hypermobile high lip line surgery

Q. Hi there, when i smile i show lots of gum. my top lip seems to lift to far up. i’ve looked on the net and come across hypermobile high line lip surgery but cant find anywhere that does it. is it a cosmetic dentist i need as they don’t seem to know what im talking about they keep saying gum contouring but its not that!!! can you point me in the right direction and any idea on price. please help

A. Dear T,
The person you want to speak to is a dentist called Peter Fairbairn. He has lectured on this subject in the UK and is the only dentist I know of who carries out this procedure. This procedure was first performed in the 1970’s so its not a new procedure as such. Have a look at his web site – scarsdaledental.co.uk .

He gives an estimate of £800 for lip repositioning but this may have changed since the web site was edited.

Hope this helps and please mention my name to Peter – always good to know who is supporting you.

dr julian caplan

Dr Julian Caplan – Director on the board of the BACD

View My Profile Dr Caplan

July 14th, 2008 at 08:47 PM
tracey Says :

thank you dr caplan i have emailed peter and waiting to hear back. but checking his website it looks positive. thanks again. T

July 23rd, 2008 at 08:47 PM
S Says :

Dear Dr Caplan,

your answer to T’s question has helped me realizing the direction which I should be taking to get rid of my gummy smile, so thank you for that.
However, what worries me in your answer is this part “is the only dentist I know of who carries out this procedure”.
I was hoping to find an expert in the South East Europe region, or in USA…
could you please let me know if this procedure is performed (to your knowledge) in these areas and how complicated is it, at all? I read somewhere that it is a “standard procedure” performed under local anesthesia, but then I read your answer and it seems as though not many dentists perform it.
best regards,

July 24th, 2008 at 08:47 PM
T Says :

dear s. the research i did into it was mainly on US sites so i think the procedure is more commonly done in the US than in the uk. i just googled gummy smile!!! read loads of stuff then it gave me the term hypermobile lip surgery and than i googled that. found loads of stuff in US but nothing in england which then led me to leave comment on here. from info ive had they assess whether it should be hypermobile lip surgery or gum contouring. im so glad something can be done. im sure dr caplan may have more info but thought i’d let you know where i found info. ive spoken to friends that have the same problem and they were amazed that somthing could be done…i think peter may well have an influx of people!!!!! if i can get it done will let you know how it goes. T

July 24th, 2008 at 08:47 PM
irena Says :

HI tracey please join our forums and write about your experience in the online journals as this will help others in a smilar situation that have a high lipline or are considering this type of treatment.


July 25th, 2008 at 08:47 PM
S Says :

Dear T and Admin,

I already contacted dr Peter Fairbairn and I can say he is extremely kind and helpful! he will try to help me find dentists in my region and if it is commonly performed in US, then great since I plan to visit relatives there soon.
@ T: I did the same thing after posting a comment here and got same results but I have no results for SEE region.
@ admin: I will join the forums,
and thank you both.

August 11th, 2008 at 08:47 PM
Louise Says :


I was really interested to read your comments on this forum and see that you were considering going to see Dr Peter Fairbairn. I went to see him about a year ago but then not knowing anyone else who had had the procedure I got quite nervous about it as wasn’t sure of the long term effects. I would be really grateful if you could add any further comments to the forum if you end up going ahead with the procedure as I would love to hear your feedback.

Thank you.


March 8th, 2009 at 08:47 PM
Amanda Lazonetti Says :

I live in the UK and I just had my gummy smile fixed in the USA in Los Angeles, CA. After doing months of research, including this website, I selected Dr. Farnoosh a periodontist in Los Angeles. I am sharing his name with everyone on this forum because he is an excellent doctor and now I am proud to smile. I would highly recommend him to anyone seeking to do this procedure from Europe(or anywhere). The whole trip to Los Angeles including the procedure only took 3 days. It was worth it. I really believe changing my smile so that it was not so gummy changed my life, I got a new job and boyfriend since I did the procedure 6 months ago — of course it wasnt all because of this procedure but it did really help my confidence.

March 9th, 2009 at 08:47 PM
T Says :

im going to dr fairburn down in london on 16th march….i cant wait. will let you know how it goes. T

March 15th, 2009 at 08:47 PM
kirsty Says :

I went to see Dr Peter Fairbairn last year in June. He was able to do the lip repositioning surgery on me and the results were great. My case was very severe and have botox injections every 6 months to assist the look I want, even further. He is very kind and a great dentist, who puts you at ease every step of the way.

March 15th, 2009 at 08:47 PM
kirsty Says :

I just also wanted to add that the procedure was extremly easy. I just had the area numbed as I felt completly at ease with him doing the procedure without being knocked out, although I dread the dentist and am normally very tense. The hardest part was the not smiling for 2 weeks after. I never thought I did smile so much with having a gummy smile and always tried my best not to. It is so important that you restrain lip movement at this crucial time. Botox before the procedure would be well worth it if the lip moves greatly. The stitches coming out wasnt the best feeling in the world but that was done in my home town by my own dentist and hes got the touch of a demented midwife!! All in all the best thing ive had done ever. Sorry this is long but hope it helps anyone with worries.

March 20th, 2009 at 08:47 PM
S Says :

Hey Kirsty,

your comment is not long, on the contrary, it is very useful. I am planning to move to US in May, and I was wondering if anyone can recommend a doctor in Seattle perhaps, so I can have the surgery there. I got some great recommendations for the lip repositioning procedure for a dentist in Belgrade, as well, from Dr Fairbairn (if anyone needs it).

March 20th, 2009 at 08:47 PM
Nancy Nairn Says :

Hey kirsty we may be adding a new informative guide to lip repositioning surgery on this website so if you would like to write and account of your experience or share some before and after photos that would be great


March 20th, 2009 at 08:47 PM
T Says :

well…ive had it done…went to see dr fairburn on monday he is lovely, very calming, the only dentist i have ever been to where i actually felt okay. i was asleep for the whole thing and now have stiches in my mouth with strict instructions not to smile which is harder than you think!!!!! ive had a little pain particularly on one side but nothing unbearable, two ibuprofen did the trick. cant wait to get the stiches out and see what it looks like!!!! fingers crossed i will actually smile with confidence at my wedding!!!!

March 27th, 2009 at 08:47 PM
kirsty Says :

Hi does anyone know who does BOTOX in the Lancaster, Preston area? Im having real trouble finding someone who will do the botox injections under my nose to help with the mobile lip. Anyone I have spoken to is not comfortable to do it in that area although I have had it done 3 times before. Any recomendations would be much appreciated as I am needing it doing asap as I have a christening a week on Sunday and wanted it doing for then.

April 12th, 2009 at 08:47 PM
Estaeban Says :

Amanda — thanks for recommending Dr. Farnoosh for fixing my gummy smile. I read your post and since I travel a lot between Surrey and LA on my recent trip to LA I saw Dr Farnoosh. He did a super job on fixing my gummy smile with lip repositioning. We emailed before and then the whole appointment was done in 2 hours. It is still healing but it looks very promising now that the swelling is going down…im so excittteeeeddddd!!! I finally can smile and not be ashamed! Thanks.

If anyone else is looking for a great gummy smile doctor in LA — this guy is nice and compassionate and the price is reasonable.

April 12th, 2009 at 08:47 PM
lip repositioning Says :

Hi Kirsty I know that london bridge dental practice to hypermobile lip surgery http://www.lbdp.co.uk and i think they also offer botox treatments and there is a clinic in Manchester called kissdental – http://www.kissdental.co.uk that does botox treatments it may be worth giving them a try if they are closer to you that treking down to surrey

April 14th, 2009 at 08:47 PM
S Says :

Amanda and Estaeban, would you mind sharing with us the price of the procedure at Dr Farnoosh? I would really like to know, since I need to plan ahead. hope the admin wont mind…

April 20th, 2009 at 08:47 PM
sarah Says :

Hello. Ive been to Dr Fairburn on the 17th April and had my lip repositioning. I now have 20 stitches but am so excited to see the final result. I also had botox 10 days before. This is to help with the healing process. I had a bit of pain on first couple of days, but nothing really to moan about. I have trhee children and the hardest part is not smiling, this is sooooooooooooooo hard .

April 22nd, 2009 at 08:47 PM
T Says :

glad youve had it done ,,,my stitches are out….i’l warn you its a bit uncomfortable nothing unbearable but it made my eyes water!!!! you have to persevere with the not smiling after the stitches come out for a little while which is so difficult as all i wanted to do was smile it still feels a little weird as it feels like ive got something stuck under my top lip….but im so pleased with the results….and so glad i got it done ….ive hated my smile for years and didnt actually realise anything could be done….wish i’d had it years ago!!!!!

now my gummy smile has gone im off to get some veneers to really makeover my smile 😉

April 22nd, 2009 at 08:47 PM
kirsty Says :

Just wanted to say how great it is to here that Peter has been able to help so many people. I was the same and was so unhappy with my smile. After so much stick at school when I was younger and seeing many people to try and help, I thought nothing could be done and had almost given up hope. I agree, the stitches coming out isnt pleasent and it does encourage you to get your teeth sorted. Before I wasnt that bothered about wonky teeth as I hated my mouth and smiling anyway, but now I can, I am waiting for my inman aligner putting in next week and cant wait for the results.
Good luck to everyone and enjoy your new smiles.

May 8th, 2009 at 08:47 PM
sarah Says :

Had my stitches out a week ago and now the time has come to smile!! I think i have forgotten how to, I seem to be holding my lip down still, i am sure this will get better over the next few days, once i relax. I have to say although I hated my gummy smile, it was my smile for 33 yrs and I feel a bit strange without it. But I am so glad I had it done, cant believe its all over. Thing is people keep saying they had never noticed my gummy smile !!!!!! But I always felt it was all people looked at.

May 8th, 2009 at 08:47 PM
S Says :

can anyone tell me how much did it cost? at least approximately. so I can plan ahead if it’s a big sum.
also, for those who had it done in the States, do you know a doctor in Seattle who is good at lip repositioning?
someone? anyone? pleeeeaase :)

August 12th, 2009 at 08:47 PM
sam Says :

I have read all the answers but want to know how long the healing time takes???

August 29th, 2009 at 08:47 PM
Liliane Says :

Hi to all,

i am glad to see people who have the same problem like me. And congratulations to all, who has gotten rid of their gummy smile.

I had a jaw surgery already, but my gummy smile is still very visible. I want my gummy smile to be fixed and i have contacted Dr. Peter F., who asked me to send him my photos to see if i am a candidate for lip repositioning. I cant wait to hear his respond.

I have question to all who had a lip repositioning

1) Is lip repositioning (Dr. Peter F.) the same like lip lowering (Dr. Farnoosh)?
2) I have a hugh distance between my upper lip and my nose. Would lip repositioning
make this distance look longer?
3) have anyone seen pics of the procedure in the internet in order to see how it is done?

Thanks to all of you :-)

September 1st, 2009 at 08:47 PM
Jenna Says :

can anyone tell me about how much it will roughly cost? i really would like to get this procedure done but i need to start saving..

September 9th, 2009 at 08:47 PM
A Says :


Ive read all your comments and am seriously considering this procedure. I have contacted lbdp for a consultation. My top lip is very high and although I’ve gotten used to it as I’ve got older I hate seeing photo’s of myself laughing. My boyfriend says he loves my smile but I feel like this surgery could help my confidence greatly. Saying that, I still want to look like me- so my question (which may sound abit silly) is to those people who have already had the surgery- When you smile is it still your smile or is it completely different? If that makes any sense?! :)


September 9th, 2009 at 08:47 PM
Lucy Says :

Hi guys, Im also interested in the lip repositioning in the uk, ive hated smiling ever since i can remember and i cant believe i didnt know this procedure existed until now! does anyone know how long it takes to get an appointment? and if i do get the procedure will i look ok to get the train back home?

September 19th, 2009 at 08:47 PM
Aria Says :

Hi Sarah/everyone,
I have just been reading all the threads on lip repositioning. I’m considering getting the procedure done and like all of you am really concious of my gummy smile. Sarah mentioned in one of her threads that she had got botox ten days before getting the procedure done. Does anyone know if this significantly speeds up the healing process?

September 19th, 2009 at 08:47 PM
Aria Says :

Hi Sam,
Sorry in that last message I also meant to ask if you have arranged to get the procedure done yet and if so where? I’ve got loads of varying degrees of information from the net with some impressive photos of those who have had the procedure done but like every surgery I’m anxious of any pitfalls that may occur also. The procedure seems to be very popular in the USA but I only know of the Scarsdale Clinic in London performing the procedure.

October 9th, 2009 at 08:47 PM
Colette Says :

Hi everyone,
I’ve been in touch with Dr Fairbairn and am hoping to have lip repositioning surgery in January (I wish I could get it done before then but unfortunately I can’t). He has suggested I have botox two weeks before and I wondered if anyone could suggest a place in the North West that does this? I’ve searched on the internet to no avail and ideally want to go to someone on a recommendation rather than just taking pot luck!


October 18th, 2009 at 08:47 PM
Anastasia Bilinskaya Says :

Kissdental is a practice in the Northwest that i believe offers botox treatments it may be worth giving them a try

October 18th, 2009 at 08:47 PM
Colette Says :

A, I share your concern as I’m keen to still look like ‘myself’, my brother-in-law thinks I should leave well alone because my smile is a part of me, but I also hate seeing pictures of myself and feel it would boost my confidence when there’s a camera around. If I ever got married I would hate to see that gummy smile on my photos! I too would love to see some before/after photos which show the whole face, rather than just the mouth area – I assume they do this to protect the patient’s identity.

However, and to respond to Aria also, I have been in touch with Dr Fairbairn and he advised that the botox greatly increases the healing process – he’s asked me to have it done 2 weeks before. I think that makes sense, if you can’t move your top lip as much there’s less chance of rupturing the stitches. I think another benefit is that you’ll get a good idea of how your smile will look after the surgery. If you have the botox done and hate your smile then you have the option of not going ahead with the surgery and just waiting for the botox to wear off. Dr Fairbairn said if I find a local botox practitioner, preferably a doctor, he will tell them how much botox he wants then to inject and where.


October 20th, 2009 at 08:47 PM
kirsty Says :

Hi I had the procudure done last year but did not have the botox before hand. I would reccomend this to anyone, as my lip line raised really high. The main benifit is it stops the pulling of the stitches as its alot harder than you think not to smile. The procudure still worked but has streched back slightly and so have botox every 6 months to keep the lip down until I can get back to see Dr Fairbairn.

I found that afer the 2 weeks and my stitches were out that was the end of the healing process with plenty of swilling your mouth with salt water to minimise infection.

As for anyone who is not sure what they will look like after, I too had a boyfriend who thought I was daft and there was nothing wrong with me. For me though, I had hated my smile so much, for nearly all of my life, I didnt care what anyone thought, I was getting it done!! My smile has altered and thats what I wanted but not in a bad way. I still look like me but without the gum.

I go to a dentist in Preston North West called Steve Hennessy, the dentists @ Watling Street Rd. He spoke to Dr Fairbairn before the botox was injected as I had 40 uints injected which is quite a high dose. He charged £140 which was the cheapest I had found in this area.
Hope this helps and good luck to anyone having it done. Its worth it!!!

October 24th, 2009 at 08:47 PM
Aria Says :

Hi Kirsty,
I have just had this procedure done in the last few days and am due to get the stitches out in just under two weeks or so. I didnt get the botox beforehand and was just wondering what other advice you could offer. I’m finding eating quite difficult as I’m really concious of not stretching my jaw around too much in case I pull at the stitches. How many stitches did you get altogether? I’m rinising my mouth with a salt water rinse a few times a day also but three days on the swelling is still quite high. How long did it take for your swelling to go down can you remember?

October 25th, 2009 at 08:47 PM
kirsty Says :

Hi Aria, I found sticking to soups worked well for me, good for my waistline too!! I think I had around 15 stitches in all and the swelling went down after a week, but then came back when the stitches came out. I was still quite careful for a few days after that just because it was tender.

October 25th, 2009 at 08:47 PM
Aria Says :

Hi Kirsty, Many thanks for your reply. I only got the surgery done on Tuesday last and on Wednesday evening there was a huge amount of swelling and I got really concerned and was starting to panic now to be honest. However I slept last night propped up on pillows and that seems to have made a big difference as most of the swelling has subsided and my lips look normal again. I got 22 stitches in all and from the tightness under my nose and above my two central incisors I’m guessing thats where most of the stitches are. As you advised Kirsty I’ll be extra careful when the stitches come out and will keep on doing the salt rinses. Were you able to brush your teeth up around near the top gumline whilst you still had the stitches in? I’m trying to keep away from the area just in case I catch one of the stitches with the side of the toothbrush and start the gum and lip bleeding.

October 25th, 2009 at 08:47 PM
Aria Says :

For the attention of Sam:
Hi Sam,
I got this surgery done on Tuesday last. Healing time takes about 4 weeks in all. Stitches come out after two weeks and then you still have to be careful not to smile for a further two weeks. The not smiling part I’m finding difficult, I’ve a persian kitten and trying not to smile at her is really difficult. Hope this helps.

October 26th, 2009 at 08:47 PM
sarah Says :

Hi all. Im now over 6 months after surgery and have found in last couple of weeks now botox has worn off that lip line has lifted a lot. its still not as bad as it was but i have sent photos to Dr fairbairn for his opinion . Dont like the thought of having it re-touched but will do so if have to. I will wait and see what he says. I have heard of people having to have it redone again.

October 26th, 2009 at 08:47 PM
kirsty Says :

Hi Aria,
I used one of those flight neck pillows for about 4 weeks to make sure I stayed sleeping on my back. I had real trouble cleaning my teeth though, as I was so scared of brushing too high and catching them.
Hi Sarah,
I didnt have the botox before my op and am planning to have it done again with as soon as I can get down to London. There is still a great improvment, hope it goes well for you.

October 27th, 2009 at 08:47 PM
Ebey mathew Says :

Hi Doctor,
my problem is the lower lip is very big and when i speak my lip get more bigger.is it treatable.please reply

October 27th, 2009 at 08:47 PM
Ebey mathew Says :

Hi doctor.
my problem is the lower lip is very big and when i speak its getting bigger.is it treatable.please reply.

November 10th, 2009 at 08:47 PM
Aria Says :

Hi Kirsty,

Hope you are well.

I meant to also ask you on the last email how did you find smiling after the stitches had been out for the necessary two weeks. Did you find that there was a slight pinching sensation under your lip when you eventually smiled? I got my 22 stitches out last Thursday so I’ve another week to go before I can smile but I find that when eating if I have to stretch a little bit more then I get a pinching sensation up under the lip. The upper lip still feels tight at the left and right side but not so much now under my nose. I found that when the stitches were in place under my nose could be really tender. I appreciate any advice you could offer as I don’t know of anybody local to me that had the procedure done.

Kind regards,

November 11th, 2009 at 08:47 PM
sarah Says :

Hi All

Was back to London on Friday and had a small adjustment done. Hope this makes a difference. Have 3 stitches on one side and 5 on the other just under my nose. In my case the muscles under my nose are so very strong, but i have my fingers crossed this will make the difference for me. My smile at the sides has improved greatly it is just in the middle where I have my main problem. I did not like the effect of the botox when I had my original procedure back in April. My husband said I looked like a Meekat !!! (Simples).

November 16th, 2009 at 08:47 PM
ash Says :

i am planning on getting the repositioning surgery done soon. i have a gummy smile and my lips dont touch when my face is relaxed, meaning, they are always slightly apart. i want to know if lip repositioning will make any difference to my lips when at rest.

November 24th, 2009 at 08:47 PM
Sarah007 Says :

Hi everyone really enjoyed reading all the posts. I have been researching gummy smile option for over a year now and on monday went to the Londone bridge dental practice, which i must say was a brilliant dental practice. I only went or a free consulation, and i was told if i have the lip repostioning done it may alter the apperance o my nose by pulling it down. Just wondering if any of u who have had it done have noticed this problem?

Look forward to hearing form u


November 30th, 2009 at 08:47 PM
sarah Says :

Dear Sarah007

I went to Scarsdale clinic and they never mentioned any alteration to my nose. This is only a soft tissue procedure so i cant see that the nose could alter that much.

December 2nd, 2009 at 08:47 PM
Sarah007 Says :

Hi Sarah,

Yea i thought the same and I have been emailing a few other clinic and they also said the surgery would not pull my nose down. I dont know what to d now!! eeekkkkkk Thanks for your help x

December 6th, 2009 at 08:47 PM
Aria Says :

Hi Sarah 007,
After a few weeks of research I got this surgery done during October 2009 and so am only just starting to smile now as the stitches are only out a few weeks and the area under my nose still feels a little tight but that was mentioned to me before I got the surgery done. The only advice I would give you Sarah is that every person is different and thus each case is going to be different.

December 7th, 2009 at 08:47 PM
Lucy Says :

Hi Sarah

Hope the adjustment has worked? hope you dont mind me asking but how much did this extra procedure cost you?.

Also does anyone know if you lose or gain lip line when the procedure is done….on some of the before and after images it looks like the lip is larger (maybe with swelling?)

December 19th, 2009 at 08:47 PM
D Says :

Hi All

I have been researching ways to deal with my gummy smile for several months and came across this site. It has been really helpful reading all your posts so thank you to everyone . I had previously considered gum contouring but having now heard about lip repositioning I am unsure about which i am more in need of.Has anyone had gum contouring? How does this differ from lip repositioning? Like you Ash my lips do not close naturally when my face is relaxed, they are always parted. I remember once my dentist telling me I had a high lip but this didn’t matter too much as I had nice teeth. However, I really don’t like my natural smile as there is far too much gum on show. I have a nice fake smile though but i just want to be able to laugh with confidence and smile without feeling like I am holding back! Lip repositioning sounds quite painful and is quite expensive so if gum contouring could tackle my problem I would much rather prefer this. I suppose the best way to figure out which is best for me is to go and see a professional but just thought I would get some views on here first. Any comments from peoplw who have had gum contouring as opposed to lip repositioning would be greatly appreciated.

December 19th, 2009 at 08:47 PM
D Says :

I forgot to ask, are there any places in Scotland that do this lip repositioning treatment?


February 8th, 2010 at 08:47 PM
CW Says :

Hi, my daughter is 12 and is quite unhappy with her high lip line. Does anyone know if this will improve with age or is lip repositioning the only alternative? Does anyone know if this surgery is best done at a younger age or best left till after she has stopped growing. I’m concious of your comments about hating your smiles and being teased whilst at school, so thought maybe best looking into this before it becomes a real phobia. Thanks to everyone for their comments.

March 2nd, 2010 at 08:47 PM
Aria Says :

Hi Sarah,
You mentioned you got a slight adjustment done in November 2009 may I ask how it is now? has getting the alteration fixed the problem?

March 9th, 2010 at 08:47 PM
Crystal Says :

Hi guys,

I’ve been following all of your comments on here, as I am also interested in correctng my gummy smile. To be honest I hadnt even properly noticed it untila while ago, used to just have moments of displeasure sometimes when I smiled too widely. My biggest concern is that I’m a right chicken when it comes to blood, and especially dentists!! Can anyone please tell me exactly what the lip repositioning procedure involves?? And roughly what is the entire cost, botox included?

Also, this may seem like a crazy thought, but if I get lip injections instead, cos my upper lip is relatively thin, do you think this would help??

Thanks! xx

May 28th, 2010 at 08:47 PM
p Says :

Hi, I have an appointment soon with an oral and facial surgoen that my orthodonist has refered me to and i’m most interested in the li re-positioning surgery. When my face is relaxed my lips don’t meet however i have straight teeth but when i smile i show all of my top gums! I never realised it could be fixed and it’s something i think about everyday however i’m concerned about the “non smiling” rule! As i’m only 19 i don’t know if i really want to get botox to stop it from moving! But i wouldn’t want it to go back. Also has anyone had a change in there lip fullness? i wouldn’t want my upperlip to appear very thin
Thanks guys so helpful reading everyone comments

June 17th, 2010 at 08:47 PM
Sarah Says :

I’m so upset, I can’t find someone that does lip-repositioning in Birmingham(UK) :(

June 24th, 2010 at 08:47 PM
GummyBear Says :

I just had lip repositioning by Peter Fairburn this morning. I have always had extremely active nasal muscles, showing at least 10mm of gum above my teeth when I smile/laugh as hard as I can (show little when talking). Dr Fairburn recommended me to botox 3 weeks prior to today. I am apparently a challenging case as I have a ‘bow-lip’ which means when I smile as hard as I can, not only does the lip go up, but the sides go even higher than the middle.

Pre-chat lasted around 30mins. I was completely numb with local anesthetic and procedure lasted approx 40mins max. Dr Fairburn cut away more epithelial tissue than for most and stitches were difficult to hold (pulled through).

So far the local has worn off and I have mild pain (taken 400mg of ibuprofen). Only rubbish thing so far is that I have been oozing ever since and bleed quite heavily on the tube (almost fainted) and was extremely embarrassing! Likely caused by the heat and my blood pressure going up. I have been sitting on computer past 2 hours and bleeding settling a bit. I have stupidly planned this trip around meeting friends and family in London, which is not wise since I should be being animated with my mouth (I am a super chatty person!) and definitely shouldn’t be giggling. I would probably recommend doing very little for the 2 days after this!

To fellow patients – Anyone else had a lot of post-procedure bleeding? Funny considering DR Fairburn kept commenting on how little I bleed during the procedure!

Thanks :) :) :) :)

September 14th, 2010 at 08:47 PM
Jenny Says :

Hi, I had the lip repositioning surgery this morning. My smile before was very gummy. I went to Scarsdale dentist & they were very polite & supportive. I was extremely nervous so was sedated. I’m now home & the numbness is wearing off now so in a bit off pain. It’s bleeding a little but not lots. I’m hoping it has worked as I have very strong lip muscles & don’t want to have Botox. Has anyone elses been ok without it?

September 30th, 2010 at 08:47 PM
Jennifer Says :

Hello, may I have the address and contact details for Peter Fairburn please?

December 26th, 2010 at 08:47 PM
Emily Says :

I don’t think this surgery is permanent, I had it done a few years ago and now I can see my lip starting to move back up a little bit.

January 22nd, 2011 at 08:47 PM
Linda Says :

Please do not get this surgery!!! I’ve had it done twice now. The first results lasted 2 months. Due to the fact that your lip is being stitched down, you always look like you are not smiling fully. it looks like you are faking a smile. The second time I had it done, my gum line was showing even after botox, and now the effect is gone completely. Now when I smile you see the scars from the surgery on my gums. THIS IS NOT A PERMANENT SOLUTION TO GUMMY SMILES AND WILL LEAVE YOU WITH SCARS ON YOUR GUMS WHICH WILL SHOW WHEN YOU SMILE! I am devastated, please don’t fall into the same trap. Hopefully the technique will improve in future, but it is certainly not working now.

January 24th, 2011 at 08:47 PM
Natalia Says :

For many years, I struggled with my gummy smile. I thought it was something I had to live with because I didn’t know there was anything that could be done to fix it. Once I started doing my research which included this website, I learned there were different procedures that could be done. Many of them said that my gums would have to be cut back using a laser to reveal more of my teeth, and botox, but I also learned about a procedure to reposition the lip.
I felt this was the right choice for me and came across Dr. Farnoosh’s website while I was online one day. I saw the photo gallery and was so impressed with the success that he had. This is why I don’t understand why Linda’s experience above was so poor. Because I had a very different experience and she did not mention who her doctor was but I think that is really important. After I met with many different dentists I do feel strongly that you should see a doctor who specializes in gummy smile treatment and has performed hundreds of cases. After reading the patient stories and seeing what great work Dr. Farnoosh did on others, I was convinced to get the procedure with him. I came from out of town and had the procedure done over 4 days and am so happy about it.

Trying to not smile for a few weeks was tough, but this procedure changed my life by giving me the smile I’ve always wanted! Which I am so so happy about. I really am surprised with Lindas comments because maybe her doctor was new to this procedure and didn’t know what he was doing…? By the way, I didn’t get any botox when I had my procedure, just the lip repositioning. Botox is not necessary… I now have the confidence I need to do the things I want to do. When I laugh or smile I am no longer worried about people staring at my gummy smile and THERE ARE NO SCARS OR MARKS from the procedure. I had the procedure done over a 16months ago and my smile looks great.

I just wanted to share my experience and wish everyone a beautiful 2011

February 6th, 2011 at 08:47 PM
Michele Says :

I’ve been researching this procedure for months. One thing that everyone keeps avoiding is the cost. Is there any reason why no one has mentioned it? Would someone please give a range of what the cost of this lip lowering surgery is? I don’t want to travel from the East Coast to the West Coast, only to find out this procedure is financially, out of reach for me.

February 18th, 2011 at 08:47 PM
Jojo Says :

In UK price is 800€ in US with Dr. Farnoosh is between 6000$ to 10,000$

February 24th, 2011 at 08:47 PM
h Says :

Linda, how long ago and who did you have it done with? Was it someone in the UK? Have you posted images of your problem any where? I’m sorry to hear it hasn’t gone well for you.

It’s good you haven’t kept quiet about your dissatisfaction.

March 2nd, 2011 at 08:47 PM
HannaH Says :


How did it go for you now? Happy with your results?

May 5th, 2011 at 08:47 PM
Mariah Says :

Hi there! I am very interested in the lip repositioning surgery. I have read a bit about the procedure and feel it would really help my smile as at the moment I am very unhappy with it. At this point I am wondering if you can give me a guide price for this and whether there is any way of spreading the cost?

May 10th, 2011 at 08:47 PM
Deon Says :

Hello, my little girl is 13 and has a very gummy smile, that is making her very self conscious and unhappy would she be viable for the gum contouring procedure and could you tell me what exactly this involves. Would she be sedated or under general anesthetic? Any help you could give would be greatly appreciated

May 10th, 2011 at 08:47 PM
Madisyn Says :

It would depend upon the degree of contouring. Some simple methods of contouring can be done painlessly with the laser. Some require surgery. I suspect she is too young for the later.

May 10th, 2011 at 08:47 PM
Kaitlynn Says :

Hello, i am interested in the lip lowering procedure. I just want to ask how permanent this procedure is? Will it last me my lifetime or is it something that is going to relapse overtime? Also, will there be a scar when i smile on my gum tissues? Thank you for you time

May 10th, 2011 at 08:47 PM
Arlene Says :

Lip lowering procedure is also calle a “lip travel reduction”. It is a good solution that is relatively non invasive compared to other choices. Botox administration in the upper lip can also give you a temporary result.

May 10th, 2011 at 08:47 PM
Megan Says :

I am thinking about getting soft tissue grafting. What issues do i need to consider before opting for this?

May 10th, 2011 at 08:47 PM
Elaine Says :

When that is indicated it is for good reason to aid in the coverage of a root surface of a tooth that is in some way compromised. Follow the suggestion…it will keep you out of more involved concerns.

May 10th, 2011 at 08:47 PM
Kaitlynn Says :

hi there can you please tell me how much it cost to sort out a gummy smile and do you do surgries in birmingham uk.thank you i am 20 years old .i am currently weraing braces to straighten my teeth but when i smile have a very large gummy smile .i have quite a long face also so this doesnt help ………cant think what else to write excet please help

May 10th, 2011 at 08:47 PM
Marianna Says :

I hope you can help me. My 8 year old daughter badly chipped one of her front teeth today diving down in a swimming pool. The damage starts at the gum and has taken a good corner of tooth away. The tooth is now sensitive to brushing. There’s nothing I can do right now on a bank holiday weekend so will have to wait until Tuesday to try and get an emergency appointment with the dentist. I’m worried about what can be done in the short and long term in terms of preventing decay, appearance & longevity of the repair. I’m also worried whether her normal dentist will be qualified to deal with this in the best way as much as a specialist in this area would be. Any advice you can offer would be greatly appreciated. Many thanks.

May 10th, 2011 at 08:47 PM
Ernesto Says :

I’m sure a regular dentist would be able to fix this but if they can’t the next person to try is a childrens dentist. Until tomorrow just keep the area as clean as possible so that it will be easier to sort out on tuesday

May 24th, 2011 at 08:47 PM
Magdalena Says :

Hello, I am looking for information on chemical peels as I have acne on mychin but I’m getting married in 2 months so I’m looking for something todeep-clense my skin for the photos.

May 24th, 2011 at 08:47 PM
Alaina Says :

I am interested in lip repositioning surgery. Can you please email me the details about this including price, the exact procedure, how long it takes,and the recovery time. Thank You

May 24th, 2011 at 08:47 PM
Carlo Says :

i am interested in botox & lip fillers

May 24th, 2011 at 08:47 PM
Hana Says :

Hi i would like to book a consultation, i am interestedin having dermafilers and botox not to sure.

May 24th, 2011 at 08:47 PM
Holly Says :

will i need botox or derma fillers for crows feet around the eyes.

May 24th, 2011 at 08:47 PM
Neil Says :

Can you please give me more information on lip repositioning surgery? Thankyou.

May 24th, 2011 at 08:47 PM
Malcolm Says :

Hello, a very close person to me is interested to improve her smile. The smile doesn’t seem nice when she opens her mouth wide both with the lips closed or open. When the lips are opened a lot, she has a gum smile. When thelips are closed, once she smiles, the face becomes too wide especially on the cheeks. Probably you need pictures to have a better idea, but could youplease inform me about your first thoughts. Thank you.

May 25th, 2011 at 08:47 PM
Kareem Says :

Hi, I was wondering approximately how much it would cost to have gum countouring and lip repositioning done? I would need a smile-wide procedure not simply for my front teeth. Any information would be greatly appreciated.

May 25th, 2011 at 08:47 PM
Carrie Says :

Hi. Im looking to get lips fillers. I want it to look natural, and only a minimal enhancement. i have naturally quite thin lips. What are your approx.prices, do uyou have any appointments on Sat this week or early next week,also. please could you reply by email, attaching some before and after pictures if possible, of work you have done. Thanks.

May 25th, 2011 at 08:47 PM
Elmer Says :

Hi, male 22 years old, currently wearing braces. I have a lopsided smile myupper right lip pulls high showing gum when smiling or talking. I am interested in lip repositioning surgery.

May 25th, 2011 at 08:47 PM
Kendrick Says :

I’m interested in the lip repositioning surgery. How much does this procedure cost? My top lip is fairly thin and becomes more so when I smile. Wouldit make it fuller in appearance also?

May 26th, 2011 at 08:47 PM
Sidney Says :

I was wondering if you carry out a procedure to fix a hypermobile top lip which is a problem that has affected me for as long as I can remember. It lead to showing too much gum when you smile and as a result I often try to avoid smiling, laughing. If so, how much does the procedure cost?

May 27th, 2011 at 08:47 PM
Jorden Says :

I am interested in lip repositioning surgery as I have gummy smile but already have fairly large teeth and healthy gums. I am just curios as to what this procedure involves as your website states it only takes halfan hour. Exactly how do you lower the upper lip?

May 27th, 2011 at 08:47 PM
Grace Says :

Hi I’m looking into procedures that would suit me best to enhance my smileand get rid of the gummy one i have now. I’m an actor and i’m constantlyinsecure about my smile. I saw a lip lowering treatment on a us website and i think thats exactly what i need.

May 31st, 2011 at 08:47 PM
Baby Says :

Hi there I am seeking help as no one in Australia seems to offer the lip repositioning surgery which I feel I need. I have a very high smile line, showing nearly 1cm of gum when I smile (I can send a photo if you wish). The lip repositioning surgery which you discuss on your website seems perfect for my problem, but no one seems to do it in Australia.

June 1st, 2011 at 08:47 PM
Karissa Says :

Hi, I am writing to you to ask for information about the lip repositioningtreatment. I feel like improving my gummy smile, though I think my case isnot severe. At the moment, I am doing an Invisalign treatment, which will be finished by July. I wonder if it’d be possible to have the lip repositioning surgery while wearing Invisalign, or if it’d be necessary to wait until the Invisalign treatment is done. I would like to have information aboutthe process and the healing time too. Thanks!

June 5th, 2011 at 08:47 PM
Casey Says :

What’s mostly my concern about the lip repositioning surgery is that relapse can occur. And a lot of people seem to have this problem. For those of you who wrote about this, to what extend was the relapse?

July 14th, 2011 at 08:47 PM
Anna Says :

Relapse is a certain occurance. Your smile WILL return to the way it was and you will have scarring on your gums, especially if you’ve had the surgery more than once. Healing time takes two weeks, but as soon as the stitches come out, your stitched-down lip will start to tear away each time you smile, little by little. My “results” lasted two months. By 3 months, my smile was back to the way it was, with scarring. You think your smile is bad now, just wait. Everyone relapses, it just depends on how long it takes. It is soft tissue after all. I had a vague idea that this might happen, but like most of us, you are so desperate to do something about your gummy smile that you’re prepared to risk it, but it is NOT worth it. You will take time off for recovery, smile really awkwardly for a few weeks, and the devastation of seeing your smile tear back to normal is just not worth it. I’m open to any new suggestions!!

July 14th, 2011 at 08:47 PM
Anna Says :

By the way, the surgery is £800. Your skin on the inside of your top lip is cut away, and then the top lip is stitched to your gums. It is soft tissue so it will return to normal, it just depends on how long it takes. It is really tight, which means that your smile does not look natural as the lip is stitched to your gums. Basically, it looks like your trying to smile, but not succeeding as it is too tight. And it is this pulling during smiling which makes your lip eventually tear away from the gums and your left with your original smile but with scars.

July 31st, 2011 at 08:47 PM
D Says :

Casey and Anna

You have both mentioned a relapse in your surgery, would you mind giving details of where you recieved treatment please?

I ask because I am very keen to get this surgery but your comments do leave me with doubts.

Also, did either of you have botox at any point after surgery? I have heard that this is recommended to help prevent a relapse.

I would really appreciate your answers to my questions, thanks in advance.

August 15th, 2011 at 08:47 PM
Anna Says :

hi D

Botox DOES NOT prevent a relapse. Botox is given two weeks before the surgery to relax your upper lip muscles, so that, when you get the surgery, it would help prevent your lip muscles from pulling as hard as they normally would, and this would give the stitches the best chance of not being yanked out when you smile. Receiving botox after this time, would do the same thing: it will help to prevent your lip muscles from pulling as hard as they used to, and hopefully to help your skin heal by preventing the muscles from pulling at the newly stitched down skin. In itself it doesn’t help healing. Now, the next problem you face (and nobody told me this – i had to find out the hard way) is that you become used to botox very quickly, so subsequent injections do not have as much of an effect as the first injection does. I’ve spoken to many different dental practices looking for a solution, and they all say that your lip muscles get used to the botox and then it eventually doesn’t work anymore. This happened to me after only two injections. You can call around for yourself. The thing is, they may not tell you the first time you call, as they want your business, but just say that you’ve had it done before (somewhere else) and say that it now doesn’t work for you anymore, and you’ll see how they agree with you. Sad, but true.

September 15th, 2011 at 08:47 PM
HannaH Says :


I just want to say thanks very much for sharing this…. it’s so sad to know :(
I was looking forward to having it done… but thanks for telling us the truth…

September 20th, 2011 at 08:47 PM
Sandra Says :

I had originally looked into lip repositioning and was getting excited about the possibility of it, but know now that it will relapse I am not considering it anymore. What’s the point?
I have come across another doctor, Dr. Zahed in USA, does anyone have any experience with this doctor? I think his method is much more invasive but it sems to be a permanent solution so maybe worth it. I’ve no idea of cost yet, but he’s in Beverly Hills so I’m sure it’s extremely expensive. I’m waiting to hear back from him at the moment.

November 16th, 2011 at 08:47 PM
Maximillian Says :

I had a frenectomy (lower lip) and free gingival skin graft a month ago. My lower front tooth was receeding, so i was told i would need these two procedures. I feel back to normal now, but i still have some pain and uncomfort where the frenectomy was done. When i smile, i feel puling where my frenectomy was done and i cant fully smile like i used to be able to. Ive read these procedures need time to heal, but ive also heard of ones with a very fast recovery. Do i just need more time to heal, or do u think something is wrong?

November 16th, 2011 at 08:47 PM
Adeline Says :

This procedure is not something I carry out personally, as our periodontists or oral surgeons normally do these , so I think it’s best you go back to your surgeon and ask for advice Sorry I can’t help any mote than that Kind regards

December 16th, 2011 at 08:47 PM
Stefan Says :

i am a 20yr old male. i have an narrow upper jaw due to which my front 2 tooth protuded and i am unable to close my lips properly. when i consulted a dentist he told me that my upper jaw cant be expanded at this age, instead my lower jaw tooth should be brought front to get the spacing b/w the jaws right.(in medical terms , he used the term open bite). AND he has also that i should get a lip surgery done since i have the shorter upper lip. please tell me whether my problem can be rectified by undergoing this above mentioned treatments.

December 16th, 2011 at 08:47 PM
Philip Says :

The dentist has the benefit of examining you so I have rest with his judgement

December 16th, 2011 at 08:47 PM
HannaH Says :


I advise you to go to your GP and ask her to refer you to a maxillofacial surgeon AND orthodontist! Both need to see you and give you a joint advise… you might be the right candidate for Jawline correction surgery. I’ve just been to see an orthodontist after my GP’s referral, and waiting for them to set an appointment for both at the same time…

If you don’t want Jawline correction surgery, its always good to get a second opinion from another dentist!

Its worth it if you are having serious problems with your teeth.

February 10th, 2012 at 08:47 PM
Josue Says :

My daughter is 7 weeks old and has an upper lip tie which is affecting her feeding. The piece of tissue is quite thick and I would imagine it will also cause a gap when her teeth come in. Is there anywhere in Britain that we can get a labial frenectomy at this age? We have been offered to have the tie released by an ENT surgeon, but from what I understand the frenectomy would be more likely to prevent a gap forming. Is this correct?

February 10th, 2012 at 08:47 PM
Gretchen Says :

Not at this stage, the baby is too young

April 8th, 2012 at 08:47 PM
bobo Says :

Hi! Could someone,please, recommend a dentist in Belgrade who does the lip repositioning? I would like to fix my gummy smile :) Thanks for all the help! 😉

April 25th, 2012 at 08:47 PM
Ciara Says :

Hi i am due to get lip repositioning done in two weeks I was advised not to go for Botox. I am getting this procedure in Belfast and have been told not to smile for 2 weeks which will be very hard for me as i am a smiley person. I had some gum contouring done and found it very good, the healing for this was brilliant I wasnt sore at all after. I keep changing my mind about the lip repositioning as I like the shape of my smile but just not the gum that shows. I was advised my lip line will be the same but only lower is this correct? Has anyone else had this procedure done in Northern Ireland as all the post are indicating to get the procedure done in theUK??

May 13th, 2012 at 08:47 PM
Ciara Says :

Hi all I got lip lowering done 3 days ago I had a bit of swelling and very little pain so far,I am very aware of the stiches though. I am finding not smiling very hard, every time I think I’m going to smile I hold down my cheeks and lip so that they don’t move completley into a smile, can anyone advise is this ok as I cannot not feel the urge to smile for 2 weeks no matter how hard I stay from anyone or anything that makes me smile!:-)

November 7th, 2012 at 08:47 PM
Angie Says :

Has anyone had this hypermobile lip surgery aka lip lowering surgery a few years ago who have experienced great results without relapse? If so, where did you go for your procedure?

March 18th, 2013 at 08:47 PM
HannaH Says :

Hi friends

Any updates from those that have done it? I am awaiting a response from Dr Fairbairn.
Happy with it? Any problems so far? did you need botox?


September 16th, 2013 at 08:47 PM
Laura Says :

Hi –

As above – anyone else a few years down the line found relapse (or better) not had relapse?


March 30th, 2014 at 08:47 PM
Amy Hill Says :

Hi im desperatly trying to find a dr in Australia gold coast that does this op
If anyone can help would be good , ive just cant seam to find anyone

August 30th, 2014 at 08:47 PM
Sav Says :

I suffered from a very bad hypermobile lip. I’m located in Ohio and went to The Ohio State dental program where I got crown lengthening, then a month later had lip repositioning surgery . I’m very happy with the results and no longer am uncomfortable with my smile. All the workers were very nice and the prices there can’t be beat. Good luck!

October 11th, 2014 at 08:47 PM
Ashley Joy Says :

Hopefully someone can answer my question, I just had this procedure done 3 days ago, I am still pretty swollen but my upper lip is so tight, and I look like a bunny rabbit
Does anyone know if this goes away, or of its an issue with where the stitches are placed, I was told that my face would go back to normal ( on the outside) and that the only thing that would change would be when I smile, but right now, my upper lip does not look normal, like I said its like pulled in and tight
Did anyone else have this issue?
I also had crown lengthing done at the same time.

February 25th, 2015 at 08:47 PM
Kristina Says :

Hi Ashley, i had it done today, and have similar issue, right half of the upper lip seems to be thinner, and when my lips are relaxed, there is a gap between my lips (which wasnt there before)… i hope its normal, or cause by swelling.
Can anybody advise?
Did your lips change shape at all? And if yes, has it dissappeared later?

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