Case Study – Gummy smile anti-wrinkle treatment

By anti-aging Cosmetic Nurse Penny Polimenakos


Penny before_after

 A client attended my clinic for a consultation regarding her gummy smile. She felt that when she smiled she was exposing a lot of gum which was making her very insecure, resulting in her hiding her smile. She felt so strongly about this concern that she was even contemplating gum reduction surgery.

So what is a gummy smile?

When some people smile, their upper lip elevates above their upper teeth exposing the gum and producing what most people see as an unattractive “Gummy Smile”. This could be due to several reasons, one of which is hyperactivity of the muscle that elevates the upper lip. Occasionally the gummy smile is also aggravated by a thin upper lip that further contributes to the problem by exposing the upper gum even more.

While for most people smiling is an expression of happiness, individuals whose gums stand out more than their smile generally feel self-conscious. Very often those with gummy smiles try to control and minimize their smile and some feel so self-conscious that they prefer not to smile at all or even cover their smile with a hand. This may have a detrimental effect on one’s professional, social and personal relationships.

Thankfully, gummy smile reduction is now possible. It is a simple and effective non-surgical treatment, where small amounts of anti-wrinkle treatment are placed into the hyperactive muscle of the upper lip, usually located near the nasal flare area on each side of the nose. As the product activates the hyperactive muscles are relaxed which reduces the elevation of the upper lip, resulting in less gum showing when smiling. If a thin upper lip is also a contributing factor as it was for this client, anti-wrinkle treatment can also be placed above the lip line to evert the lip making it look larger. This too will improve the overall appearance of the smile.


Penny Anatomy


When performing treatments such as this, I believe in treating conservatively as everyone reacts differently, following up in 2 weeks when we review the treatment and make any adjustments that may be required. Most clients will then need follow up treatment every 3 months.


About Penny

Penny Polimenakos

Since gaining her Bachelor of Nursing at Victoria University in 1993, Penny has worked in a variety of nursing fields including paediatric hospital surgical wards, paediatric neurosurgical and medical wards, paediatric oncology, palliative and respite units.

With her passion in beauty, Penny joined anti-aging in 2011, where she gained invaluable experience as a specialised cosmetic injector. Her treatments are about enhancing client’s features and bringing out their beautiful assets so they can feel their best at any age.  It brings her joy when she can help a client look and feel better, both with their health, self-esteem and their physical appearance.