Background: A conservative and reversible surgical procedure for treating excessive gingival exposure is lip repositioning (LR) (EGD). Purpose: The research compares two LR methodologies. 1) Comparing the amount of gingival display reduction (GDR) following LR without (Group 1) versus with (Group 2) myotomy, stratified according to the cause of the EGD, is one of the aims. Comparing the gingival display rebound (GDRB), patient compliance, and morbidity are the other two comparisons. Methods: To ascertain whether the patient's EGD was caused by a single or multiple factors, diagnostic data were gathered prior to surgery. Digital callipers were used to measure the gingival display (GD), lip length (LL), and vermillion border length (VB) before and after surgery (up to six months later). The LL shift, VB change, GDRB, and GDR were the primary efficacy parameters. Using a grin questionnaire and a visual analogue pain scale, secondary outcomes were evaluated (VAS). The collected data were analysed using xyz for scaled parameters and ANOVA for metric parameters in SPSS (version 25.0). The p-value cutoff for statistical significance was established at 0.05. Results: Integrating the results of the two operations revealed an overall average GDR of 2.63mm (SD = 0.291 mm), an overall average decline in LL of 1.58mm (SD 0.592mm), and an overall average rise in VB width of 1.1mm (SD = 0.211mm). The two surgical methods had statistically significant variations in GDR and GDRB, with the myotomy group having a higher average GDR and a lower GDRB. Between the two surgical methods, there were no statistically significant differences in either patient satisfaction or patient morbidity. Conclusion: Therapeutic interventions for patients with EGD include LR with and without myotomy. According to our research, executing a myotomy boosts total GDR, prevents GDRB, and enhances outcomes in several causes.