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Botox

Botox in Miami

A few small injections that soften lines and relax the muscles behind clenching, jaw pain and a gummy smile — given by a dentist who knows how those muscles shape your face and your smile.

Medically reviewed by Dr. Rodolfo Rodriguez, DMD · Updated

What Botox does

Botox is a purified protein that relaxes the muscle it's placed in, for a few months. That softens the lines muscles leave in the skin, and eases muscles that strain the jaw or lift the lip too high.

What we use it for

  • Frown lines, forehead lines and crow's feet. Softening the lines between the brows, across the forehead and at the corners of the eyes.
  • Lines around the mouth. Softening fine lines around the lips.
  • Jaw clenching and grinding. Relaxing the large chewing muscles eases the force on your teeth and the soreness in your jaw. A night guard still protects the teeth while you sleep.
  • TMJ pain. For jaw pain and headaches that come from tight, overworked muscles.
  • A gummy smile. Relaxing the muscle that lifts the upper lip lets it rest a little lower, so less gum shows when you smile.

Botox Cosmetic is approved by the FDA for frown lines, forehead lines and crow's feet. Its use for lines around the mouth, jaw clenching, TMJ pain and a gummy smile is off-label — a common and legal use of an approved medicine for a purpose not listed on its label. Dr. Rodriguez explains this, and the alternatives, before treatment.

A gummy smile: Botox or gum contouring

When an upper lip that lifts high is the cause, Botox softens it without surgery. When extra gum covers the teeth, gum contouring reshapes the gumline itself. Some smiles benefit from both, often as part of veneers or a smile design.

The visit

We start with your health history and a look at how your muscles move. The injections take a few minutes with a very fine needle, and you can go back to your day. Afterward, don't rub the area or lie down for a few hours, and skip hard exercise for the rest of the day.

Results

The effect starts within a few days and builds over about two weeks. It usually lasts three to four months, and treatment is repeated when it wears off. We see you again after the first treatment to check the result.

Side effects and safety

Side effects are usually mild and short-lived: a small bruise or tenderness where the needle went in, or a headache. Less often, a nearby muscle relaxes more than intended; this wears off. Botox isn't given during pregnancy or breastfeeding, or with certain nerve and muscle conditions, so tell us about your health and your medications.

FAQs

Does it hurt?
Most people feel a quick pinch from each injection. It takes only a few minutes.
Will my face look frozen?
No. The aim is to relax specific muscles, not change your expressions. A measured dose softens lines and keeps you looking like you.
Does Botox replace a night guard?
Not usually. Botox eases clenching and jaw soreness; a night guard protects your teeth and restorations from grinding. Many people use both.
Is Botox covered by insurance?
Usually not for these uses. See Insurance & membership for payment and financing.

Terms

Masseter
The large chewing muscle at the angle of the jaw, which does most of the clenching.
Gummy smile
A smile that shows more gum above the upper teeth than usual.
Frown lines
The vertical lines between the eyebrows, also called glabellar lines.
Crow's feet
Fine lines at the outer corners of the eyes.
Off-label
Using an approved medicine for a purpose not listed on its label.

Botox® is a registered trademark of Allergan, an AbbVie company.

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Tell us what's going on, in English or Spanish. We'll take it from there.

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