There are genuine clinical treatments for a gummy smile, and for the right person they work well.
It is worth knowing what they are before deciding anything.
For gum-related causes.
Gum contouring or a gingivectomy reshapes the gumline.
And crown lengthening goes further by repositioning tissue and sometimes remodeling the bone underneath.
These are surgical procedures with healing time.
For a hyperactive lip, botulinum toxin can reduce how high the lip lifts.
It works, and it wears off, so it becomes a repeating appointment and a repeating cost.
Lip repositioning surgery is the more permanent version.
For skeletal causes, the correction is orthognathic jaw surgery.
That is a major procedure.
For dentoalveolar causes, orthodontic intrusion moves teeth over months or years.
And in a large share of published cases, the surgical step is only half the plan.
Veneers or crowns are then placed on top to rebuild the tooth proportions.
Because moving the gumline alone does not make a short tooth look long.
Much of it is not covered by insurance when it is classified as cosmetic.
Which is how you end up with a treatment plan that requires surgery, a specialist, months of healing.
And a five-figure number, for something you mainly notice in photographs.