
A gummy smile describes more than average upper gum showing when you smile, and the cause determines whether treatment is likely to help.

A gummy smile describes more than average upper gum visible when smiling. Dr Sateei first identifies why your smile shows more gum, since the cause determines whether treatment is likely to help.
Most commonly, hyperactivity of the muscle that lifts the upper lip raises it higher than average. Genetics, lip length, tooth proportion and jaw structure all play a role.

More than two to three millimetres of gum visible on a broad smile, more pronounced during genuine laughter.
For muscle-related cases, anti-wrinkle injections are the most effective, well-established option, gently reducing elevator muscle strength so the lip rises to a more moderate height. Dr Sateei’s precise, conservative dosing avoids an overly restricted or asymmetric result. Where a gummy smile is caused mainly by tooth or jaw proportion rather than muscle activity, anti-wrinkle injections are less likely to make a meaningful difference, and Dr Sateei will explain this honestly as part of your assessment.

Over two decades of experience and a subtle, natural-looking ethos are essential in this delicate area. Every plan is tailored to your specific cause, with ethical prescribing central to her London (near Harley Street) and Sevenoaks practice.

Usually overactive lip-lifting muscles; also lip length, jaw structure and gum tissue.
Largely genetic, so cannot be prevented, though treatable.
Anti-wrinkle injections for muscle-related cases.
Around three to four months.
Mild discomfort, generally well tolerated.
Minimal to none.
Within days, full effect around two weeks.
Conservative dosing preserves natural smile and speech.
Most muscle-related gummy smiles, confirmed by assessment.
No, where the cause is mainly tooth or jaw proportion, injections are unlikely to help significantly.
Gummy smile’s are often planned alongside these.

If a gummy smile has held you back from smiling fully, Dr Ellie Sateei welcomes a consultation at her London or Sevenoaks clinic.
Our London clinic is located at 91a New Cavendish Street, London, W1W 6XF
We serve patients from London, Kent and the home counties as well as from all over the world. Our London clinic sits in the heart of Marylebone, within easy reach of the West End by tube, while our Sevenoaks clinic in Ightham is moments from the M25 and M26 for patients across Kent.