A gummy smile, where an excessive amount of gum tissue is exposed when smiling, can be aesthetically corrected with Botox (botulinum toxin). The procedure begins with an initial consultation, where the patient's smile and facial anatomy are carefully assessed to determine the appropriate injection sites and dosage. On the day of the procedure, the patient's skin is cleansed thoroughly to maintain a sterile environment and minimize the risk of infection. Depending on the patient's preference and tolerance, a topical numbing agent may be applied to reduce discomfort from the injections.

The Botox is then precisely injected into the hyperactive muscles responsible for lifting the upper lip, commonly the levator labii superioris alaeque nasi muscle. This step requires expert knowledge of facial anatomy to ensure targeted muscle relaxation without affecting other facial expressions. The entire injection process typically takes just a few minutes. Post-procedure, patients might experience mild swelling or bruising, which generally subsides within a few days. The effects of Botox for gummy smile correction usually begin to appear within 3-5 days, with full results visible in about two weeks. The result is a more balanced and aesthetically pleasing smile, lasting approximately 3-4 months, at which point repeat treatments may be necessary to maintain the desired outcome.