Neuromodulators (Botox and Daxxify)
Gummy Smile Botox in Walnut Creek, to Show Less Gum When You Smile
Gummy smile Botox relaxes the muscles that lift the upper lip, so the lip does not rise as high when you smile and less gum shows. At Aesthetx Haus in Walnut Creek, our injectors perform the treatment. Changes show within a few days, settle in about two weeks and last three to six months.

The treatment most people do not know exists
A gummy smile is what happens when the upper lip lifts high enough to show a band of gum above the teeth. Most people who dislike theirs assume the fix is a dentist or a surgeon. For a lot of them, it is a small amount of neuromodulator into the muscles that pull the lip up, and a short appointment.
The product relaxes those muscles a little, not completely. Your lip still lifts when you smile. It just stops at a more balanced point, so what shows is teeth rather than gum. Nobody should be able to tell you had it done, and if they can, it was overdone.
That last point matters more here than almost anywhere else on the face. Too much product changes how a smile looks and, for a few months, there is no undoing it. Your provider starts conservative on purpose and adds a touch more once it settles, if you want it. That is a slower route to the finished result, and it is the right one.
The appointment
What to expect
Consultation
Your provider watches you smile, checks how high the lip lifts and where, and confirms that a neuromodulator will address it. You leave knowing the cost.
Numbing
A topical numbing agent goes on first.
Injections
A small amount of product, placed above the upper lip. It takes minutes.
Aftercare
Stay upright for a few hours, no strenuous exercise for the rest of the day, and do not rub the area. A little swelling or a small bruise is normal and short lived.
Results
The lip lifts less within a few days, with the full result settled at about two weeks. Results last three to six months.
Candidacy
Is gummy smile Botox right for you?
It is likely a good fit if you:
- are at least 18
- show more gum than you would like when you smile and want that softened without surgery
- are in good physical and mental health, with no medical contraindications
- have realistic expectations about a treatment that reduces gum show rather than changing your smile
It is not the right treatment if the gum show comes from the shape of your teeth or gums rather than from how high your lip lifts. A neuromodulator only changes the lip, and your provider will tell you at the consultation if that is not where the issue is.
Cost
What affects the cost
Gummy smile Botox uses a small amount of product in one area above the upper lip. What changes the cost is adding a second treatment to the same visit. Your provider confirms your plan and its cost at your consultation, before any treatment is booked.
It pairs naturally with a lip flip, which shows more of the upper lip itself. Members bank their monthly fee as credit toward treatments like this one. Cherry financing is available for larger combined visits.

Your care team
The Aesthetx Haus team
- Founded by Desirée Antonelli, MSN, FNP
- SFGate Best of Bay Area finalist, 2025 and 2026
- 100+ five-star Google reviews
Aesthetx Haus is a Walnut Creek medical aesthetics practice founded by Desirée Antonelli, MSN, FNP, a Family Nurse Practitioner with 15+ years in healthcare. Our team plans every treatment around your goals and tells you the cost before you commit.
Meet the team behind Aesthetx HausQuestions
Gummy smile questions, answered
Still unsure? Book a consultation, and our team will answer anything this page does not.
How much does gummy smile Botox cost in Walnut Creek?
It depends on how much product the muscles that lift your upper lip need, and whether you add a lip flip in the same visit. Your provider confirms you are a good fit and gives you the exact cost at your consultation, before any treatment is booked. Cherry financing is available.
How long does gummy smile Botox last?
Three to six months for most clients. With regular treatment, results often last longer over time, and most people return every three to four months to keep the result steady.
Does gummy smile Botox hurt?
Very little. A topical numbing agent goes on above the lip first, and the injections feel like a quick pinch.
How long is recovery after gummy smile Botox?
None to speak of. You can go back to work straight after. Stay upright for a few hours, skip strenuous exercise for the rest of the day, and do not rub the area.
Will my smile look different?
It will look like your smile with less gum showing. Your lip still lifts. Your provider doses conservatively for exactly this reason, so the change reads as balanced rather than as a treated smile.
What if gummy smile Botox wears off and I liked it?
Book again. This is not a one-time fix, and most clients who like the result keep it up every three to four months. Membership credit can cover it.
Keep exploring
Related treatments
Explore Neuromodulators (Botox and Daxxify)
Performed at the studio in Walnut Creek, for clients across Walnut Creek, Concord, Danville and San Ramon.

Your next step
Smile in the mirror, then come see us
If the first thing you notice is gum, the fix can be a short appointment. Book a consultation to find out.
Aesthetx Haus, 2021 Ygnacio Valley Rd STE C205, Walnut Creek, CA 94598.