Gummy Smile Treatment with Injection Therapy


Gummy smile reduction is now possible, simple and effective. Utilizing a non-surgical approach by injecting small amounts of botulinum toxin into the hyperactive muscle of the upper lip, Dr. Lori Ann Safar will give you a smile that is natural and carefree. This simple procedure will weaken the hyperactive muscles and reduce the elevation of your upper lip, thereby reducing your inhibiting gummy smile. If a thin upper lip is a contributing factor, Dr. Lori Ann Safar may suggest concomitant upper lip augmentation with FDA approved fillers such as Restylane or Juvederm.

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Gummy Smile Before and After Injection Therapy Treatment  



FAQ about Gummy Smile Treatment with injection therapy

How long does the treatment take?

The procedure takes about 10 minutes.


What does this procedure involve?

Dr. Lori Ann Safar will apply a topical anesthetic, or plain ice, to numb the area prior to injection. A small amount of botulinum toxin will be injected on each side of your lip to weaken the muscles' ability to contract. Within the next 3-4 days elevation of the upper lip is progressively weakened and your smile is transformed, showing less gum and giving you the confidence to smile without inhibition.


How long do the results last?

Your new smile will last about four months and you will surely make up for all that time of hiding your smile!


Preparing for the Procedure

During your initial complimentary consultation, Dr. Lori Ann Safar will examine your individual concerns and determine whether this procedure is right for you. It is preferable that you temporarily stop taking medications that may cause bleeding, such as vitamin A and E, aspirin, or aspirin-like products (Motrin,Ibuprofen, Naproxen, Alieve), one week before the procedure to reduce chances of minor bruising.


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Injection therapy is contraindicated in the presence of infection at the proposed injection site(s) and in individuals with known hypersensitivity to any botulinum toxin preparation or to any of the components in the formulation.



The recommended dosage and frequency of administration for botulinum toxin should not be exceeded. Risks resulting from administration at higher dosages are not known.


Lack of Interchangeability Between Botulinum Toxin Products

The potency Units of botulinum toxin are specific to the preparation and assay method utilized. They are not interchangeable with other preparations of botulinum toxin products and, therefore, Units of biological activity of botulinum toxin cannot be compared to or converted into Units of any other botulinum toxin products assessed with any other specific assay method.


Spread of Toxin Effect

Please refer to Boxed Warning for Distant Spread of Toxin Effect.


No definitive, serious adverse event reports of distant spread of toxin effect associated with dermatologic use of botulinum toxin at the labeled dose of 20 Units (for glabellar lines) have been reported.


Hypersensitivity Reactions

Serious and/or immediate hypersensitivity reactions have been reported. These reactions include anaphylaxis, urticaria, soft-tissue edema, and dyspnea. If such reactions occur, further injection of botulinum toxin should be discontinued and appropriate medical therapy immediately instituted. One fatal case of anaphylaxis has been reported in which lidocaine was used as the diluent and, consequently, the causal agent cannot be reliably determined.


Pre-existing Neuromuscular Disorders

Individuals with peripheral motor neuropathic diseases, amyotrophic lateral sclerosis, or neuromuscular junctional disorders (eg, myasthenia gravis or Lambert-Eaton syndrome) should be monitored particularly closely when given botulinum toxin. Patients with neuromuscular disorders may be at increased risk of clinically significant effects including severe dysphagia and respiratory compromise from typical doses of botulinum toxin.


Human Albumin

This product contains albumin, a derivative of human blood. Based on effective donor screening and product manufacturing processes, it carries an extremely remote risk for transmission of viral diseases. A theoretical risk for transmission of Creutzfeldt-Jakob disease (CJD) also is considered extremely remote. No cases of transmission of viral diseases or CJD have ever been identified for albumin.



Caution should be used when injection therapy treatment is used in patients who have an inflammatory skin problem at the injection site, marked facial asymmetry, ptosis, excessive dermatochalasis, deep dermal scarring, thick sebaceous skin, or the inability to substantially lessen glabellar lines by physically spreading them apart.


Information for Patients

Patients should be counseled that if loss of strength, muscle weakness, or impaired vision occur, they should avoid driving a car or engaging in other potentially hazardous activities.


Drug Interactions

Co-administration of botulinum toxin and aminoglycosides or other agents interfering with neuromuscular transmission (eg, curare-like nondepolarizing blockers, lincosamides, polymyxins, quinidine, magnesium sulfate, anticholinesterases, succinylcholine chloride) should only be performed with caution as the effect of the toxin may be potentiated.


The effect of administering different botulinum neurotoxin serotypes at the same time or within several months of each other is unknown. Excessive neuromuscular weakness may be exacerbated by administration of another botulinum toxin prior to the resolution of the effects of a previously administered botulinum toxin.



Administration of botulinum toxin is not recommended during pregnancy. There are no adequate and well-controlled studies of injection therapy in pregnant women.


Nursing Mothers

It is not known whether botulinum toxin is excreted in human milk. Because many drugs are excreted in human milk, caution should be exercised when injection therapy is administered to a nursing woman.




The most serious adverse events reported after treatment with botulinum toxin include spontaneous reports of death, sometimes associated with anaphylaxis, dysphagia, pneumonia, and/or other significant debility.


There have also been reports of adverse events involving the cardiovascular system, including arrhythmia and myocardial infarction, some with fatal outcomes. Some of these patients had risk factors including pre-existing cardiovascular disease.

Celebrity Smile
4765 Carmel Mountain Rd., #206
Torrey Hills

San Diego, CA 92130
Phone: 858-283-4749
Fax: (858) 481-8613
Office Hours

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