Surgeon-Led Specialist Clinic

Led by plastic surgeon Dr. Ayad Harb, we pride ourselves on the standard of care, quality and safety of our treatments.

Central Clinic Locations

SRGN has three state of the art clinic locations in Central London, Bicester & Ascot.

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We're regulated by the independent regulator of health and social care in England.

GMC Registered Surgeons

All of our surgeons are registered with the General Medical Council.



Gummy Smile

Medically Reviewed April 2023, by Dr. Ayad Harb, one of the world's leading plastic surgeons

About Gummy Smile

A gummy smile, recognized in medical terminology as excessive gingival display, is characterised by an inordinate visibility of gum tissue when an individual smiles. While its presence doesn't raise health alarms, it can deeply influence how an individual feels about their facial aesthetics, leading many to experience a dip in self-confidence.

The smile, a universal gesture of joy, warmth, and approachability, holds considerable weight in personal interactions. Within the framework of what is commonly accepted as a pleasing smile, there's a balance. This balance pertains to the proportion of visible gums and teeth. When the gums dominate this equation, it could skew the visual harmony of a smile, sometimes making individuals less willing to smile openly, especially in settings where they feel observed or judged.

Delving deeper into the root causes of a gummy smile, there's a tapestry of factors that come into play. Some individuals inherently have a high lip line. This means that even with a normal gum-to-tooth proportion, their smiles naturally reveal more gum tissue. On the contrary, certain cases stem from the anatomical development of the upper jaw or the presence of excessive gum tissue. This overgrowth, whether due to genetics or other factors, can sometimes overshadow a significant part of the teeth.

Yet, it's worth noting that beauty and aesthetics are subjective realms. What might be considered excessive gingival display in one cultural or individual perspective could be entirely normal or even attractive in another. This fluidity in standards means that while many might not find a gummy smile problematic, it becomes an issue when it affects the individual's perception of themselves. And the psychological effects of this perception cannot be brushed under the carpet.

When an individual constantly feels self-conscious about their smile, it can permeate various aspects of their life. Interpersonal interactions, once taken for granted, might now be approached with trepidation. Activities like public speaking, laughing in a group, or even posing for a candid photograph could evoke anxiety. Over time, this could take a toll on their self-esteem, making them less open to social interactions or opportunities that require them to be in the limelight.

Clinics like SRGN don't just offer procedures; they offer solutions, answers to these deeply personal and often distressing concerns. Recognizing and understanding the nuances of each case, and subsequently, tailoring treatments to individual needs, are what sets professional aesthetic and plastic surgery clinics apart. For many, addressing their gummy smile is not just a cosmetic choice but a path to regaining their self-assuredness and taking control of how they present themselves to the world.

In conclusion, while a gummy smile might seem like a mere aesthetic irregularity to some, it carries with it a plethora of emotional and psychological implications for others. Addressing it is not just about enhancing facial aesthetics but about rebuilding the inner confidence and joy that everyone deserves to feel when they smile.


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Types of Gummy Smile

Altered Passive Eruption

Altered Passive Eruption is a fascinating dental phenomenon that speaks to the various ways our gums and teeth interact during their developmental stages. Essentially, during the eruption process, when teeth make their way through the gums, there is a typical recession of the gums that should occur to reveal the right proportion of the tooth. However, in cases of altered passive eruption, this gum recession does not take place adequately.

This scenario can lead to what appears to be "short" teeth, not because the teeth themselves are undersized but due to the overlying gum tissue masking their full length. A person with altered passive eruption might think they have smaller teeth when in reality, their teeth are of normal size but are merely hidden under the excess gum tissue. This condition not only influences the aesthetic appeal of the smile but can also impact oral hygiene. The extra gum can sometimes make cleaning more challenging, leading to potential dental health issues.

Hyperactive Lip Elevator Muscles

Our facial anatomy is an intricate system of bones, tissues, and muscles working in harmony. The muscles responsible for controlling the movement of the upper lip, known as the lip elevator muscles, play a pivotal role in our smile dynamics. In some individuals, these muscles are more active than in others. This hyperactivity causes the upper lip to elevate much higher when they smile, revealing a larger portion of the gum.

The resulting appearance is what many term as a "gummy smile." While the gums and teeth might be perfectly normal in such cases, the disproportionate lip movement gives an impression of excessive gingival display. Addressing this requires an understanding of facial musculature and the interventions that can moderate the muscle's hyperactivity, restoring a balanced smile.

Vertical Maxillary Excess

The maxilla, or the upper jaw, plays a crucial role in determining the structure of our face and, by extension, the aesthetics of our smile. Vertical Maxillary Excess (VME) refers to an overdevelopment or elongation of the maxilla. This excessive vertical growth of the upper jaw leads to an enlarged display of gum tissue when smiling.

Individuals with VME often have a pronounced upper dental arch, and their teeth might appear more spaced out or flared than usual. The overarching challenge with VME isn't just cosmetic. This type of jaw growth can also influence bite patterns and overall oral function. Hence, addressing VME often requires a multi-faceted approach, considering both aesthetics and functionality.

Short or Worn Down Teeth

Teeth, while robust and essential for numerous functions, aren't immune to wear and tear. Over time, due to dietary habits, teeth grinding (bruxism), or even certain medical conditions, teeth can undergo significant wear. This wear can lead to a reduction in their length, causing them to appear shorter.

When teeth are naturally shorter or have been eroded over time, the gums, by default, seem more pronounced. This type of gummy smile is more an illusion of gum dominance due to the reduced tooth surface. Addressing this kind of gummy smile would require a combination of gum and dental treatments to restore the desired proportion and aesthetic appeal.

Gummy Smile Treatments


Botox, a name synonymous with facial rejuvenation and wrinkle treatments, has recently made waves in a new domain - treating gummy smiles. The versatility of botulinum toxin, the core component of Botox, allows it to be deployed in a range of medical applications, including addressing aesthetic concerns in both dentistry and plastic surgery.

In the context of a gummy smile, Botox finds its application in a unique way. While many associate Botox with freezing muscles to iron out wrinkles, when used to treat gummy smiles, it takes on a subtler role. The aim is to target and temper the hyperactivity of muscles responsible for elevating the upper lip. By gently relaxing these muscles, Botox ensures that the upper lip doesn't rise as dramatically when a person smiles. This, in turn, minimises the visibility of gum tissue, leading to a more balanced and often perceived as more aesthetically pleasing smile.

The procedure to administer Botox for this purpose is relatively straightforward but requires precision. It begins with an assessment of the patient's smile and facial musculature. Once the areas of treatment are marked, a small amount of Botox is delicately injected into the hyperactive lip elevator muscles. The entire process is often wrapped up in a single clinic visit, making it a time-efficient solution for those seeking immediate results.

However, it's worth noting that while the treatment process is quick, the manifestation of results follows its pace. Patients may start observing changes in a few days, but the full-blown effect usually becomes evident in about two weeks post-procedure. This gradual onset allows for a natural transition to the new smile, ensuring that patients don't feel overwhelmed with a sudden change.

Now, like all interventions, Botox does come with its set of considerations. Firstly, it's a temporary solution. The effects of Botox, while transformative, last only for a duration ranging from three to six months. This temporality can be seen in two lights. On one hand, it offers individuals an opportunity to "test" the results before diving into more permanent treatments. On the other, it does necessitate periodic retreatment for those who wish to maintain the results long-term.

Another crucial aspect to consider is the expertise of the administrator. Botox treatments, while popular, demand precision and a deep understanding of facial anatomy. The risk of side effects, though minimal, does exist. Potential complications can arise if the Botox isn't placed correctly or if the dosage isn't calibrated to the patient's needs. Hence, seeking treatment from reputable clinics with a track record of success becomes paramount.

In summary, Botox presents a promising, non-surgical avenue for those grappling with the aesthetic concerns of a gummy smile. It not only provides an effective remedy but does so in a manner that is minimally invasive and relatively swift. For many, it's the bridge between years of self-consciousness and a newfound confidence in their smile.

About Our Clinic

Located in the heart of Ascot, Bicester, and London, the SRGN Clinic exemplifies afusion of cutting-edge science, unparalleled skill, and an unwavering commitment to patient care. The clinic stands as a beacon of excellence in thefield of aesthetic and plastic surgery.

Leading the team at SRGN is Dr. Ayad Harb, a renowned plastic surgeon and aesthetic trainer. His expertise, honed by years of experience and a genuine passion for improving lives, defines the very core of the clinic's ethos. Dr. Harb's innovative techniques, combined with an artistic eye for detail, enable him to deliver consistently exceptional results that are tailored to each patient's individual needs and desires.

At SRGN, we believe in the transformative power of aesthetic and plastic surgery. Our treatments, ranging from non-invasive procedures to complex surgical interventions, are designed to enhance and accentuate your natural beauty. We strive to provide a safe, comfortable, and confidential environment where you can discuss your aesthetic goals openly, and together we create a treatment plan that brings these goals to life.

Every member of the SRGN team shares a deep commitment to patient care. We prioritise your comfort, safety, and satisfaction from the moment you step into our clinic. Each of our facilities mirrors the luxury and tranquility of their surroundings, offering a serene space where you can embark on your journey to self-improvement.

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