What does Dr. Farnoosh recommend about the use of BOTOX® for treatment of gummy smile?
Dr. Farnoosh does not recommend BOTOX® as the definitive treatment modality for gummy smile correction since the effect of BOTOX is temporary. Additionally, he does not recommend BOTOX before surgery, because the muscles become relaxed, obscuring the true extent of the problem, which can lead to less than ideal results. However, in some cases where Dr. Farnoosh expects a strong pulling effect of muscles, he recommends using BOTOX only 2 to 3 months after surgery to gradually relax or deactivate the muscles that are lifting the upper lip. BOTOX needs to be aimed at the muscles contributing to the hypermobile lip.
