Gummy Smile

Gummy Smile, Balanced

One of the most satisfying small treatments we do. A few units in the right spot changes the smile.

also called
high lip line, excessive gum show, hyperactive upper lip
where it shows
upper lip, smile
how we treat it
Botox, Dysport, Daxxify
first results
5 to 7 days

A small change. A different smile.

What it is

A gummy smile is when smiling exposes more of the upper gums than feels proportionate. Some clients have a moderate amount of gum show that bothers them. Others have significant gum exposure.

The cause is usually hyperactivity of the levator labii superioris alaeque nasi muscle, which lifts the upper lip when smiling. Treatment relaxes this muscle to reduce the lift.

Why Patients Seek Treatment

Most clients come in having considered their gummy smile for years. They've modified their smiles in photos. They've sometimes consulted with dentists about more invasive options. Once they learn about a low-risk, low-cost neuromodulator approach, many move forward quickly.

Why some smiles show more gum

What Causes It
Common Signs
Why It Changes Over Time
How It's Commonly Addressed
01

What Causes It

Several factors contribute to a gummy smile.

Levator muscle hyperactivity is the most common cause. The muscle that lifts the upper lip pulls it higher than the average smile.

Dental and gum position can also contribute. Some clients have shorter teeth or higher gum lines that create the appearance.

Upper lip length affects how much gum shows. Clients with shorter upper lips often have more visible gum when smiling.

02

Common Signs

Most clients have known about their gummy smile since adolescence. They've often modified how they smile in photos to reduce the appearance.

Clients describe being self-conscious about smiling fully in photos or in conversation. Some have considered orthodontics or gum surgery before learning about neuromodulator treatment.

03

Why It Changes Over Time

Gummy smile is largely fixed from adolescence. The condition rarely changes significantly with age unless dental or gum changes occur.

Some clients become more aware of their smile in selfie-heavy contexts. Increased self-photography has made the concern more visible to many.

04

How It's Commonly Addressed

The industry standard is one to two units of Botox per side placed in the levator labii superioris alaeque nasi. Precision matters. Too much affects upper lip mechanics. Too little doesn't change the smile.

How we approach gummy smile

Gummy smile treatment is small and precise. We use one to two units of Botox per side, placed in the levator complex with technique that respects surrounding muscles.

The first treatment is often slightly conservative to assess response. Some clients need additional units at the two-week check. Others find the first dose perfect.

Results show in five to seven days. Most clients maintain every three to four months. The treatment can be combined with other upper-face work in the same visit.

The People Behind Your Care

At RN Esthetics, every treatment starts with listening. We are nurse practitioners, registered nurses and estheticians who treat every client as the hero of their own story.

Michelle Doran, MSN, APRN-BC, CANS, Founder and Nurse Practitioner at RN Esthetics
Michelle Doran
MSN, APRN-BC, CANS
Danielle Norris, Licensed Esthetician at RN Esthetics
Danielle Norris
LE
Franki Gasparini, Licensed Esthetician at RN Esthetics
Franki Gasparini
LE
Kaitlyn Morrison, MSN, APRN-BC, Nurse Practitioner at RN Esthetics
Kaitlyn Morrison
MSN, APRN-BC, CANS
Natalie Phipps
BSN, RN, NP-S, CANS
Lindsay Korn, MSN, APRN-BC, CANS, Nurse Practitioner at RN Esthetics
Lindsay Korn
MSN, APRN-BC, CANS

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Trusted By Patients Across the North Shore

Taylor Steward

Had my first blood draw today with it was INCREDIBLE!!! Also the front desk were all so pleasant especially Kelsie! I highly recommend RN Esthetics!!

JH
Jessica Haught

I was truly blown away after my appointment here. Every single person I interacted with, from the front desk to the providers who handled my treatments, was incredible! They made me feel so welcomed and cared for, and were both informative and genuinely kind. The space itself is spotless, cozy, and easily the most inviting place I’ve ever been for Botox. Michelle did my Botox and she was amazing! I also had a hydrafacial and dermaplaning, and I already can’t wait to come back again and again.You will not regret booking here!

JK
Robyn Kasper

I highly recommend RN Esthetics! The staff is welcoming, knowledgeable, and helpful without making you feel rushed. The facility is spotless and clean, which made me feel even more comfortable and confident being there. Great experience overall!