Gummy Smile Treatment - With Botox and Filler
- Nicola Lowrey
- Aug 15, 2024
- 1 min read
Updated: May 17, 2025
Watch as Nicola Lowrey PA-C administers both Botox and Filler on this Gummy Smile Treatment.
Excess gingival show, aka a “Gummy Smile”.
To treat this condition appropriately you need to understand the multiple anatomical and muscular variations at play.
I have seen an emerging pattern in my practice in many cases that I have treated:
* a negative anteromedial vector
* a class 2 malocclusion
This results in a hyperactive LLSAN when elevating the upper lip on smiling and hypertonicity of the mentalis as it has to work hard to keep the lower mandible elevated to close the mouth.
For the most natural outcome, all issues must be addressed both structurally and functionally.
In this case filler was added to the:
* Piriform fossa
* Chin
* Lips
And Botox was used on the:
* LLSAN
* Mentalis
* Orbicularis Oris
(Be cautious in using Botox only for the chin when there is retrognathia. The patient will find it quite challenging to close their mouth. The structure of the chin must be supported first.)
When the entire perioral area is considered in cases like this, the results can be life changing.
Llsan Botox: Decrease the over activity of the muscle
Orbicularis Oris Botox: For resting upper lip balance
Mentalis Botox: To relax chin dimpling
Lip Filler: Volume to the upper lip decrease gummy show
This is a fascinating and highly technical breakdown of how a gummy smile can be addressed through a combination of Botox and filler. It’s so helpful to see how you consider the entire perioral area—from the piriform fossa to the mentalis—to ensure the result is both structurally sound and naturally balanced. Understanding the muscular variations, like the hyperactive LLSAN, clearly makes a world of difference in achieving such life-changing outcomes.
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This is such an informative look at how Botox and fillers can subtly and effectively address a gummy smile. It’s fascinating to see how these modern aesthetic treatments can provide such a significant boost in confidence. I’m a big believer that feeling your best often comes down to these specialized touches in our self-care routines. In addition to clinical treatments, I’ve found that maintaining a consistent scalp care routine is essential for overall wellness. Complementing those efforts with something like a High Frequency Facial can really help maintain that refreshed and rejuvenated feeling. Thanks for sharing such helpful insights into these procedures!
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