Gummy Smile Treatment in Antalya

Excessive display of the upper gums when smiling is commonly called a gummy smile. Along with the amount of gum visible, smile symmetry, lip movement, tooth proportions and facial balance are important.

A gummy smile is usually an aesthetic concern. Treatment should not be based on a measurement alone, but on the individual’s concerns and the underlying cause.

Excessive gingival display may have more than one cause:

• Strong or hyperactive upper-lip elevator muscles
• A structurally short upper lip
• Short-looking clinical crowns or gum tissue covering more of the teeth
• Tooth eruption and bite relationships
• Vertical prominence of the upper jaw
• A combination of anatomical factors

Botulinum toxin is mainly considered when muscle activity has a significant role. Structural causes may require assessment by another specialty.

The face is examined both at rest and during a natural smile. Upper-lip length and movement, the amount and distribution of gingival display, symmetry, tooth appearance and lower-face proportions are reviewed.

Previous botulinum toxin, filler, periodontal or orthodontic procedures, medical history and current medication are also relevant.

If botulinum toxin is not considered appropriate, referral to a relevant dental or surgical specialist may be recommended.

In muscle-related cases, small controlled amounts of botulinum toxin may be placed in selected muscles that elevate the upper lip. The aim is not to immobilise the lip, but to balance excessive upward movement during smiling.

Injection points and amount are individualised according to whether the smile pattern is anterior, posterior, mixed or asymmetric, as well as muscle activity and facial anatomy.

The effect is temporary. Initial changes may begin within a few days, while assessment at around two weeks may be needed. Duration varies and muscle movement gradually returns.

Botulinum toxin may be considered in adults when overactivity of the upper-lip elevator muscles contributes significantly to gingival display.

Pregnancy or breastfeeding, active infection at the treatment area, certain neuromuscular conditions, some medicines or known hypersensitivity may affect suitability. The decision is made after medical history and examination.

1. The smile is dynamically assessed and may be photographed.
2. The likely cause and smile pattern are identified.
3. Individual injection points are planned if suitable.
4. Botulinum toxin is placed using fine needles.
5. The result is usually reviewed at around two weeks.
6. Follow-up and any future treatment are based on individual response.

Dose, injection points and retreatment timing are not the same for everyone. A fixed dose or guaranteed result is not promised before examination.

With appropriate patient selection and balanced planning, the aim is to reduce gingival display while preserving a natural and symmetrical smile. Results vary and are temporary.

Temporary redness, tenderness, swelling or bruising may occur. Transient smile asymmetry, excessive relaxation of the upper lip or altered lip movement are also possible and should be discussed individually.

At the clinic of Assoc. Prof. Dr. Hüray Hügül in Muratpaşa, Antalya, gummy smile assessment considers smile dynamics, upper-lip muscle movement, symmetry and facial proportions together.

Suitability and planning are determined after a medical examination for patients visiting from Muratpaşa, Lara, Konyaaltı, Kepez and surrounding districts of Antalya.

The cause of gingival display cannot be determined conclusively from a photograph alone. A dynamic smile examination can establish whether botulinum toxin may be suitable or whether another specialty assessment is needed.

This page provides general information and does not replace individual diagnosis or medical advice. Suitability, treatment scope and follow-up are determined after examination.