Gummy Smile Treatment with Botox/Xeomin

Reduce Excess Gum

A gummy smile occurs when excessive gum tissue is visible above the upper teeth when smiling. This is often caused by overactive upper lip elevator muscles, a short upper lip, or the way the lip moves when smiling. While not a medical concern, a gummy smile can affect facial balance and self-confidence.

At RDYMD in Coral Gables, Dr. Rafael Diaz-Yoserev, MD, FACS, offers precise gummy smile treatment using Botulinum Toxin Type A (Botox® or Xeomin®) to gently relax the muscles that elevate the upper lip. This allows the lip to settle slightly lower when smiling, creating a more balanced, natural-looking smile without surgery.

Benefits and What to Expect

How Gummy Smile Botox/Xeomin Works

Botulinum Toxin Type A temporarily reduces muscle activity by blocking nerve signals to the muscles responsible for lifting the upper lip too high during smiling. By carefully relaxing these muscles, the upper lip does not rise as much, reducing gum exposure while maintaining natural expression.

Treatment is minimally invasive, typically completed in a few minutes, and requires little to no downtime. Results gradually appear within 7–14 days and usually last 3–4 months, with maintenance treatments helping sustain results.

we’re here to Answer all your questions

How does Botox® or Xeomin® treat a gummy smile?

Botox® and Xeomin® work by relaxing the muscles that elevate the upper lip when you smile. By reducing excessive muscle movement, less gum tissue is exposed, creating a more balanced and natural-looking smile.

How long does gummy smile treatment last?

Results typically last 3 to 4 months, depending on your metabolism and muscle activity. Regular maintenance treatments can help maintain consistent, long-lasting results.

Is Botox® or Xeomin® for a gummy smile painful?

The treatment is quick and involves minimal discomfort. Most patients describe it as a small pinch, and no downtime is required. You can return to normal activities the same day.

Who is a good candidate for gummy smile treatment?

Ideal candidates are individuals whose gummy smile is caused by overactive upper lip muscles. During your consultation at RDYMD Medical Spa, Dr. Rafael Diaz-Yoserev, MD, FACS will evaluate your smile and recommend the best treatment option for your facial anatomy.

Join Our Monthly Membership

Skin Membership

$150 per Month

Members may select one treatment from the following list per month, or choose to accumulate their balance for future use:
Monthly skin tightening treatment using Fractora Firm-Forma radiofrequency for face of neck ($300 value)
Bo-tox / DAO Muscle
Bo-tox /Droopy Nose Tip
Bo-tox /Gummy Smile
Bo-tox /Lip Flip
Bo-tox /Bunny Lines
10% off all injectables & laser treatments*
20% off during your birthday month*
15% off all skin care products
Bring a friend who gets a treatment done and receive one laser skin rejuvenation treatment for face or neck ($600 value)
VIP same or next day appointment
Excludes Body Contouring & Regenerative medicine

Toxin Membership

$185 per Month

Full application of Neurotoxin (xeomin) in 3 areas (forehead, glabella, and crow's feet) every 3 months ($700 value)
One skin tightening treatment using Fractora Firm-Forma radiofrequency for face of neck every 3 months.($300 value)
10% off all injectables & laser treatments*
20% off during your birthday month*
15% off all skin care products
Brightening sunscreen as a gift during your birthday month
3 post op treatments if you get done a body contouring treatment like SmartLipo, Precision TX or Cellulaze ($300 value)
Bring a friend who gets a treatment done and receive one laser skin rejuvenation treatment for face or neck ($600 value)
VIP same or next day appointment
Excludes Body Contouring & Regenerative medicine