The complete guide to gummy smile treatment

By Dr. Aaron Stanes

A woman with her hair tied back enjoys a serene moment with her eyes closed and a gentle smile. She touches her face lightly with a hand, set against a soft beige background.
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Introduction to Gummy Smile Treatment

What is a gummy smile, and what are its common causes?

A “gummy smile” is generally characterised by the visibility of more than 2-3mm of gum tissue above the upper teeth when a person smiles. This aesthetic can be influenced by several factors, and understanding these causes is crucial for determining the most appropriate and effective treatment.

Common causes include hyperactive lip elevator muscles that pull the upper lip too high, making the gums more prominent. Other factors can involve naturally thin lips, or lips that become even thinner when smiling, as well as teeth that appear shorter, which can make the surrounding gum tissue seem comparatively larger. Excess gum tissue or a longer upper jawbone (maxilla bone) can also contribute to a gummy smile.

What is non-surgical gummy smile treatment, and what does it involve?

Non-surgical gummy smile treatment is a minimally invasive approach aimed at creating a more balanced and harmonious smile without the need for surgery. It primarily involves the use of injectable treatments to adjust the dynamics of the upper lip and surrounding areas.

These treatments typically focus on relaxing specific muscles that cause the upper lip to rise excessively or adding subtle volume to the lips. The goal is to reduce the amount of gum visible when smiling, leading to a more aesthetically pleasing appearance.

  • Anti-Wrinkle Injections

  • Anti-wrinkle injections involve precisely administering a muscle-relaxing solution to the hyperactive muscles that elevate the upper lip. By gently weakening these muscles, the treatment encourages the lip to sit lower, reducing the exposure of gum tissue.
  • Lip Filler

  • Lip filler involves the strategic placement of dermal filler into the upper lip to add subtle volume and redefine its shape. This added fullness can help to naturally cover more of the gum area when smiling, contributing to a more balanced smile line.
  • Lip Flip

  • A lip flip is a technique that uses a small amount of muscle-relaxing solution injected into the upper lip’s border. This causes the lip to subtly ‘flip’ or roll slightly outwards, creating the appearance of a fuller upper lip and helping to reduce gum show without adding volume.

A combination of treatments is often recommended when a gummy smile has multiple contributing factors. For instance, if a hyperactive upper lip is combined with naturally thin lips, using both muscle relaxants and lip filler can address both concerns comprehensively.

This layered approach allows for a more tailored and effective outcome, as it can simultaneously tackle different anatomical causes of the gummy smile, leading to a more refined and natural-looking result than a single treatment alone.

Who is an ideal candidate for non-surgical gummy smile treatment?

Ideal candidates for non-surgical gummy smile treatment are typically individuals who display an excessive amount of gum tissue when smiling due to hyperactive lip muscles or thin lips. These treatments are generally most effective for mild to moderate concerns.

Candidates should be over 18 years of age and looking for a non-invasive way to improve their smile aesthetics without undergoing surgical procedures. A thorough consultation is essential to determine suitability and discuss realistic expectations for the outcome.

How much does gummy smile treatment cost?

The cost of gummy smile treatment can vary significantly depending on several factors, including the specific type of treatment chosen and the number of sessions required. Since some cases may benefit from a combination of treatments like muscle relaxants and dermal fillers, the overall cost will reflect the comprehensive approach.

It is best to have a personalised consultation to discuss the most suitable treatment plan for your individual concerns, which will then allow for a precise quote on the investment required.

Anti-Wrinkle Injections for a Gummy Smile

What are gummy smile injections, and how do they work?

Gummy smile injections are a non-surgical treatment designed to reduce the visible gum tissue when smiling. They primarily involve the precise injection of a muscle-relaxing solution into specific facial muscles that influence the upper lip’s movement.

These injections work by temporarily relaxing the overactive muscles responsible for lifting the upper lip too high during a smile. This allows the lip to sit in a slightly lower, more balanced position, thereby reducing the amount of gum that shows.

Which facial muscle is targeted with gummy smile injections?

The primary facial muscles targeted with gummy smile injections are the upper lip elevator muscles. These muscles (known as the levator labii superioris alaeque nasi) are responsible for raising the upper lip when you smile.

By relaxing these specific muscles, the treatment effectively reduces their ability to pull the lip upwards excessively. This subtle relaxation allows the upper lip to cover more of the gum tissue, creating a more harmonious smile.

Do anti-wrinkle injections fix a gummy smile?

Anti-wrinkle injections can effectively address a gummy smile, particularly when the cause is an overactive upper lip. By targeting the muscles that lift the lip too high, these injections help to lower the lip’s position, reducing the amount of gum visible during a smile.

While they don’t change the underlying bone structure or gum tissue itself, they offer a non-surgical way to achieve a more balanced smile by adjusting the lip’s movement.

How many anti-wrinkle injections are needed to correct a gummy smile?

The number of anti-wrinkle injections needed to correct a gummy smile is typically quite small, often involving just a few precise points. The exact quantity will depend on the individual’s unique muscle anatomy and the extent of their gummy smile.

A qualified practitioner will assess your specific needs during a consultation to determine the optimal dosage and injection sites to achieve a natural-looking result.

How soon can you see results, and how long do they last?

For gummy smile treatments involving muscle relaxants, you’ll generally start to see the initial results emerge within 3 to 7 days. The full effect, where the upper lip settles into its new, more balanced position, is usually visible within 1 to 2 weeks after the treatment.

The results from these injections typically last between 3 to 4 months. To maintain the desired outcome, repeat treatments are necessary.

What are the risks and potential side effects of gummy smile injections?

Gummy smile injections are generally considered safe, but like any injectable treatment, there are some potential risks and side effects, though they are usually minor and temporary. These can include mild redness, swelling, or bruising at the injection sites.

More uncommon side effects might involve temporary asymmetry of the smile or difficulty with certain lip movements if the product spreads to unintended muscles. These issues typically resolve as the product wears off.

Can gummy smile injections affect speech or facial movement?

When performed by an experienced practitioner, gummy smile injections are designed to precisely target the muscles responsible for lifting the upper lip without significantly impacting overall speech or facial movement. The goal is a subtle relaxation, not paralysis.

However, in rare cases or if the product spreads slightly, there could be a temporary and minor effect on lip articulation or expression. These effects are typically transient and resolve as the muscle relaxant wears off.

How much do gummy smile injections cost?

The cost of gummy smile injections can vary based on several factors, primarily the amount of product needed and the practitioner’s fees. Since each individual’s needs differ, the exact cost will depend on a personalised assessment.

It is best to consult with a practitioner who can evaluate your specific situation and provide a precise quote for your treatment plan.

Are gummy smile injections the same as a lip flip?

Gummy smile injections and a lip flip are related but not entirely the same, although they both use muscle-relaxing solutions to enhance the upper lip. Gummy smile injections broadly refer to using these solutions to reduce gum show by relaxing the upper lip elevator muscles.

A “lip flip” is a specific technique that typically uses a very small amount of muscle relaxant injected into the very border of the upper lip. This causes the lip to subtly roll outwards, creating the appearance of more volume and a less gummy smile without adding actual filler. It’s one method within the broader category of gummy smile treatments.

Dermal Fillers for a Gummy Smile

Can lip fillers improve the appearance of a gummy smile?

Yes, lip fillers can certainly improve the appearance of a gummy smile, particularly when the gummy smile is partly caused by thin lips or lips that tend to thin out significantly when smiling. By adding subtle volume to the upper lip, fillers can help to create more coverage over the gums.

This increased lip fullness can naturally lower the lip’s position relative to the gum line, resulting in a more balanced and harmonious smile. It offers a non-surgical way to achieve a less “gummy” look.

How do dermal fillers work to reduce gum exposure?

Dermal fillers work to reduce gum exposure by adding volume and subtly reshaping the upper lip. When injected into the lip tissue, the filler gently plumps the lip, increasing its vertical height and projection.

This added dimension allows the upper lip to naturally camouflage more of the gum tissue when you smile, without hindering your natural expressions. The filler creates a soft barrier that helps to balance the proportions between your lips, teeth, and gums.

What is the procedure for applying lip fillers to correct a gummy smile?

The procedure for applying lip fillers to correct a gummy smile is generally quick and straightforward. After a thorough consultation to assess your lip structure and smile, the practitioner will prepare the area.

Small amounts of dermal filler are then strategically injected into specific areas of the upper lip. The process is precise, aiming to achieve a natural enhancement that balances your smile by gently increasing lip volume and projection.

How long do the effects of dermal fillers last for gummy smile treatment?

The effects of dermal fillers used for gummy smile treatment typically last between 12-24 months. The longevity can vary depending on the type of filler used, your individual metabolism, and lifestyle factors.

To maintain the improved appearance of your smile, repeat treatments will be necessary as the filler gradually breaks down over time.

What are the risks and side effects of lip fillers for a gummy smile?

Lip fillers are generally considered safe when administered by a qualified professional, but like all injectable treatments, they carry some potential risks and side effects. Common side effects are usually mild and temporary, such as swelling, redness, tenderness, or bruising at the injection sites.

Less common but more serious risks can include allergic reactions, infection, or vascular complications, though these are rare. Choosing an experienced practitioner significantly minimises these risks.

Lip Flip for a Gummy Smile

What is a lip flip, and how can it address a gummy smile?

A lip flip is a non-surgical cosmetic procedure that subtly enhances the appearance of the upper lip, which in turn can help address a gummy smile. It involves using a small amount of muscle-relaxing solution precisely injected into the orbicularis oris muscle, which encircles the mouth.

By relaxing a specific part of this muscle, the lip flip causes the upper lip to gently roll slightly outwards and upwards, creating the illusion of more lip volume and reducing the amount of gum visible when smiling without adding actual filler.

How is a lip flip procedure performed?

A lip flip procedure is a quick and minimally invasive treatment. After a consultation to assess your smile and lip anatomy, a practitioner will administer a few tiny injections of a muscle-relaxing solution.

These injections are strategically placed along the upper border of the lip, targeting the superficial fibres of the muscle. The entire process typically takes only a few minutes to complete.

Which is more effective for treating a gummy smile: lip flip or lip fillers?

The effectiveness of a lip flip versus lip fillers for treating a gummy smile depends on the underlying cause and the desired outcome. A lip flip is generally more effective when the gummy smile is due to an overactive upper lip muscle, as it subtly relaxes the muscle to reduce gum show.

Lip fillers, on the other hand, are more effective if the gummy smile is influenced by thin lips that lack volume, as they add physical plumpness to the lip. Sometimes, a combination of both treatments may be recommended for comprehensive results.

How long do the results of a lip flip last?

The results of a lip flip are temporary, typically lasting for about 2 to 3 months. The duration can vary slightly from person to person depending on individual muscle activity and metabolism.

To maintain the desired effect and continue to reduce the appearance of a gummy smile, repeat treatments are necessary once the effects of the muscle relaxant begin to fade.

Are there any risks or side effects associated with a lip flip for a gummy smile?

When performed by an experienced professional, a lip flip is generally considered a safe procedure. However, like all injectable treatments, there are some potential, usually mild and temporary, risks and side effects.

These can include minor bruising, swelling, or tenderness at the injection sites. Very rarely, if the muscle relaxant spreads, there might be a temporary impact on lip movement, such as difficulty with whistling or sipping from a straw, but this is uncommon and resolves as the product wears off.

Procedure Overview

What should you expect during a consultation for gummy smile treatment?

During a consultation for gummy smile treatment, you can expect a comprehensive assessment of your smile, facial anatomy, and specific concerns. The practitioner will carefully examine how your lips, teeth, and gums interact when you smile, and discuss the underlying causes of your gummy smile.

This is also an opportunity for you to articulate your aesthetic goals and ask any questions you may have. The practitioner will then outline suitable non-surgical treatment options, explain the procedure in detail, and help you understand what results you can realistically expect.

Typically how long does gummy smile treatment take?

Gummy smile treatments are generally quite quick. The actual injection process itself often takes as little as 10 to 20 minutes to perform. This makes it a convenient option for those with busy schedules.

The overall appointment duration may be slightly longer to allow for a thorough consultation beforehand and any necessary preparation, ensuring a precise and effective treatment.

Is gummy smile treatment painful?

Most individuals find gummy smile treatments to be well-tolerated, with minimal discomfort. The injections involved use very fine needles, and the procedure is completed quickly.

Any sensation experienced is usually brief, often described as a slight pinch or a mild sting. Practitioners often employ techniques to enhance comfort during the treatment, aiming for a generally gentle experience for the patient.

Are there any risks or side effects associated with gummy smile treatment?

Gummy smile treatments are generally considered safe when performed by experienced and qualified practitioners. As with any injectable procedure, there are some potential risks and side effects, though they are usually mild and temporary.

These can include minor redness, swelling, tenderness, or bruising at the injection sites. Very rarely, if muscles are unintentionally affected, there might be temporary and subtle changes to lip movement or speech, but these typically resolve as the product wears off.

How can you prepare for gummy smile treatment?

Preparing for gummy smile treatment typically involves a few simple steps to help ensure a smooth procedure and optimal results. It’s often advised to avoid alcohol for at least 24 hours beforehand, as well as blood-thinning medications or supplements like ibuprofen, aspirin, and fish oil, if medically appropriate, to minimise the risk of bruising.

Staying well-hydrated and coming to your appointment with a clean face, free of make-up, can also be beneficial. Always follow any specific pre-treatment instructions provided by your practitioner.

Aftercare

What are the aftercare recommendations for gummy smile treatment?

After gummy smile treatment, it’s generally recommended to avoid touching or massaging the treated area for the first few hours to prevent any displacement of the product. Keeping your head elevated and avoiding strenuous activities immediately after the procedure can also be beneficial.

Applying a cold compress gently to the area if you experience any mild swelling or tenderness can help alleviate these temporary effects. Following any specific aftercare instructions provided by your practitioner is crucial for optimal results.

What activities or habits should you avoid after gummy smile treatment?

Following gummy smile treatment, it’s advisable to avoid certain activities and habits for a short period to ensure the best results. You should refrain from vigorous exercise and excessive alcohol consumption for at least 24 hours.

Additionally, try to avoid extreme facial expressions, intense chewing, or any activities that put excessive pressure on your mouth area for the first day or two. This helps the product settle effectively and minimises the risk of complications.

How soon can you resume daily activities after treatment?

One of the significant advantages of non-surgical gummy smile treatment is the minimal downtime. Most individuals can resume their normal daily activities almost immediately after the procedure.

While you might experience some minor and temporary effects like slight redness or swelling, these usually don’t hinder everyday tasks. Strenuous activities should be avoided for 24 hours, but light activities can typically be continued without delay.

What is the best sleeping position after gummy smile injections or filler?

After gummy smile injections or filler, it is generally recommended to sleep on your back with your head slightly elevated for the first night or two. This position helps to minimise swelling and prevents any accidental pressure on the treated areas.

Avoiding sleeping on your side or stomach can help ensure the product settles evenly and remains in its intended position, contributing to optimal results.

Are there any dietary restrictions following gummy smile treatment?

There are typically no strict dietary restrictions following gummy smile treatment. However, it might be advisable to avoid very hot foods or drinks immediately after the procedure, as your lips may be a little sensitive or numb if a topical anaesthetic was used.

For the first few hours, it’s also a good idea to avoid foods that require excessive chewing or could put undue pressure on the treated area, allowing the product to settle properly.

Can you exercise after gummy smile injections or fillers?

It is generally recommended to avoid strenuous exercise for at least 24 hours after gummy smile injections or fillers. Intense physical activity can increase blood flow to the face, which might exacerbate swelling or bruising at the injection sites.

After this initial period, you can typically resume your regular exercise routine. Always listen to your body and consult with your practitioner if you have specific concerns about returning to your usual activities.

How frequently will you need to repeat treatments to maintain results?

The frequency at which you will need to repeat gummy smile treatments to maintain results depends on the specific type of treatment received. For muscle-relaxing injections, results typically last around 3 to 4 months.

If dermal fillers are part of your treatment, their effects can last longer, usually between 6 to 12 months. To ensure continuous results, repeat sessions will be necessary as the effects of the products gradually diminish.

Side-by-side photos of a young woman show a comparison before and after a cosmetic procedure. In each, shes smiling broadly. The left image may show her before treatment, while the right shows the results with a more refined appearance.

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