Gummy Smile Advice for Injectors

Aesthetic medicine is a constantly evolving field with many treatments to explore. Once you have mastered the “cornerstone” injectables, it’s natural to want to progress; Gummy smile treatments can be a great stepping stone to the world of more advanced aesthetics. 

Aesthetics doctor, dental surgeon and Harley Academy clinical trainer, Dr Janine Rothburn advises, A gummy smile is when you smile and excessive gingival display caused by hyperactive upper lips elevator muscles.”

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This is a wonderful treatment for any qualified aesthetics practitioner to learn. However,  it can be a particularly beneficial offering for cosmetic dentists with an interest in smile aesthetics. “Smile makeovers” have been gaining in popularity over the past few years and being able to offer gummy smile treatments fits well within this remit. 

Here Dr Janine answers some common questions about treating a gummy smile safely…

What level should injectors reach before starting to treat excessive gingival display?

She believes that, “…any competent injector who understands facial anatomy and the associated musculature can treat a gummy smile.” 

We would further recommend you are confident in:

•  Performing fundamental aesthetic medicine treatments using botulinum toxin A and dermal fillers.

•  Cannula use.

•  Perioral assessment.

What is the best way to treat a gummy smile?

“There are a couple of ways to treat a gummy smile,” advises Dr Janine.

“Botulinum toxin can be used to treat a gummy smile by relaxing the muscles of the upper lip which elevate the lip upon smiling. These muscles include the LLSAN (Levator Labii Superioris Alaeque Nasi) and LLS (Levator Labii Superioris).”

Lip filler can also be useful here, as Dr Janine explains, “Dermal fillers can also be used to correct excessive gingival display. Adding filler to the upper lip will help to increase its thickness, whilst also hydrating and adding volume to the lips. Using a cannula instead of a needle will help reduce trauma, swelling and bruising in the lips.”

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How should gummy smile treatments be personalised to each patient?

“A full assessment is required during consultation to understand the competency, occlusion, dentition and muscle activity of your patient,” counsels Dr Janine. “A discussion with the patient is essential to gain understanding of their expectations.”

She adds, “If treating with toxin, I always recommend treating with a standard dose of 2-4 units per side into the LLSAN, then review at 2-4 weeks. If there is still a lot of muscle movement, you can repeat the treatment. Lip filler can then be considered if the desired result has not been achieved.”

What are common mistakes injectors make here?

“Common mistakes injectors make when approaching gummy smile treatment are not carrying out a full assessment,” she states. “It’s also paramount not to over-treat the muscles when using botulinum toxin, as this could result in an unnatural appearance.”

What happens if results are still not apparent by top-up appointment?

Dr Janine guides new injectors, as follows: “If you’re not seeing results at your follow-up appointment, you could repeat the treatment and re-assess. You could also consider treating the upper lip with dermal filler.” 

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Learning how to treat a gummy smile with botox

We currently offer a Masterclass where you can gain advanced insights into how to treat a gummy smile using botox. 

Advanced Injectables Shadowing Masterclass

Spend a day shadowing one of our most senior clinical trainers as they narrate their way through a number of advanced injectable treatments. These can include:

•  Gummy smile treatment.

•  Masseter botox.

•  Tear trough treatment.

•  Non-surgical rhinoplasty.

•  Temple filler.

If you are specifically interested in watching an expert perform a gummy smile treatment, simply ensure you advise us of this when booking. You can then watch as your host specialist talks you through every aspect of each treatment. From facial assessment and treatment planning to production selection and injecting, you’ll garner a wealth of valuable insights.

This full-day event is a strictly-limited intimate gathering of experienced aesthetic practitioners. This allows for maximum interaction between students and the trainer, as well as an environment conducive to enhanced learning. You can ask questions throughout and see how a true specialist approaches each area of their practice to then inform your own.

You must be an experienced licensed aesthetics practitioner who is a doctor, dentist, nurse or midwife to attend this training.

To discuss your training requirements in more detail or to find out more about our eligibility criteria, book a call Deneal Basi. If you’re looking to expand your practice into more advanced injectables, such as gummy smile treatments, he’ll be able to advise on your best options.

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