Gummy smile surgery, also known as gingivectomy or crown lengthening, is a cosmetic dental procedure designed to improve the appearance of excessive gum display when smiling. The first step in the process typically involves a thorough consultation with a dental specialist such as a periodontist or cosmetic dentist. During this consultation, the dentist will evaluate the patient's dental and gum structure, take x-rays, and discuss the desired outcomes. If the patient is a suitable candidate for the surgery, a treatment plan is created. On the day of the procedure, local anesthesia is administered to numb the gums. The dentist then carefully removes or reshapes the excess gum tissue using a scalpel, laser, or electrosurgery unit to expose more of the teeth. In some cases, bone reshaping may be required to achieve the desired results.

After the excess gum tissue has been removed, the dentist will clean the area to prevent infection and may place sutures to ensure proper healing. A protective dressing might be applied to the gums to aid recovery. The patient is typically given post-operative care instructions which include guidelines on oral hygiene, diet, and activities to avoid while the gums heal, alongside prescribed pain management medications and possibly antibiotics. Most patients experience mild to moderate discomfort and swelling in the days following the surgery, which generally subsides within a week or two. Follow-up appointments are scheduled to monitor the healing process and to ensure there are no complications. With proper care, the results of gummy smile surgery can lead to a more balanced and aesthetically pleasing smile.