How Many Units of Botox for a Gummy Smile?

By Pinch Med Spa Staff

October 5, 2023

A gummy smile, where a significant portion of the gums show when smiling, can be a cosmetic concern for many. Botox is a simple and effective solution to address this issue. This post will discuss the typical number of units needed for a gummy smile and provide an overview of the treatment process.

What Is a Gummy Smile?

A gummy smile occurs when the upper lip elevates too much when smiling, exposing a large portion of the gums. This can be due to hyperactive muscles that control the movement of the upper lip. Read our Gummy Smile Tox treatment guide for more information.

How Botox for a Gummy Smile Works

Botox works by relaxing the muscles that cause the upper lip to elevate excessively. When injected, Botox reduces muscle activity, allowing the upper lip to cover more of the gums when smiling.

Recommended Units of Botox for a Gummy Smile

For treating a gummy smile, the recommended amount of Botox is typically 1 to 2 units. The exact number of units needed can vary based on individual needs and muscle activity.

What About Xeomin Units for a Gummy Smile?

Both Botox® and Xeomin® are effective in treating a gummy smile, using botulinum toxin type A. At Pinch, we often use Xeomin for its purity and effectiveness. Generally, the unit requirements for Botox and Xeomin are similar.

Factors Influencing the Number of Units

  • Muscle Activity: Higher muscle activity in the upper lip may require more units.
  • Severity of Gummy Smile: More pronounced gummy smiles might need additional units for effective treatment.
  • Individual Response: Each person’s response to Botox or Xeomin can influence the required dosage.

What to Expect During Your Treatment


Your treatment will begin with a consultation with a skilled medical professional, such as a nurse practitioner, who will assess your gummy smile and determine the appropriate number of units needed for your treatment.

The Injection Process

The injection process for a gummy smile is quick and involves minimal discomfort. A fine needle is used to inject Botox into the muscles controlling the upper lip. The procedure typically takes only a few minutes.

Post-Treatment Care

After the treatment, you may experience mild side effects such as redness, swelling, or bruising around the injection sites. These effects are usually short-lived. Following the aftercare instructions provided by your practitioner is crucial for the best results.

Results and Longevity

When to Expect Results

You can expect to see results from your Botox treatment for a gummy smile within 3 to 5 days, with full effects visible after 1 to 2 weeks. Your smile will appear more balanced and less gummy.

How Long Do Results Last?

The effects of Botox for a gummy smile typically last between 3 to 4 months. Regular follow-up treatments will help maintain the results.

Cost of Botox or Xeomin for a Gummy Smile

The cost of Botox or Xeomin for treating a gummy smile depends on the number of units and the provider’s rates. Generally, Botox and Xeomin cost between $12 to $15 per unit. Here’s a cost breakdown based on the recommended units:

  • Cost (1 to 2 units): $12 to $30

Factors Affecting Cost

  • Provider's Expertise: Highly experienced practitioners may charge more.
  • Geographic Location: Treatment costs can vary based on the region.
  • Botox vs. Xeomin: Brand name recognition can influence the cost.

Is Botox for a Gummy Smile Right for You?

Botox is an FDA-approved treatment suitable for most individuals looking to reduce the appearance of a gummy smile. A detailed consultation with a qualified provider will help determine if it’s the right option for you, especially if you have any underlying health conditions or are on certain medications.

Next Steps

If a gummy smile is a concern for you, Botox offers a quick and effective solution to balance your smile and enhance your appearance. With the typical requirement of 1 to 2 units, the treatment is efficient with minimal downtime. For a convenient and professional at-home experience, consider booking a med spa appointment at home with Pinch. Our nurse practitioners will visit your home, ensuring you receive the best care in a comfortable setting.

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