Botox for Gummy Smiles: Procedure and Expected Results
A gummy smile is when more than about three millimetres of gum shows above your top teeth when you smile fully. It is almost always genetic, it is not a dental problem, and the muscles that cause it can be relaxed with a very small dose of Botox.
Small is the operative word. This treatment takes four to ten units total, two to five per side, which makes it one of the least expensive things we do. It is also one of the least forgiving, because the injection point sits within a few millimetres of the muscles that control your upper lip. Placed slightly wrong and your smile flattens or goes uneven for three months. That is why we treat this conservatively and why it is worth asking any injector how often they do it. We quote your exact total at your free consultation.
In this comprehensive guide, we will provide an overview of gummy smile Botox treatment at Aesthetic Lane, including how the procedure works, expected results, costs, and who may be a good candidate for this transformative treatment.
When Botox is the wrong answer for a gummy smile
Botox works when the cause is a hyperactive upper lip muscle. It does not work, and we will tell you so, when the cause is something else.
- A short upper lip. If your lip is anatomically short, relaxing the muscle does very little. A lip flip or filler may help, or it may not be worth treating at all.
- Excess gum tissue. If the gum itself is overgrown, this is a periodontist’s job, not ours. A gingivectomy addresses it properly.
- Jaw position. If the upper jaw sits low, that is an orthodontic or surgical question. Botox will not touch it.
We assess which of these is driving your smile at the consultation. If it is not the muscle, we will say so and point you to whoever can actually help.
Understanding Gummy Smile: Causes and Concerns
A gummy smile, medically known as excessive gingival display, occurs when a person shows more than 3mm of gum tissue when smiling or laughing. This condition can significantly impact self-esteem and cause people to feel self-conscious about their appearance, sometimes leading them to hide their smile in social situations.

Common Causes of Gummy Smile
Several factors can contribute to a gummy smile:
- Hyperactive Upper Lip Muscles: The most common cause is overactive lip elevator muscles, particularly the levator labii superioris alaeque nasi (LLSAN), which pull the upper lip too high when smiling.
- Short Upper Lip: Some individuals naturally have a shorter upper lip that doesn’t adequately cover the gums when smiling.
- Vertical Maxillary Excess: When the upper jaw is overgrown, it can cause excessive gum exposure.
- Gingival Issues: In some cases, enlarged gum tissue or altered tooth eruption patterns can contribute to the appearance of a gummy smile.
How Gummy Smile Botox Works
Botox for a gummy smile is a non-surgical, minimally invasive treatment that uses botulinum toxin type A to temporarily relax the hyperactive muscles responsible for excessive lip elevation. By strategically injecting small amounts of Botox into specific facial muscles, we can limit how high your upper lip rises when you smile, resulting in less gum exposure and a more balanced, aesthetically pleasing smile.
The Yonsei Point Injection Technique
At Aesthetic Lane, our experienced practitioners use precision injection techniques, including the scientifically backed Yonsei Point method. The Yonsei Point is located at the convergence of three key muscles responsible for lip elevation: the levator labii superioris (LLS), the levator labii superioris alaeque nasi (LLSAN), and the zygomaticus minor.
This targeted approach allows for:
- More precise muscle relaxation
- Natural-looking results
- Minimal injection points
- Reduced risk of asymmetry
- Optimal gum coverage when smiling
The Gummy Smile Botox Procedure at Aesthetic Lane
Initial Consultation
Your journey begins with a personalized consultation with Brittany Lane White, ARNP, our board-certified family nurse practitioner. During this session, we will:
- Examine your facial structure and smile dynamics
- Measure your gingival display to determine severity
- Review your medical history and any contraindications
- Discuss your aesthetic goals and expectations
- Explain the procedure, potential results, and any risks
- Create a customized treatment plan tailored to your needs
- Provide transparent cost estimates
Treatment Day
The actual Botox injection procedure is quick and straightforward:
Duration: The treatment typically takes 15-30 minutes from start to finish.
Comfort Measures: A topical numbing cream can be applied beforehand if desired, though most patients find the injections minimally uncomfortable.
Injection Process: Using an ultra-fine 30-gauge needle, a certified nurse practitioner will inject small, precise amounts of Botox (typically 2-5 units per side) into the targeted muscles around your upper lip and nose. You may be asked to smile during the procedure so the practitioner can identify the exact muscles causing excessive lip elevation.
Post-Treatment: There is minimal to no downtime. You can resume your normal daily activities and return to work immediately after treatment.
Results Timeline: What to Expect
Short-Term Results
Days 1-3: You may notice slight redness or small bumps at the injection sites, which typically disappear within 15-20 minutes to a few hours. Some patients begin to feel subtle muscle relaxation.
Days 3-7: The Botox begins to take effect as the targeted muscles start to weaken. You’ll notice your upper lip doesn’t elevate as high when smiling.
Days 7-14: Full results become visible. Your upper lip movement has decreased significantly, and your gums are much less exposed when you smile. The effect appears natural, and you can still express yourself fully.
Results typically last 3–6 months, with most patients seeing their best results for about 3–4 months. How long the results last varies from person to person.
Gummy Smile Botox Cost in Orlando & Winter Park
The cost of gummy smile Botox treatment varies based on several factors:
Factors Affecting Cost:
- Number of Botox units required (typically 4-10 units total)
- Severity of gummy smile
- Individual muscle response
- Follow-up adjustments if needed
During your free consultation, we will provide you with a transparent, personalized price quote based on your specific needs. We also offer payment plans through Cherry to make treatment more accessible.
Who Is an Ideal Candidate for Gummy Smile Botox?
The best candidates for gummy smile Botox treatment at Aesthetic Lane are individuals who:
- Have Mild to Moderate Gummy Smile: Those showing 3-5mm of gum tissue when smiling are typically ideal candidates. More severe cases (showing 6mm or more) may require combination treatments or alternative approaches.
- Are in Good General Health: Healthy adults without active infections, allergies to botulinum toxin, or neuromuscular disorders such as myasthenia gravis.
- Have Realistic Expectations: Understanding that Botox provides subtle enhancement rather than dramatic transformation is essential for satisfaction with results.
- Are Not Pregnant or Breastfeeding: Botox is not recommended during pregnancy or while nursing.
- Are Nonsmokers: Smoking can affect treatment effectiveness and healing.
- Have Hyperactive Lip Muscles: The gummy smile must be caused by overactive upper lip elevator muscles rather than skeletal issues, dental problems, or excess gum tissue.
When Botox May Not Be the Right Solution
Gummy smile Botox may not be effective for individuals whose excessive gingival display is caused by:
- Skeletal abnormalities like vertical maxillary excess
- Excess gum tissue (gingival hypertrophy)
- Short clinical crowns
- Altered passive eruption
- Certain medications that cause gum overgrowth
In these cases, alternative treatments such as gingivectomy, crown lengthening, orthodontics, or orthognathic surgery may be more appropriate. Our team will assess your specific situation and recommend the most effective treatment option during your consultation.
Post-Treatment Care Instructions
To optimize your results and minimize side effects:
Immediate Aftercare (First 4-6 Hours):
- Keep your head elevated above your waist
- Avoid lying down or bending over
- Do not massage or apply pressure to the injection sites
- Stay upright as much as possible
First 24 Hours:
- Avoid strenuous exercise or activities that increase blood flow to the face
- Skip intense workouts, hot yoga, or heavy lifting
- Avoid alcohol consumption
- Do not take blood-thinning medications like ibuprofen unless approved by your provider
First 48 Hours:
- Avoid hot showers, saunas, steam rooms, or hot tubs
- Stay out of direct sunlight and tanning beds
- Avoid facial treatments, massages, or dental work
Ongoing Care:
- Schedule your follow-up appointment for 2 weeks post-treatment to assess results
- Plan maintenance treatments every 3-4 months
- Report any concerning symptoms to our office immediately
Why Choose Aesthetic Lane for Gummy Smile Botox in Orlando?
At Aesthetic Lane, we are dedicated to providing outstanding care and services to help you both look and feel your best. Our team of experts, led by Brittany Lane White, ARNP, offers personalized gummy smile Botox treatments in a serene and luxurious setting, prioritizing your safety, comfort, and satisfaction.
Our certified nurse practitioners have extensive training in facial anatomy and advanced injection techniques, including the precision Yonsei Point method. This expertise ensures that every treatment is performed with the highest level of skill and attention to detail, delivering results you can trust. We understand that every smile is unique, which is why your treatment plan is customized to your specific facial structure, muscle activity, and aesthetic goals. Rather than taking a one-size-fits-all approach, we carefully evaluate your individual needs to create a personalized solution.
Our philosophy focuses on subtle enhancement that preserves your natural beauty and authentic smile, not an artificial or overdone appearance. We believe that the best cosmetic treatments are those that make you look like the best version of yourself, maintaining the unique characteristics that make your smile distinctly yours. From your very first visit, we take the time to thoroughly assess your concerns, explain the procedure in detail, and set realistic expectations before any treatment begins. This comprehensive consultation process ensures you feel informed, confident, and comfortable with your decision.
The experience at our Winter Park medspa is designed to be as pleasant as the results themselves. Our relaxing, welcoming atmosphere helps you feel at ease throughout your treatment, making each visit something to look forward to rather than a source of anxiety. We also believe in complete transparency when it comes to pricing, providing clear, upfront cost estimates with no hidden fees. To make treatment accessible to more patients, we offer payment plans through Cherry, ensuring that financial concerns don’t stand between you and the confident smile you deserve.
Finally, our commitment to you doesn’t end when you leave our office. We’re here for you throughout your treatment journey with follow-up care and maintenance planning, ensuring your results remain consistent and your expectations continue to be met over time.
Frequently Asked Questions About Gummy Smile Botox
Is gummy smile Botox procedure painful? Most patients describe the injections as minimally uncomfortable, similar to a small pinch. We can apply numbing cream beforehand if desired.
How long does the appointment take? The actual injection process takes about 15-30 minutes. Your first visit will include consultation time.
When will I see results? You’ll begin noticing improvements within 3-7 days, with full results visible at the 2-week mark.
Will my smile look frozen or unnatural? No. When performed correctly by experienced practitioners, your smile will look natural. You’ll still be able to smile fully; your lip just won’t rise as high.
Can I combine this with other Botox treatments? Yes, many patients also receive Botox for forehead lines, crow’s feet, or other facial concerns during the same appointment.
What if I don’t like the results? Since Botox is temporary, any effects will naturally fade over 3-6 months. However, most patients are very satisfied with their results.
More questions? – Visit our FAQ page.
Take the First Step Toward Your Confident Smile
Call us at (407) 601-0753 or book your appointment online to start your journey toward a more confident, radiant smile.
Aesthetic Lane
470 W New England Ave, Suite 100
Winter Park, FL 32789
Phone: (407) 601-0753
Email: info@AestheticLane.com
Enhance your smile and confidence with Aesthetic Lane, where natural beauty meets expert care.

Brittany Lane White, a board-certified family nurse practitioner from Lakeland, Florida, holds a nursing degree from Florida State University. With six years of experience in medical and trauma/surgical ICU in Tampa, she pursued a master’s degree in nursing at the University of Tampa. Her passion for aesthetic medicine grew during her master’s training. In Los Angeles, she completed clinical and injection specialist training at a top 25 Allergan account. Brittany focuses on a natural approach to facial aesthetics, emphasizing confidence and refreshment, not an artificial appearance. Beyond work, she enjoys spinning, travel, reading, and beach weekends with her husband, Brian, and two children, Georgina (Georgie) and Westley.

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