dental procedures such as veneers, crowns, or orthodontic work. Neuromodulator treatment can complement your dental investment by balancing the lip-to-gum ratio.
Our Gummy Smile Treatment Options
Dr. Avaliani offers multiple neuromodulator options and expert technique for gummy smile correction. Here’s what sets her approach apart:
BOTOX®
The gold standard neuromodulator for gummy smile correction. Only 2-4 units are precisely injected near the base of the nose to relax the lip elevator muscle. Results appear in 3-7 days and last 3-4 months with regular treatment. FDA-approved with decades of proven safety.
Dysport®
An alternative neuromodulator that some patients prefer for its slightly faster onset of action. Dysport may take effect 1-2 days sooner than BOTOX. Typically 5-10 units are used for gummy smile treatment. Dr. Avaliani selects the ideal product based on your anatomy and response history.
Precise Micro-Dosing Technique
Dr. Avaliani’s signature approach uses the minimum effective dose at precisely mapped injection points. This conservative technique prevents over-correction, the most important safety consideration in gummy smile treatment. Too much product can drop the upper lip excessively, affecting speech and eating.
Call us today to schedule your gummy smile consultation with Dr. Avaliani and take the first step toward a balanced, confident smile!
Does It Hurt?
Your comfort options (we tailor this to you)
Gummy smile tox treatment is virtually painless. The procedure involves just 2-4 tiny injection points near the base of the nose using ultra-fine needles. Most patients describe a brief, mild pinch that lasts only a second. No numbing cream is typically needed. Results appear gradually over 3-7 days as the muscle relaxes.
There is virtually no downtime after gummy smile treatment. You may experience mild tenderness or slight redness at the injection points that resolves within 30 minutes. You can return to all normal activities immediately. With regular maintenance every 3-4 months, results become increasingly consistent and the treatment may require less product over time.
Feel Calm. Stay in Control. Look Amazing.
Learn about your comfort options ›- Reduced anxietySettle into a calm, relaxed state before and during your treatment, with no stress and no tension.
- Less discomfortEnhanced comfort for your treatment, so you can focus on your results.
- No downtimeWalk out feeling great and drive yourself home. No recovery time required.
Is Gummy Smile Tox Treatment Right for Me?
Ideal Candidates
You may be a good candidate if you:
- Show more than 3-4 mm of gum tissue above your upper teeth when smiling
- Feel self-conscious about excessive gum show in photos or social situations
- Want a quick, non-surgical solution with no downtime and immediate return to activities
- Have been told by a dentist that your gummy smile is caused by a hyperactive upper lip muscle
- Are in generally good health and are not pregnant, nursing, or allergic to botulinum toxin
- Want a subtle, natural improvement without surgery, gum recontouring, or jaw surgery
What Does Gummy Smile Treatment Cost?
Pricing Information
The cost of gummy smile tox treatment depends on the neuromodulator selected (BOTOX or Dysport) and the number of units required for your specific anatomy. Price Range: Only 2-4 units of BOTOX or 5-10 units of Dysport are typically needed During your consultation, Dr. Avaliani will evaluate your smile dynamics, measure your gum exposure, and recommend the precise dosage with transparent pricing. This is one of the most affordable neuromodulator treatments available due to the small amount of product needed.
View before & after gallery
Results vary from patient to patient. The gallery shows real outcomes from treatments performed by Dr. Avaliani.
Before and after imagery to be added for this treatment.
Gummy Smile Tox Treatment frequently asked questions
What causes a gummy smile?
A gummy smile is most commonly caused by a hyperactive levator labii superioris muscle that pulls the upper lip too high when smiling, exposing excessive gum tissue. Other contributing factors include excessive gum tissue growth, a short upper lip, or vertical maxillary excess (overgrowth of the upper jaw bone). Dr. Avaliani evaluates the cause during consultation to determine the best treatment approach.
How does BOTOX fix a gummy smile?
BOTOX (or Dysport) is injected into the levator labii superioris alaeque nasi muscle near the base of the nose. The neuromodulator temporarily weakens this muscle so it cannot pull the upper lip as high when you smile. This reduces the amount of gum tissue visible while preserving your natural smile movement and expression.
How long do gummy smile tox results last?
Results typically last 3 to 4 months with regular maintenance. Because a very small dose is used (2 to 4 units of BOTOX or 5 to 10 units of Dysport), the effect may wear off slightly sooner than other BOTOX treatments. With consistent treatments every 3 to 4 months, many patients find their results last longer over time as the muscle weakens.
Does gummy smile treatment hurt?
The treatment is virtually painless. Only 2 tiny injection points are needed near the base of the nose using ultra-fine needles. Most patients describe a brief, mild pinch that lasts only a second. No topical numbing cream is typically needed, though it can be applied upon request.
How quickly will I see results?
Results begin to appear within 3 to 7 days as the neuromodulator takes effect and the muscle gradually relaxes. The full result is typically visible by day 10 to 14. Your upper lip will rest slightly lower when smiling, reducing the gum show while maintaining a natural-looking smile.
Can too much BOTOX cause problems?
Yes, which is why Dr. Avaliani uses a conservative micro-dosing approach. Over-injection can cause the upper lip to drop too low, potentially affecting speech, eating, or the ability to use a straw. Dr. Avaliani starts with the minimum effective dose and can always add more at a follow-up visit if needed.
Is there any downtime after treatment?
There is virtually no downtime. You may experience mild tenderness or slight redness at the injection points that resolves within 30 minutes. You can return to all normal activities immediately including work, exercise, and social events. No special aftercare is required.
Will the treatment affect my smile or speech?
When performed correctly with conservative dosing, gummy smile treatment should not affect your smile expressiveness or speech. Dr. Avaliani uses the minimum effective dose to reduce gum show while preserving natural lip movement. This is why choosing an experienced injector is critical for this treatment.
Can gummy smile treatment be combined with other procedures?
Yes. Gummy smile tox treatment is often combined with lip filler for enhanced results. Adding a small amount of hyaluronic acid filler to the upper lip can further reduce gum show while creating a fuller, more defined lip. Dr. Avaliani can discuss combination options during your consultation.
Who is not a good candidate for gummy smile tox?
This treatment may not be appropriate for patients who are pregnant or nursing, have a known allergy to botulinum toxin, have a neuromuscular disorder such as myasthenia gravis, or whose gummy smile is caused primarily by skeletal issues rather than muscle hyperactivity. Dr. Avaliani will determine candidacy during your consultation.
Luxury treatments. Flexible payment options.
Exceptional aesthetic care should be available when you are ready. We offer financing that lets you begin treatment now and manage the cost over time.
