Wrinkle treatment with botulinum toxin

Treating a gummy smile with botulinum toxin in Wolfsburg

With a gummy smile, more gum above the front teeth shows when laughing than many people would like. In Wolfsburg, physician Rafee El Kaddour relaxes the muscles that strongly lift the upper lip with a small, precise dose of botulinum toxin. The lip then pulls up less when you smile and reveals less gum – making the smile more harmonious without looking unnatural.

How does botulinum toxin help with a gummy smile?

A small dose of botulinum toxin relaxes the lip elevators – above all the muscle that lifts the upper lip and nostril (levator labii superioris alaeque nasi). The upper lip then pulls up less when you smile, so less gum is visible. The dose is very small and limited to a few points.

A gummy smile caused by very active upper-lip muscles responds well to botulinum toxin. If, however, the cause lies in the bone structure (for example a pronounced upper-jaw height) or in tooth position, the options are limited – we clarify this honestly in the consultation.

The key is fine dosing at a few precisely chosen points beside the nose. Too much, or too deeply placed, botulinum toxin can "flatten" the upper lip or make the smile look stiff. We therefore start deliberately conservatively and can adjust if needed.

Often a very small amount per side is enough. Because the effect in the mouth area wears off comparatively quickly, a top-up after a few months is usually sensible.

Procedure & duration

How the treatment works

  1. 01Free analysis of your smile and gum line
  2. 02Assessment of the cause (muscle activity, bone, tooth position)
  3. 03Marking of a few precise points on each side of the nose
  4. 04Very fine injections of a small dose; duration about 10 minutes
Results & longevity

Results & longevity

First effects appear after three to five days, the final result after about two weeks. Less gum is then visible when you smile. The effect usually lasts about three to four months; it can then be refreshed.

Results are individual and may vary. Before/after images show real treatments and are published only with the patient’s explicit consent.

Safety & guidance

Risks & side effects

Risks & side effects

  • Common and temporary: mild redness or a small bruise beside the nose.
  • If dosed too strongly: a slightly stiff or "flat" smile, or a temporarily longer-looking upper lip.
  • Possible: a slight asymmetry of the smile – usually easy to adjust.
  • Rare: a temporary heavy feeling of the upper lip in the first few weeks.

Aftercare

  • Do not rub the area beside the nose for the first few hours
  • Keep your head upright for about 4 hours; do not lie down
  • No intense sport, sauna or tanning for 24 hours
  • Avoid exaggerated facial expressions in the first few hours

Who is it for?

Suitable when a very active lip elevator is the cause and you show a lot of gum when laughing. If the cause lies in the jaw bone or teeth, the options are limited – we check this honestly beforehand.

Every medical treatment carries risks. This information does not replace a personal medical consultation. In our free initial consultation we assess your individual suitability, the procedure and possible side effects.

Price

from €119

The exact price depends on individual scope and is discussed in the free consultation.

View pricing
FAQ

Frequently asked questions

Will my smile still look natural afterwards?

Yes, as long as it is finely dosed. The aim is a harmonious smile with less gum – not a stiff or mask-like expression.

Does botulinum toxin help with every type of gummy smile?

No. It helps when very active upper-lip muscles are the cause. With bony causes or tooth position the options are limited.

How long does the effect last?

Usually about three to four months. The treatment can then be refreshed easily.

How much botulinum toxin is used?

Only a small amount at a few precisely chosen points. We start conservatively and adjust if needed.

What does a gummy smile treatment cost in Wolfsburg?

The treatment starts from €119. The first consultation is free.

Free consultation

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