If you feel that too much gum tissue shows when you smile, a personalized evaluation can help determine why it occurs and whether Botox® may be appropriate. At Dr. Syra Aesthetics & Longevity Institute in Manhattan, Gummy Smile Botox treatments are evaluated, planned and administered by Dr. Syra Hanif, a board-certified physician. The goal is to reduce excessive upper-lip elevation while preserving a natural-looking smile.
What Is Gummy Smile Botox?
A gummy smile, clinically called excessive gingival display, occurs when more gum tissue than desired is visible above the upper teeth while smiling. For appropriately selected patients, small amounts of Botox® can be used to temporarily relax targeted muscles that elevate the upper lip.
Reducing excessive muscle activity may prevent the upper lip from rising as high when smiling, resulting in less visible gum tissue and a more balanced-looking smile. Botox® does not remove gum tissue or permanently change the teeth, lips or jaw.
Using Botox® to treat a gummy smile is considered an off-label cosmetic use. A medical evaluation is necessary to determine whether upper-lip muscle activity is contributing to the concern.
How Is Gummy Smile
Botox Performed?
Botox treatment for a gummy smile is a simple and minimally invasive procedure. Here's how it works:
Consultation
First, we’ll sit down and discuss your concerns and goals for your smile.
Preparation
The areas around your upper lip will be cleaned and prepped for the injections.
Injections
Botox is carefully injected into specific muscles that control how much your upper lip moves.
Relaxation
After treatment, Botox® gradually reduces activity in the selected upper-lip elevator muscles. As these muscles relax, the upper lip may rise less when smiling, reducing visible gum tissue. The effect develops gradually and varies according to the patient’s anatomy, muscle activity, dosage and injection pattern.
Aftercare
After treatment, you can get back to your daily routine right away, with little to no downtime.
Gummy Smile Botox is a minimally invasive and temporary treatment. Results vary, and an individual evaluation is required to determine whether it is appropriate for the cause of a patient’s gum exposure.
How Many Botox Units Are Needed
for a Gummy Smile?
The number of Botox® units required varies according to upper-lip muscle activity, smile pattern, facial anatomy and the amount of gum exposure being treated. Because injection patterns must be individualized, there is no single dosage that is appropriate for every patient.
Dr. Syra Hanif will evaluate your smile in motion and determine the appropriate injection points and dosage during your consultation.
How Long Does Gummy Smile
Botox Last?
The effects of Botox for a gummy smile usually last around 3 to 4 months. Over time, your muscles will gradually regain movement, which can bring the gummy smile back. Regular touch-up treatments can help maintain the results.
Where Is Botox Injected for a Gummy Smile?
Botox is injected into the muscles responsible for lifting your upper lip, specifically the levator labii superioris alaeque nasi (LLSAN). These injections target the problem area without affecting other parts of your face, resulting in a more natural, balanced smile.
How Much Does Botox for a Gummy Smile Cost?
The cost of Gummy Smile Botox depends on the number of units required and the individualized treatment plan. During your consultation, Dr. Syra Hanif will assess your smile, determine the appropriate dosage and provide the exact cost before treatment.
Who Is An Ideal Candidate for Gummy Smile Botox?
Gummy Smile Botox is appropriate for adults whose visible gum tissue results partly from excessive activity in the muscles that elevate the upper lip.
Potential candidates may:
- • Feel that their upper lip rises too high when smiling
- • Want to reduce visible gum tissue without surgery
- • Understand that the treatment is temporary
- • Have realistic expectations about subtle improvement
- • Be in generally good health
- • Have no contraindications to Botox® treatment
Why Choose Dr. Syra Hanif for Gummy
Smile Botox in NYC?
At Dr. Syra Aesthetics & Longevity Institute in Manhattan, Gummy Smile Botox treatments are evaluated, planned and administered by Dr. Syra Hanif, a board-certified physician.
Dr. Hanif assesses each patient’s smile pattern, upper-lip movement and facial anatomy before selecting the injection points and dosage. Her goal is to provide a personalized treatment plan focused on appropriate patient selection, subtle improvement and natural-looking facial movement.
Frequently Asked Questions
- Have an active infection at a proposed injection site
- Have a known allergy or hypersensitivity to a botulinum toxin preparation
- Have certain neurological or neuromuscular conditions
- Are pregnant or breastfeeding
- Have previously experienced a serious reaction to botulinum toxin
- Have gum exposure caused primarily by dental, periodontal or skeletal factors
- Expect permanent correction from a temporary treatment

