February 28, 2023

Gummy Smile Correction with Botox 101

Moxie Team

Integrating gummy smile correction with Botox into your medspa offerings presents a lucrative opportunity to cater to clients seeking non-invasive aesthetic enhancements for a balanced, attractive smile. 

As a cosmetic nurse or medspa owner, understanding and marketing this procedure can attract new clients and grow your medspa. Here's an introductory guide for how to correct a gummy smile with Botox.

Read more about aesthetic nursing and if this could be the right career path for you!

What is Gummy Smile Correction with Botox?

Gummy smile correction with Botox is a cosmetic procedure that utilizes botulinum toxin injections to minimize the excessive display of gum tissue above the teeth when smiling. 

This minimally invasive approach offers an alternative to surgical interventions, requiring no incisions or recovery time, appealing to those desiring a more aesthetically pleasing smile without the downtime. 

By targeting the muscles that elevate the upper lip excessively, Botox injections can reduce the upward mobility of the lip, thus decreasing gum visibility and enhancing the smile's appearance.

Pros and Cons of Gummy Smile Correction with Botox

Botox to correct a gummy smile is a procedure gaining popularity. This is largely in part because it’s a relatively simple, affordable procedure with little downtime. Here are some of the key pros and cons for you, and your cosmetic clients.


  • Minimally Invasive: No surgery involved, reducing risk and recovery time.
  • Quick Procedure: Typically completed in under 30 minutes, fitting easily into busy schedules.
  • Customizable: Tailored to meet the individual's aesthetic goals for their smile.
  • Temporary: Effects last about 3-4 months, allowing clients to choose if they wish to continue treatments and creating repeat clientele for your medspa.


  • Temporary Results: Regular treatments needed to maintain the aesthetic effect, which not every client will love.
  • Risk of Asymmetry: Incorrect administration could lead to an uneven smile.
  • Limited Effect: May not be effective for all cases of gummy smiles, particularly those requiring structural dental correction.
  • Side Effects: Possibility of bruising, swelling, or temporary muscle weakness.

Ideal Client for Gummy Smile Correction with Botox

The perfect candidate for this procedure is someone looking to reduce the visibility of their gums for a more proportionate smile without undergoing extensive dental surgery. They should be in good health, have realistic expectations about the results, and understand the temporary nature of Botox treatments. 

This procedure is especially suited for clients with mild to moderate gum visibility who are seeking subtle yet effective improvements. Patients with complex issues or dental complications should not be considered for this Botox treatment.  

How to Perform the Procedure

The success of a gummy smile correction with Botox hinges on precise technique and an in-depth understanding of facial anatomy. Here’s a breakdown of the steps involved:

  • Consultation: Assess the client’s suitability and discuss their aesthetic goals. This step is crucial for setting realistic expectations.
  • Preparation: Clean the area and mark the optimal injection sites to target the levator labii superioris muscle, which is primarily responsible for elevating the upper lip.
  • Injection: Administer Botox with a fine needle into the marked sites, carefully dosing to achieve the desired reduction in gum visibility without affecting the natural expression.
  • Aftercare Advice: Instruct clients on post-treatment care, emphasizing the importance of not manipulating the treated area to avoid dispersing Botox to adjacent muscles.

Understanding Botox Dosage

Determining the correct dosage of Botox is critical for achieving the desired outcome without compromising facial expressions. For gummy smile correction, the dosage typically ranges from 2 to 4 units per side, depending on individual muscle strength and the extent of correction needed. It's essential to start conservatively, particularly for clients new to Botox, allowing for adjustments in future sessions based on their response to the initial treatment.

Best Injection Techniques for a Successful Outcome

Achieving an optimal result in gummy smile correction requires mastery over injection techniques, including:

  • Precise Muscle Targeting: Focus on the muscles responsible for elevating the upper lip too high.
  • Conservative Dosage: Begin with a lower dose to assess the individual's response and adjust in subsequent sessions as needed.
  • Tailored Approach: Each client's facial structure is unique, necessitating a customized injection plan to ensure the most natural-looking results.

Advanced Tips for Cosmetic Nurses

  • Continuous Education: Stay current with the latest advancements in Botox applications to refine your technique and expand your service offerings. Train under an aesthetic nurse with experience in this particular procedure or attend a speciality injector training course. Read about the top aesthetic provider certifications to grow your medspa practice.
  • Client Consultation: Utilize this time to thoroughly understand the client's goals and manage their expectations, ensuring satisfaction with the procedure's outcome.
  • Post-Treatment Follow-Up: Scheduling a follow-up visit allows you to assess the effectiveness of the treatment, make any necessary adjustments, and build long-term client relationships.

By incorporating gummy smile correction with Botox into your medspa services, you can offer a sought-after solution for clients looking to enhance their smile aesthetics with minimal intervention. This procedure not only expands your portfolio of cosmetic services but also positions your practice as a comprehensive destination for facial aesthetic enhancements, ultimately driving client satisfaction and business growth.

Read the real-life story of Danka, cosmetic nurse who went from employee to opening her own medspa business!

TL;DR: Gummy Smile Correction in Medspas

Medspa owners and aesthetic nurses are uniquely positioned to offer transformative gummy smile corrections, combining dental aesthetics with facial enhancements to boost patient confidence and satisfaction.

  • Non-Surgical Solution: Botox provides a minimally invasive option for correcting gummy smiles, with no need for surgery or downtime.
  • Quick and Customizable: Treatments are fast, typically under 30 minutes, and can be tailored to each client's specific aesthetic goals.
  • Temporary Yet Effective: While results last 3-4 months, requiring maintenance, Botox offers a flexible and reversible solution for those cautious about permanent changes.
  • Skill and Precision Required: Proper application by an experienced practitioner is crucial to avoid asymmetry and ensure natural-looking results.
  • Not Suitable for All: Botox is most effective for mild to moderate cases and may not be the right choice for clients with significant structural issues affecting their smile.

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