Gummy Smile Tox Treatment

Reduce Excessive Gum Show with Precise Neuromodulator Injections

Expertise

Top 1%
Injector in US

Experience

11+ Years
12k + Patients

Excellence

36+ Top lasers
25+ Injectables

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.

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.

Reduced Anxiety

Settle into a calm, relaxed state before and during your treatment — no stress, no tension.

Less Discomfort

Enhanced comfort for your treatment, so you can focus on your results.

No Downtime

Walk out feeling great and drive yourself home — absolutely no recovery time required.

PRO-NOX

Nitrous Oxide

Available On Request

For patients who prefer an extra layer of relaxation, Pro‑Nox™ provides a gentle, calming effect that wears off instantly. Most patients find their treatments very manageable — but it’s always here if you want it.

View Before &
After Gallery

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.

*Medical Disclaimer
Individual results may vary. No guarantee of specific results can be given. The degree of side effects and duration of results may vary. Content is for informational
purposes and does not substitute for professional medical advice provided during an in-office consultation and examination by a physician.

Luxury Treatments.
Flexible Payment Options.

Your Confidence Should Never Have to Wait.

At Anna Avaliani MD Cosmetic & Laser Surgery, we believe exceptional aesthetic care should be accessible when you are ready — not months or years later. That’s why we offer elegant financing solutions that allow you to begin your transformation today while comfortably managing the investment over time. Because confidence is priceless — and now it’s flexible.

Gummy Smile Tox Frequently Asked Questions

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