Gum pits (Gummysmile) treatment with Botox®

Laugh without inhibitions: Gummy Smile, we are ready!

A gummy smile (also known as a "gingival smile" or "gummy simple") refers to a smile in which the gums are excessively visible. When a person smiles, more gum tissue is exposed than usual, which can cause the teeth to appear smaller or unbalanced. This can be perceived as an aesthetic problem and affect self-confidence. A Botox® injection can help to reduce the gums and achieve a harmonious smile. Don't miss out on the chance of a charming smile - book your appointment now.

Treatment duration

15 minutes


On demand local






3 - 6 months


Quick Facts

Presentation| without make up
Treatment duration| 15 minutes
Onset of action| after 3-10 days
Maximum effect| after 14 days
Material| biologically derived botulinum free from animal testing
Socially acceptable| immediately
Load capacity| immediately | sport after 4 hours
Incapacity to work| none
Rules of conduct| see below
Prices| individually depending on region and desired effect (see price table)

See also:

Botulinum (Botox®) - what is it?

Botulinum toxin, also known as Botox®, is a substance derived from a bacterium. A wrinkle treatment with botulinum relaxes the muscles of the expression lines and thus reduces the formation of wrinkles in the short and long term. The body is given time to heal deep lines that have developed over the years with natural regeneration.

In the medical field, botulinum is used to reduce facial expression wrinkles, which are a considerable psychological burden. In addition, there are numerous studies that speak for an antidepressant, migraine alleviating, mood-lifting effect.

Sequence & Effect

Botulinum is used in particular to temporarily reduce moderate to severe wrinkles in the area between the eyebrows (frown lines), horizontal forehead wrinkles and the so-called crow's feet at the side of the eyes, the extent of which can be a considerable psychological burden for adults. In addition, there are numerous studies that suggest an antidepressant, migraine-relieving and mood-lifting effect.

Procedure of a Gummysmile treatment with botulinum

  • Please do not wear make-up on the day of treatment!
  • After a detailed consultation, the appropriate dose for the region to be treated can be selected on the basis of the muscles and the objective.
  • After disinfection, treatment points are marked on the basis of the individual muscle structure and progression and the botulinum is precisely injected using barely visible needles. Botulinum treatment is hardly painful thanks to the use of a specially buffered solution and is easily tolerated due to the short treatment time. Most people therefore only experience minimal pain or a slight stinging sensation during the treatment.
  • Occasionally, tiny bruises may appear after the treatment, which can then be easily covered with make-up on the same evening.

Important! The effect starts only after 3-10 days, so the maximum muscle relaxation is achieved after 14 days.
In the first days no effect is visible and wrinkle smoothing occurs increasingly in the period between 2-8 weeks after treatment.
The body must be given some time to gently smooth out the skin stress lines that have formed.

Depending on the individual and the region, movement of the treated muscles is possible again after 2-4 months. However, similar to a longer break in the gym, it often takes another 2-3 months before the muscles are trained again and the original wrinkling returns.

If you have any questions about the process, we are always here for you.


The duration of a botulinum treatment varies from person to person, but usually lasts around three to six months. Botulinum toxin, which is injected into the muscles, temporarily blocks the nerve signals that trigger muscle contraction. This causes the treated muscles to relax and the associated wrinkles to smooth out.

The durability depends on various factors, including the individual's metabolic rate, the amount of botulinum toxin used, the region treated and the experience of the practitioner. After a few months, the body slowly breaks down the botulinum toxin and the muscles gradually recover, leading to a gradual return of muscle movement and wrinkling.

Regular top-up treatments are required to achieve a continuous effect. The exact duration may vary from person to person, but botulinum treatments are a popular option to temporarily reduce the appearance of wrinkles and lines and maintain a more youthful appearance.

Rules of conduct

Rules of conduct exist on numerous websites that have historically emerged since the days of botulinum discovery. Most of them have no scientific basis.

Our recommendations include:

  • No pressure or manipulation of the sites for 4 hours to avoid spreading the botulinum to other lots
  • Moderate sport is possible without problems after 4 hours
  • Avoid 24 h sauna, intensive sun, solarium
  • 48 h no treatments that get under the skin
    (Microneedling, dental surgery/cleanings, tattoos, piercings, permanent makeup, sharp peels, laser treatments).
Possible risks

Botulinum is extremely well tolerated. Unlike most other drugs, ALL possible effects and side effects here are temporary.

Minor side effects include bruising as well as unintended treatment of neighboring muscles. The risk of bruising is strongly dependent on the treatment region.

We will be happy to advise you on the details of your desired treatment in an on-site educational consultation.

Which combination treatments are possible?

There are several combination treatments that can be performed with a Gummy Smile treatment with Botox® to achieve a comprehensive result. Some common combinations are:

  • Lip augmentation: By combining the Gummy Smile treatment with lip augmentation using hyaluronic acid fillers, a balanced and aesthetic appearance of the mouth area can be achieved.
  • Nasolabial fold treatment: If you also have wrinkles around the mouth area in addition to the Gummy Smile treatment, injecting the nasolabial folds with hyaluronic acid fillers in combination with the Botox® treatment can be an effective solution.
  • Chin augmentation: Chin augmentation with fillers can help to improve the facial profile and restore the balance between the chin and other facial features.

It is important to note that each case is individual and a thorough consultation is therefore essential to find the best treatment plan & combination options for your personal needs.

Before / After


David Conrad, MD

M. Sc. Aesthetic Medicine

After his time at the Freiburg University Clinic and a private aesthetic clinic near Zurich, Dr. Conrad rounded off his further training as a highly specialized doctor in aesthetic consultations at the laser clinic next to Prof. Dr. Raulin and at the Aesthetics and Skin Centre in Karlsruhe.

At the same time, he deepened his knowledge in the field of thread lifting and minimally invasive aesthetic treatments with a Master of Science in London.


Our intention? Simple!

To demystify the hype and hysteria of the skincare industry.


Mr. Conrad is very empathetic, friendly & authentic! A really great speaker with impressive expertise in the field of aesthetic medicine, hyaluron and Botox! We especially appreciated Dr. Conrad's openness and honesty! A clear recommendation

sophie T
one month ago

Marie-Luise Schacht
one month ago

luana schirosi
one month ago

Very competent doctor who takes the time to explain everything very clearly, beautiful, natural results. Can highly recommend him.

Dominik Marquenie
2 months ago

World class lecture! Dr. Conrad can break down even complex topics in a very understandable way and convey them well. I would definitely recommend him and will be back for the next workshop. - TOP !

St. S.
2 months ago

I can recommend Dr. Conrad without reservation. He is very nice, competent and patiently answers all questions about the treatment.

Jochen Reichel
2 months ago

Everything is great!

Cuba A
2 months ago

The frown line is smoother than ever! I am super satisfied! Absolute recommendation!

I felt very well looked after here. Very good advice without pressure and lots of information about how injections and botulin work. That also made my decision easy. I'm really happy with the result and will be back =)

Pepita Grillo
3 months ago

I highly recommend Dr. Conrad, I am always satisfied with his knowledge, his skin treatments and his wonderful attention. Now I don't live in Karlsruhe, but I travel 5 hours to get an appointment with him. After the treatment I can see my skin noticeably better, and the effects last for a very long time, thus stopping the effects of aging.

Perwin Alo
5 months ago

Super friendly and competent doctor! I can recommend Dr. Conrad to everyone.

S. Timo
one year ago

Super doctor, respect for what he has already achieved at such a young age! Dr. Conrad always has an open ear and explains all open questions precisely and, above all, very clearly! I can only recommend him.

Leon Lutschinger
8 months ago

I was able to get to know Dr. Conrad as a DGBT speaker for Botox and filler courses. He impressed me with his professional expertise and extensive experience in the field of aesthetic medicine. I can recommend him wholeheartedly as a practitioner.

J. D.
one year ago

Dr. Conrad is a very friendly, empathetic and competent doctor who has earned my complete trust. I visit the practice regularly for fillers and botulinum and have been consistently satisfied. Above all, the fact that Dr. Conrad focuses on natural, realistic results appeals to me personally. You are very well advised by him and feel that you are in good hands before, during and after every treatment.

Lilia Röder
one year ago

Dr. Conrad takes his time, always listens to me carefully and you can just feel that he loves his work. Thank you for finally curing me of my migraines after more than 20 years! I am thrilled with the results every time. A clear 5 stars for Botox and hyaluronic acid in Karlsruhe

Birgit Schmitt
one year ago

Thank you for a unique, absolutely natural result. Until now, I had great respect for Botox and hyaluronic acid, but Dr. Conrad knows how to empathize with the patient and achieve an absolutely discreet, aesthetic result according to my own wishes. He really explains every step in detail so that I feel I am in good hands.

Claudio Greinke
9 months ago

Dr. Conrad was recommended to me by my best friend because I have been suffering from acne scars on my cheeks for a long time. He took his time and screened my skin. Together we decided to use professional microneedling together with a skin booster to correct the scars and the result is simply brilliant! Thank you so much again!

Eva Koch
one year ago

Really great, super friendly doctor who has the absolutely perfect, professional touch for me when it comes to aesthetics! The consultation is great, he knows exactly what looks good and implements it! I have never been as satisfied as with Dr. Conrad and have had Botox and hyaluronic acid injections for many years. I can recommend him with a clear conscience.

David Maas
one year ago

Dr. Conrad was not only very professional, but also very empathetic and helpful. An absolute expert who I can highly recommend. I went to Dr. Conrad for a Botox treatment and am very satisfied. Dr. Conrad took a lot of time for my concerns and gave me excellent professional advice Overall, the atmosphere on site is simply very relaxed and friendly. I will gladly come back again.

I am more than thrilled with the result! Detailed consultation, pleasant and relaxed atmosphere and highly recommended. Dr. Conrad takes a lot of time and conjures up a natural result.

Andreas Reichel
one year ago

Dr. David Conrad did an excellent job of taking away my nervousness, fear and concerns. Well informed, I decided to follow his recommendations. Great result, I am very satisfied.

3 months ago

Very respectable practice - they were very kind. Would recommend

one year ago

The absolute best doctor for aesthetics! I am always amazed by Dr. Conrad's expertise, empathy and the natural results of my Botox and hyaluronic acid treatments!

Jasmin Thiel
one year ago

I have trusted Dr. Conrad in the field of aesthetic treatments for over 2 years. Thank you for your honesty and consistently outstanding results! The next appointment is already scheduled :)

Udo Konstantin
10 months ago

My wife has already been to Dr. Conrad several times. He is very personable, takes a lot of time and treats you individually. He is an expert in his field.

Li M
5 months ago

One of the best doctors. Very competent ... I am extremely satisfied with the result.

R. Blumenröhr
5 months ago

Very pleasant atmosphere, very friendly and detailed advice, very good work. Highly recommended!

Benedict Britten
5 months ago

Very good doctor. Good information and treatment. Highly recommended.

Tanja B.
one year ago

The result of my cheek treatment with hyaluronic acid is super natural and subtle. I can only recommend Dr. Conrad to all my friends!

one year ago

We really appreciate working with Dr. David Conrad. His expertise, his advice and medical consulting, his treatments and his lectures are always at the highest level and it is great fun. Thank you.

Jan-U. Schweitzer
one year ago

A really great doctor. He has a great deal of specialist knowledge and expertise, especially in aesthetics. Works with very high-quality products. Also gives lectures on toxin and hyaluron treatments.

georg Eilert
one year ago

Professional, excellent practice organization, honest, empathetic and a unique eye for natural results! My trusted doctor in Karlsruhe for over 2 years! Keep up the good work!

Thomas Maulhardt
one year ago

I have associated Dr. Conrad with reliability, expertise and care for many years. I can recommend him unreservedly!

Alfons Conrad
one year ago

Amazing customer service, very quick response rate and most importantly super natural results. This guy knows what he is talking about and practices top-notch aesthetic medicine! Keep it up, man!

Very nice young doctor. Knows exactly what he is doing. Very attentive and competent. I am very satisfied.

Max Adams
one year ago

A very emphatic doctor with comprehensive advice who knows his trade. Highly recommended for Botox and fillers!

Nina Kucun
5 months ago

Super competent and recommendable doctor!

one year ago

Doctor I trust. Best advice, best results. Absolute recommendation.

Carolin Rude
11 months ago

Beautiful practice, great doctor, very nice and competent!

Barbara Scholten
one year ago

Doctor with professionalism and humanity. I am delighted with the results achieved and feel wonderful.

Fayhaa Ba
7 months ago

Very good artz, respect full I am satisfied with the result

Verena Berndt
one year ago

Super pleasant to talk to, very professional, great results!

Super doctor, nice competent advice.

Andreas Meyer
one year ago

Best dermatologist in the field of Botox. SUPER FINAL RESULTS !!!!

Louis Schmitt
one year ago

Alexander Seer
one year ago

Enjoy the
Holidays with us:

28.12. & 29.12. - We are here for you.