The Botox Lip Flip: Everything you need to know

One of the most youthful and attractive features of lips is the that little flip at the top edge of the upper lip. Some of us aren’t born with much of one, and it disappears with age in all of us. Now we can restore or enhance it using a technique called the Botox Lip Flip.

Botox Lip Flip enhances the flip of the top lip
The Botox Lip Flip enhances the flip at the top edge of the upper lip.

How is the Botox Lip Flip performed?

For the Botox Lip Flip, Botox is injected into the muscle that goes around the mouth (called the orbicularis oculi muscle). This is the muscle we use to purse our lips or whistle.

By relaxing it though, our lips roll up a little bit and enhance the natural flip.

How much Botox is used?

Generally, only 2-4 units are required. To put that into perspective, we usually use 12-24 to treat the frown.

What are the downsides?

Aside from the minimal risks of getting a bruise or an infection with any needle stick, the main risk associated with the Botox Lip Flip is overdoing it. Too much Botox weakens the muscle so much that it is difficult to pronounce the letter “p” or hold soup in your mouth.

How long does the Botox Lip Flip last?

Results wear off a little sooner than other areas. This is due to the relatively low number of units used and the dynamic nature of this area.

Most patients need to repeat treatment every 2 months. The more Botox used, the longer the results will last. Unfortunately, though, we can’t use very much Botox in this area.

Can it be combined with fillers?

The Botox Lip Flip and lip filler injections can definitely be combined at the same visit. This is a great way to fully enhance lips as they work in different ways and complement each other.

Who is a bad candidate for the Botox Lip Flip?

Most patients do well with this procedure. However, we are cautious in older patients with very thin lips. Sometimes, these patients do not have enough elasticity in their upper lip skin and injecting Botox can actually make the lip thinner by relaxing the muscle.

Can neurotoxins other than Botox be used?

Yes. The other currently available muscle relaxers including Dysport and Xeomin work just as well.

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