Gummy smile treatment: Gentle correction for a harmonious smile

A radiant smile is one of the most expressive features of our face - it opens doors, creates confidence and expresses joie de vivre. But what happens when this very smile becomes a source of insecurity? People with a pronounced gummy smile know this feeling only too well: they hesitate when laughing, hold their hand in front of their mouth or consciously try to control their smile. This constant self-control can make the Significantly impair self-confidence and restrict the natural ability to express oneself.

The good news is that a gummy smile no longer has to be a permanent companion. The modern aesthetic medicine offers with the Botox treatment a gentle, safe and highly effective method of correcting a gummy smile - with no surgery, no scars and no downtime. With Medical NOVA we have specialised in this elegant solution and help our patients to smile carefree and confidently again.

The philosophy of our Beauty clinic is based on the conviction that true beauty comes from naturalness. We do not want to create mask-like faces, but rather the individual charisma of each person emphasise and harmonise. This holistic approach is particularly evident in the Gummy Smile treatment: we not only analyse the relationship between the lip and gums, but also consider your entire facial aesthetics and develop a tailor-made treatment plan.

What is a gummy smile and why does it occur?

A gummy smile is the term used in aesthetic medicine when the smile an excessive amount of gum becomes visible - typically more than 3 millimetres above the upper incisors. This definition may sound technical at first, but the impact on personal wellbeing is very real and often distressing. Many sufferers report feeling uncomfortable when taking photographs, being reserved in social situations or even consciously trying to suppress their smile.

The causes of a pronounced gum smile are varied and often combined. In most cases there is a muscular overactivity before: The levator labii superioris alaeque nasi muscle - the lifting muscle of the upper lip - pulls the lip too far upwards when laughing. This complicated-sounding muscle is actually the main player in most cases of gummy smile and this is exactly where Botox treatment comes in. By specifically relaxing this overactive muscle, the gummy smile can be elegantly corrected.

Other possible causes include an anatomically short upper lip that cannot adequately cover the gums when smiling, a vertical excess of gums on the upper jaw or an unfavourable tooth position in which the teeth appear too short in relation to the gums. Frequently genetic factors Many sufferers realise that other family members also have a similar smile.

The three main causes of a gummy smile in detail

In order to choose the right treatment method, it is crucial to analyse the Exact cause of your Gummy Smile to understand. A thorough analysis by an experienced dentist or specialist in aesthetic medicine forms the basis for a successful treatment plan. At Medical NOVA, we take sufficient time for this important diagnostic phase, because we can only offer the optimum solution if we know the exact cause.

Muscular causes are at the forefront in around 70% of patients. The lifting muscle of the upper lip is overactive and pulls the lip upwards too much when laughing so that the gums are excessively exposed. This overactivity is usually genetic and manifests itself at a young age. The good news is that precisely this form of gummy smile can be treated excellently with targeted Botox-injections. The success rate for muscular gummy smiles is over 90% and most patients are very satisfied with the natural result.

Anatomical factors also play an important role and affect around 20-30% of cases. A naturally short upper lip may not adequately cover the gums when smiling - even if the muscles are working normally. In such cases, a wide strip of gum appears when smiling because the lip is simply too short to cover it. Similarly, excessive length of the upper jaw or a vertical excess of gums can lead to too much gum being visible when laughing. Here Botox often helpsto reduce the extent, but sometimes a combination with Hyaluronic acid lips-This is useful to give the lip more volume.

Tooth-related causes include teeth that are too short or an unfavourable tooth position in the upper jaw. In such cases, the gums appear proportionally too large in relation to the teeth - not because there is actually too much gum tissue, but because the teeth are too small or unfavourably positioned. This situation often occurs in combination with other factors. In addition to Botox treatment, supplementary measures such as veneers to lengthen the dental crown or surgical gum correction at the dentist can be useful. A comprehensive consultation will clarify which combination promises the best results in your individual case.

Gummy Smile treatment with Botox: the gentle solution

The correction of a gummy smile with botulinum toxin is today the most popular minimally invasive method in aesthetic medicine - and for good reason. Unlike surgical procedures on the gums or upper jaw, this treatment requires no anaesthetic, no incisions, no downtime and involves minimal risk. The principle of action is as elegant as it is effective: Botox specifically inhibits the activity of the overactive lifting muscle of the upper lip so that the lip no longer moves as far upwards when laughing. The gums remain largely covered, while your facial expressions remain completely natural and lively.

The treatment approach is based on a deep understanding of facial anatomy. The levator labii superioris alaeque nasi muscle is a relatively small but very active muscle that runs from the nose to the upper lip. In people with a gummy smile, this muscle is particularly pronounced or overactive. By precisely placing Botox at strategic points on both sides of the nose, the contraction of this muscle is dampened - not completely blocked, but merely reduced to a harmonious level.

The great advantage of this method lies in its Reversibility and customisability. The effect lasts for around 4 to 6 months, after which the muscle returns to its original activity. This gives those affected the valuable opportunity to test the treatment first without making a long-term commitment. If you are satisfied with the result - which is the case in over 95% of cases - the treatment can be repeated without any problems. Many patients even report that the effect lasts longer with regular treatments, as the muscle "gets used" to the relaxed position over time.

Another decisive advantage: in contrast to surgical methods of gum correction or lip surgery, there are no side effects with Botox treatment. No scars, no swelling and no recovery time of several days. You can return to your usual activities immediately after treatment - a huge plus for working people or anyone who wants to keep their treatment discreet.

This is how the Botox treatment works: From the consultation to the result

The actual injection only takes about 5 to 10 minutes and is carried out directly in our practice. However, the path to an optimal result begins much earlier - with a detailed consultation that lays the foundation for your satisfaction. At Medical NOVA, we take at least 30 minutes for this initial consultation to discuss your individual ideas, analyse your anatomy and define realistic expectations.

Photos are taken from different perspectives - both in a relaxed state and with a wide smile. This documentation not only helps with treatment planning, but also allows you to objectively compare the result with the initial state later on.

An important component of counselling is the Determination of the optimum injection points and dosage. These vary from person to person and depend on factors such as muscle strength, lip length, desired correction strength and facial shape. At Medical NOVA, we always work according to the principle of "less is more" - a conservative dosage the first time can be increased afterwards if necessary, while over-treatment is more difficult to correct.

The day of treatment: what you can expect

On the day of the treatment itself No special preparation necessary. You should only refrain from taking blood-thinning medication such as aspirin (if medically justifiable) and ideally not have consumed alcohol the day before to minimise the risk of minor bruising. Make-up is permitted, but will be removed from the lip area before the treatment.

After a brief disinfection of the treatment area, we mark the exact injection points with a skin-friendly pen. Typically, 2-3 points are chosen on either side of the nose, directly where the lifting muscle is most active. During the injections, tiny amounts of Botox are precisely injected into the muscle using an extremely fine needle. Most patients describe the sensation as a slight prick, comparable to a mosquito bite or an acupuncture needle.

Anaesthesia is not necessary in the vast majority of cases. not requiredHowever, if desired, an anaesthetic cream can be applied around 20 minutes before the treatment. However, most patients choose not to do this as the treatment is so quick and less unpleasant that it is not worth the effort. You can leave the practice immediately after the injections - there is no waiting time, no follow-up and no restrictions that would prevent you from going straight back to work or attending appointments.

The first few days after treatment: What happens when?

In the first 24 to 48 hours After Gummy Smile treatment, you should follow a few simple rules of behaviour to ensure the best possible result and further reduce the minimal risk of complications. These rules are uncomplicated and hardly restrict your everyday life - another advantage over surgical procedures, which often require days of rest.

Avoid intense physical exertion such as going to the gym, jogging or other sweat-inducing activities in this early phase. Visits to the sauna, steam baths and direct, intense sunlight should also be temporarily avoided. The reason: increased blood pressure and heat could theoretically cause the Botox to "migrate" slightly and affect not only the desired muscle but also neighbouring structures. Although this risk is extremely low, it can be practically eliminated by taking these simple precautions.

It is just as important, Do not massage the treatment area or rubbing. This means: Avoid facial massages, professional facial cleansing or cosmetic treatments in the first 48 hours. You should be particularly gentle when removing make-up. These precautions may sound cumbersome at first, but they are really only relevant for two days - after that you can go back to using your face as normal.

The final result of the treatment becomes apparent after about 3 to 7 days. During this time, the Botox gradually takes effect and you will notice that your upper lip moves upwards less when you smile. The change is gradual and therefore looks particularly natural - there is no abrupt "before and after" moment, but a gentle transition. After about a week, the effect reaches its maximum: the upper lip lifts about 1 to 2 millimetres less when you smile - just enough to harmonise the relationship between lips, teeth and gums without restricting facial expressions.

Results and durability: realistic expectations

The effect of Botox in Gummy Smile correction sets in after just 2 to 3 days and reaches its maximum after about a week. This gradual onset of action is actually a great advantage: unlike surgical procedures, where the result is immediately visible (often with swelling and bruising), the change with Botox treatment develops gently and naturally. Those around you will notice that your smile looks more harmonious without being able to say exactly what has changed.

The aesthetic result usually lasts 4 to 6 months This period depends on individual factors. People with a very active metabolism, intense facial expressions or regular exercise may notice the effect wearing off a little sooner - often after around 3-4 months. Other patients, however, enjoy the results for up to 6-7 months. This variation is completely normal and cannot be accurately predicted, but after the first treatment you will have a good idea of how your body will react to Botox.

Particularly interesting is the observation that Regular treatments the duration of action often increases. The reason: if the lifting muscle remains relaxed over a longer period of time, it "unlearns" its excessive activity to a certain extent. Many patients report that they can maintain longer intervals between sessions after the third or fourth treatment. Some even notice that even after the Botox effect has worn off, the gummy smile is less pronounced than before the first treatment.

Many patients report that they experience a significantly increased self-confidence after the treatment. The smile appears more harmonious, attention is once again focussed on the teeth and overall facial aesthetics - no longer exclusively on the visible gums. This psychological component should not be underestimated: If you no longer have to observe and control yourself when you laugh, you can express your emotions more freely and appear more authentic. Many of our patients tell us that they laugh much more often and more easily after the treatment - a wonderful side effect that goes far beyond pure aesthetics.

After the treatment period, the muscle gradually returns to its original activity. If you want a permanent correction, the treatment can be repeated without any problems. For regular treatments, we recommend a Refresher approximately every 4-6 monthsThe individual rhythm can be better assessed after the first few treatments. Many patients develop a feeling for when the effect wears off and then arrange their next appointment themselves.

Alternative and complementary treatment methods

Although Botox is the first choice for muscle-induced gummy smiles and achieves excellent results in the vast majority of cases, there are situations in which Complementary or alternative treatments are useful or even necessary. At Medical NOVA, we offer a comprehensive range of aesthetic procedures and provide you with honest advice on which combination promises the best results for your specific situation.

Lip augmentation with hyaluronic acid: more volume for better coverage

If the upper lip is anatomically very short or has little volume, a Lip augmentation with Hyaluronic acid create additional volume and better cover the gums. This method is particularly suitable if the gummy smile is caused not only by muscular overactivity, but also by an anatomically caused undercoverage of the gums. The big advantage: Hyaluron is immediately visible and can be dosed very precisely.

The combination of Botox for muscle relaxation and hyaluronic fillers for more lip volume often achieves the following results Particularly harmonious results. While Botox prevents the lip from moving too far upwards, the hyaluronic acid ensures that the lip itself has more presence and covers the gums better. This dual effect results in a fuller, more defined mouth and a harmonious smile at the same time. Many patients consciously opt for this combination to not only correct the gummy smile, but also to optimise the shape of the lips.

Surgical gum correction: when there is too much tissue

If there is a real excess of gum tissue on the upper jaw - i.e. if there is actually too much gum tissue - a Surgical gum correction by a specialised dentist can be the most effective solution. During this procedure, excess gum tissue is precisely removed to restore the natural proportions. The treatment is carried out under local anaesthetic and requires a healing time of around 1-2 weeks.

This method is particularly suitable if the teeth appear shortened due to too much gum and the problem is not primarily muscular in nature. In some cases, surgical gum correction is also combined with Crown lengthening which involves removing not only the gums but also a small amount of bone to visually lengthen the teeth. This is a more complex procedure, but offers long-lasting results in suitable patients.

It is important to understand that surgical and non-surgical methods are not mutually exclusive, but can often be combined. used complementarily can be treated. Some patients have gum correction performed first and then supplement this later with Botox to also address the muscular component. Others start with conservative Botox treatment and only decide on a surgical option later if the result needs to be further optimised.

Which treatment is right for you?

The choice of the optimum method depends on the individual cause of your Gummy Smile and that's why every treatment at Medical NOVA begins with a thorough analysis. We take the time to analyse your facial anatomy, understand your aesthetic goals and run through various scenarios.

Aftercare: do's & don'ts for optimal results

Aftercare following Gummy Smile treatment is uncomplicated and requires There are only a few easy-to-follow restrictions. Nevertheless, it is important to take these rules of behaviour seriously in order to ensure optimal results and further reduce the already minimal risk of complications. Our patients receive detailed written aftercare instructions, which we explain in detail below.

The first 24-48 hours: The critical phase

In the first two days after treatment Special care is requiredas the botulinum toxin is not yet fully and firmly bound to the muscle receptors. In this phase, there is theoretically a minimal risk of the Botox "migrating" due to certain influences and affecting not only the desired lifting muscle but also neighbouring structures.

• No rubbing, massaging or strong pressure in the treatment area - also proceed very gently when applying cream or make-up
• Avoid intensive sport, saunas, steam baths or solariums for 24-48 hours
• Make-up can be carefully reapplied after 4-6 hours, but touch the treated area as little as possible
• For small haematomas: gentle cooling with soft, clean compresses (do not place directly on the skin, but wrap in a cloth)
• Upright posture for at least 4 hours after treatment - do not lie flat or bend your head forwards too much
• Avoid facial massages, professional facial cleansing or cosmetic treatments on the face
• No extreme facial expressions or exaggerated grimacing - but normal speech and laughter is perfectly fine

It is particularly important in the first few hours after treatment to not to lie or bending your head forwards for a long time (for example when tying shoes or cleaning). Gravity could cause the Botox to move slightly downwards during this sensitive phase. Instead, you should move normally, you can work at the computer, drive a car or carry out other everyday activities - just in an upright position.

Consumption of alcohol should be avoided on the day of treatment, as alcohol increases the Promotes blood circulation and could therefore minimally increase the risk of swelling or haematoma. The same applies to blood-thinning painkillers such as aspirin or ibuprofen. If you feel slight pain after the treatment (which is rare), you can take paracetamol, which does not affect blood clotting.

After one week: return to complete normality

After only about a week all normal activities completely and without any restrictions. The botulinum toxin is now firmly bound to the target muscles and the first effects of the treatment become visible. At this point, you can also resume intensive facial treatments, go to the sauna or do any form of sport.

If you are not yet completely satisfied with the interim result at this point, the completely normal - the maximum effect often only develops in the second week. Some patients notice a clear improvement after just 7 days, while for others the full effect only sets in after 10-14 days. This individual variation depends on metabolism and muscle activity and is no cause for concern.

Also important is the Proper skin care after the treatment. Healthy, well-moisturised skin with an intact barrier function not only supports the effect of the botulinum toxin, but also ensures a fresher, more youthful appearance overall. We recommend the use of gentle, pH-neutral cleansing products without aggressive ingredients and high-quality moisturisers with hyaluronic acid. Vitamin C serums can stimulate collagen production and improve skin quality in the long term.

In addition to the Gummy Smile treatment, skin-improving procedures such as the Mesotherapy or RF microneedling further optimise the quality of the skin around the mouth. These treatments stimulate the body's own collagen and elastin production and can make the overall result look even more harmonious. We will be happy to advise you on sensible combinations and the optimum time for additional treatments.

Long-term care: how to prolong the effect

Although the duration of action of Botox depends primarily on biological factors such as metabolism and muscle activity, there are some Measures that can helpto prolong the result. A healthy lifestyle with sufficient sleep, a balanced diet and stress management supports skin health and can help the effects last longer. Smoking should be avoided as it generally worsens skin quality and can potentially shorten the duration of Botox's effects.

Regular but moderate exercise is good for blood circulation and therefore for skin health. However, you should not overdo it with extreme endurance sports, as a very active metabolism can lead to the Botox being broken down more quickly. A good Work-life balance is therefore not only important for your general well-being, but can also have a positive influence on the longevity of your aesthetic treatments.

If you notice any irregularities or have any questions about the development of the result, we are at your disposal at any time available. Many minor uncertainties can be clarified with just a short telephone call and, if necessary, we can also arrange an additional check-up appointment. Your satisfaction and well-being are our top priority - not only during, but also after treatment.

Risks and contraindications: Transparency and information

Botox treatments for gummy smile correction are regarded as Very safe and well toleratedif they are carried out by experienced medical specialists. Nevertheless, it is important to us at Medical NOVA to provide complete and transparent information about all possible side effects and contraindications. Only when you have all the information can you make a truly informed decision.

Frequent, harmless side effects

Most of the side effects are Mild, temporary and completely harmless. They occur immediately after treatment and subside on their own within hours to a few days without the need for treatment:

• Slight swelling at the puncture sites - these usually disappear within 2-4 hours and can be easily covered with make-up. They are comparable to a mosquito bite and are completely harmless.
• Temporary reddening of the skin in the treatment area - also harmless and subsides within a few hours. The skin may feel warm, which is due to the normal immune reaction.
• Small haematomas (bruises) - occur in around 5-10% of patients and are usually completely resolved within 3-7 days. They occur when the needle accidentally hits a small blood vessel and can be minimised by gentle cooling.
• Mild pressure pain at the injection sites for 1-2 days - similar to a slight muscle ache and usually only noticeable when touched.
• Feeling of tension or heaviness in the upper lip during the first few days - this shows that the Botox is starting to take effect and normalises completely after a few days.

These side effects are Signs that your body is reacting normally and the Botox begins to take effect. They do not usually affect everyday life and do not require any special treatment. If necessary, you can take over-the-counter painkillers such as paracetamol, but you should avoid blood-thinning medication such as aspirin or ibuprofen in the first few days so as not to increase the risk of bruising.

Rare complications: Prevention and professional management

If an asymmetry occurs - for example, if one side of the lip rises more than the other - there are Several correction options. In most cases, a small re-injection on the weaker side is sufficient to restore the balance. Alternatively, if the effect is too strong, you can simply wait until the Botox wears off a little on its own after a few weeks. This reversibility is one of the greatest advantages of Botox treatment compared to surgical procedures.

A further, very rare complication is a Unintentional weakening of neighbouring musclesThe muscles that pull the lip downwards or that are responsible for closing the mouth, for example. In theory, this can lead to temporary difficulties when drinking with a straw or pronouncing certain sounds. However, such effects are extremely rare and practically impossible with the precise injection technique we use at Medical NOVA.

Contraindications: When is the treatment not suitable?

A Gummy Smile treatment with Botox is not for every patient suitable. The following circumstances rule out treatment or require special precautions and careful consideration:

• Pregnancy and breastfeeding - As a precautionary measure, Botox treatments are generally not carried out during this period as there are insufficient safety studies available. Treatment is possible without any problems after weaning.
• Acute infections at the injection site or in the facial area - treatment is postponed until the infection has completely cleared up to avoid the risk of the pathogen spreading.
• Neuromuscular diseases such as myasthenia gravis, Lambert-Eaton syndrome or amyotrophic lateral sclerosis - in these diseases, the transmission of signals between nerves and muscles is already impaired and Botox could exacerbate the symptoms.
• Known allergies against botulinum toxin or one of the excipients - although these are extremely rare, they must be ruled out.
• Unrealistic expectations - If the desired results cannot be achieved with this method, we will inform you honestly and suggest alternatives if necessary.
• Taking certain medications - Blood thinners, aminoglycoside antibiotics or muscle relaxants in particular can influence the effect of Botox and should be discontinued before treatment if possible (in consultation with the prescribing doctor).
• Exaggerated anxiety before injections - if the fear is so great that the treatment becomes a burden, it may be better to consider alternative methods or to work on the fears therapeutically first.

During the consultation, we create a Detailed anamnesis and systematically check all potential contraindications. We also ask about previous illnesses, current medication and previous aesthetic treatments. Of course, we treat this information as strictly confidential - it is exclusively for your safety. Please be open and honest when answering our questions, even if some topics may make you feel uncomfortable. This is the only way we can ensure that the treatment is suitable and safe for you.

Possible combinations: Synergy effects for even better results

A Gummy Smile treatment can be Excellent with other aesthetic procedures to achieve even more comprehensive and harmonious results.

Botox for the entire lower third of the face

The combination of Gummy Smile treatment with other Botox applications in the mouth and chin area is particularly useful. The treatment of Marionette pleats - the wrinkles that run from the corners of the mouth to the chin - can make the overall appearance look even more harmonious. The correction of a Strawberry chinwhich relaxes the chin muscles when tensed, complements the Gummy Smile treatment perfectly.

These combined treatments are Particularly efficientas they can be carried out in a single session and the aftercare rules overlap. For you, this means that you only have to observe the 24-48 hour recovery period once, only have to attend one appointment and often have a more favourable overall price than with separate treatments. We also make sure that the different areas work together harmoniously to create a natural overall look.

Hyaluronic acid for volume and definition

Supplementary treatment with Hyaluron for the lips significantly enhances the aesthetic effect. While Botox corrects the muscular component of the gummy smile, hyaluronic acid can simultaneously provide fuller, more defined lips and even out any existing asymmetries. This combination is particularly popular with patients who not only want a more harmonious smile, but also more sensual lips.

Skin enhancement for even more natural beauty

In addition to injection treatments, we rely on innovative skin improvement procedures that sustainably optimise skin quality. Treatments such as Mesotherapyin which active ingredients are applied directly to the skin, or RF microneedlingwhich stimulates collagen production, can improve the skin structure around the mouth and thus support the effect of the Gummy Smile treatment.

The Thulium laser is excellent for improving skin quality and can reduce fine lines or pigmentation spots around the mouth. These treatments stimulate the the body's own regeneration and lead to smoother, firmer and more even skin. In combination with the Gummy Smile correction, this creates an all-round harmonious, youthful appearance that does not look "done", but simply naturally beautiful.

Frequently asked questions about Gummy Smile treatment

Based on our many years of experience, we have Frequently asked questions from our patients compiled. These should help you to develop an even better understanding of the treatment and dispel any uncertainties. It goes without saying that we take enough time in each consultation to answer all your individual questions.

Is the treatment painful?

The vast majority of patients find the treatment to be a pleasant experience. Almost painless or only minimally uncomfortable. The short prick of the very fine needle is typically compared to a mosquito bite or a light acupuncture treatment - in other words, much less painful than many initially fear. The entire injection process only takes a few seconds per side.

When will I see the results of my treatment?

The first effects of the treatment can already be seen after 2 to 3 dayswhen the Botox begins to bind to the muscle receptors and reduce the activity of the lifting muscle. You will notice that your upper lip moves slightly less upwards when you smile. The final, maximum result is visible and stable after around 7 to 10 days. At this point, the Botox has taken full effect and you can objectively assess the final result. The upper lip moves noticeably less upwards when you smile - typically by 1 to 2 millimetres - which means that the gums remain largely covered and your smile appears more harmonious.

How long does the effect of the Gummy Smile treatment last?

The effect usually lasts 4 to 6 months This period can vary from person to person. Factors such as your metabolism, the strength of your muscles, your activity level and even your facial expressions influence the duration of effect. People with a very active metabolism or particularly strong muscles may notice a reduction sooner - often after around 3-4 months. Others enjoy the results for 6-7 months or even longer. With regular treatments, we often observe that the duration of effect is extended over time as the muscle becomes accustomed to the relaxed position and reduces its overactivity. The optimum frequency for refresher treatments is usually 2-3 sessions per year.

Can I go back to work immediately after the treatment?

Yes, the treatment requires No downtimeand you are fully socially acceptable immediately afterwards. You can return to work, drive or attend appointments immediately after the treatment. Any minor redness or slight swelling at the injection sites is minimal and usually disappears within 1-2 hours. If you wish, you can cover these with make-up, which can be reapplied around 4-6 hours after the treatment. Only intensive sporting activities and sauna visits should be avoided for 24 hours - there are no restrictions on normal office or social activities.

How much does a Gummy Smile treatment with Botox cost?

The cost of a Gummy Smile treatment varies depending on the individual treatment effort and the amount of botulinum toxin required. Factors such as the strength of your muscles, the desired intensity of correction and possible combinations with other treatments all play a role. In a personal consultation, we will provide you with a transparent, binding cost estimate that covers all services including consultation, treatment and aftercare. We take into account your specific situation and your aesthetic wishes. At Medical NOVA, we emphasise fair pricing with no hidden costs - the price quoted is the final price you pay.

Can you tell after the treatment that I have "had something done"?

When properly applied by experienced specialists, the result is Extremely discreet and natural. Our goal is never a "made" or mask-like appearance, but a subtle harmonisation of your smile. Most people around you will simply notice that your smile somehow looks more beautiful or harmonised without being able to put their finger on the reason.

What happens if I am unhappy with the result?

Dissatisfaction after a Gummy Smile treatment is a thing of the past at Medical NOVA Extremely rareas we attach great importance to detailed advice, conservative dosing and professional execution. If you are still not completely satisfied with the result, we offer a free follow-up appointment after around 10-14 days, during which we can assess the result together and make fine corrections if necessary. If, for example, the effect is slightly stronger on one side than the other, this can usually be easily compensated for with a small re-injection. The great advantage of Botox is also its complete reversibility: if you are fundamentally dissatisfied with the approach, your original appearance will return completely after a few months.

Can the treatment be combined with other aesthetic procedures?

Yes, the combination is not only possible, but often even highly recommended. Combinations with hyaluronic acid fillers for the lips have proven to be very effective if the lip volume is to be optimised in addition to the gummy smile. The simultaneous treatment of other mimic wrinkles with Botox - such as forehead wrinkles, frown lines or crow's feet - is also very popular and efficient, as only one treatment appointment is necessary and the aftercare instructions overlap. In addition, skin-improving procedures such as mesotherapy or microneedling can optimise skin quality. We will discuss the optimal sequence, ideal timing and possible synergy effects in detail during your individual consultation and develop a customised treatment plan.

Are there alternatives to Botox treatment?

Yes, depending on the cause of your Gummy Smile, there are Various alternative treatment approaches. In the case of anatomical causes such as a genuine excess of gums, surgical gum correction at the dentist may be the more effective solution. If the teeth are too short, veneers or crowns can harmonise the relationship. If the upper lip is very short, lip augmentation with hyaluronic acid can help. A combination of different methods is also often optimal. During our consultation, we will analyse your individual situation and advise you on which method or combination promises the best results for you.

How often does the treatment have to be repeated?

The treatment should be about Refreshed every 4 to 6 months to maintain the result in the long term. The exact frequency depends on your individual duration of effect, which you can better estimate after the first treatment. Over time, many patients develop a feeling for when the effect is wearing off and then arrange their next appointment themselves. Interestingly, many of our patients report that with regular treatments, the duration of effect increases over time - so you may be able to maintain longer intervals after a few treatment cycles.

Why Medical NOVA for your Gummy Smile treatment?

With Medical NOVA we connect Medical expertise with a keen sense of aesthetic harmony.

Dr Tukezban Huseynova, MD
Medical Director Medical NOVA GmbH
Specialist in ophthalmology and optometry | ophthalmic surgeon | specialist in aesthetic medicine
Over 15 years of international experience | 10,000+ successful eye operations
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