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What Is a Botox Lip Flip?

A Botox Lip Flip is a nonsurgical medical aesthetic procedure that uses small amounts of neuromodulators, such as Botox, to relax the muscles around the upper lip. This relaxation causes the lip to gently evert, or flip outward, creating the appearance of a fuller, more defined lip shape without adding actual volume. As Dr. Sherly Soleiman, MD, a board-certified physician and national trainer for Allergan, explains, “Botox does not actually change the volume of the lips. It just changes the shape. It everts it, which means it turns it out so that it has the illusion that it has more volume in it, but in fact, the actual volume of the lip does not change.” (YouTube)

Lip Flip Vs Lip Filler Dr Soleim | Cosmetic Injectables Center Medspa | Sherman Oaks, Los Angeles, Ca

How Does a Lip Flip Work?

The Lip Flip targets the orbicularis oris muscle, which encircles the mouth. By injecting a small amount of Botox into specific points above the upper lip, the muscle relaxes, allowing the pink part of the lip to roll slightly outward. This creates a subtle enhancement in lip shape and definition, making the lips appear fuller without increasing their actual size. The procedure is quick, minimally invasive, and performed in-office by experienced practitioners at Cosmetic Injectables Center Medspa under the direct supervision of Dr. Soleiman.

Lip Flip vs. Lip Filler: Key Differences

Volume and Results

  • Lip Flip: Provides a subtle enhancement by changing the lip’s shape, not its volume. The effect is an illusion of fullness, ideal for patients seeking a natural look or improved definition without added bulk.
  • Lip Filler: Uses hyaluronic acid-based dermal fillers to physically add volume, contour, and structure to the lips. Results are more pronounced and customizable.

Duration

  • Lip Flip: Effects typically last 6 to 8 weeks, depending on the amount of Botox used and individual metabolism.
  • Lip Filler: Results can last from 6 to 18 months, depending on the product and patient factors.

Side Effects and Sensation

  • Lip Flip: May cause temporary changes in speech, such as softer pronunciation of “B” and “P” sounds, and a mild numb sensation. These effects are generally subtle and often become less noticeable with repeated treatments. Dr. Soleiman advises, “It’s something you want to try during downtime, not right before a wedding or before giving a speech.”
  • Lip Filler: Does not affect speech or lip sensation but may cause temporary swelling or bruising at the injection site.

Use in Combination

Dr. Soleiman often recommends combining both treatments for optimal results: “We normally like to use both of them together because one will volumize and the other reduces the metabolism of the filler so that it lasts longer.” Botox can help prolong the effects of fillers by reducing muscle movement and filler breakdown.

How Many Units of Botox Are Used for a Lip Flip?

The number of Botox units required for a Lip Flip varies based on the desired degree of enhancement and individual anatomy. According to Dr. Soleiman, “You can go on the milder side, which then doesn’t last as long, and that would be around 2-2.5 units, and it could be as high as 10 units. The difference is maybe one lasting about 3-4 weeks, while the other can last 6 to 8 weeks.” The appropriate dosage is determined during a personalized consultation with an experienced injector.

Who Is a Good Candidate for a Lip Flip?

Ideal candidates for a Lip Flip are individuals seeking subtle enhancement of their upper lip’s shape and definition without adding volume. It is especially suitable for those who notice their upper lip disappears when smiling or want to improve lip symmetry. Patients seeking dramatic volume or structural changes may benefit more from dermal fillers.

Safety, Recovery, and Side Effects

The Lip Flip is considered a safe, minimally invasive procedure when performed by a board-certified physician or experienced injector. Common side effects include mild swelling, bruising, or temporary changes in speech or sensation. Serious complications are rare when proper technique and dosing are used. Dr. Soleiman and her team at Cosmetic Injectables Center Medspa prioritize patient safety and natural-looking results, employing advanced techniques to minimize discomfort and risk.

Why Choose Cosmetic Injectables Center Medspa for Your Lip Flip?

Dr. Sherly Soleiman, MD is a nationally recognized expert in nonsurgical medical aesthetic procedures, with over 25 years of experience and a reputation for safety, artistry, and patient-centered care. As a national trainer for Allergan and a key opinion leader in the field, Dr. Soleiman has educated countless practitioners on advanced injection techniques (Doximity, AMA). Her practice, Cosmetic Injectables Center Medspa, is ranked in Allergan’s Top 1% nationally and is known for its conservative, natural approach to facial enhancement. Dr. Soleiman’s expertise is regularly featured in educational content for platforms such as CareCredit and RealSelf.

Frequently Asked Questions

What is the main difference between a Lip Flip and lip filler?

A Lip Flip uses Botox to relax the upper lip muscle, causing it to roll outward for a subtle enhancement. Lip fillers add physical volume and structure using hyaluronic acid-based products.

Does a Lip Flip make my lips bigger?

No, a Lip Flip does not increase the actual volume of the lips. It creates the illusion of fullness by altering the lip’s shape.

How long does a Lip Flip last?

Results typically last 6 to 8 weeks, depending on the amount of Botox used and individual metabolism.

Are there side effects to a Lip Flip?

Possible side effects include mild swelling, bruising, temporary changes in speech (softer “B” and “P” sounds), and a slight numb sensation. These effects are usually mild and temporary.

Can I combine a Lip Flip with lip fillers?

Yes, combining both treatments can enhance results. Botox can help prolong the effects of fillers by reducing muscle movement and filler breakdown.

How many units of Botox are used for a Lip Flip?

The amount varies, typically ranging from 2 to 10 units, depending on the desired effect and patient anatomy.

Will a Lip Flip affect how I speak?

Some patients notice softer pronunciation of certain letters and a mild numbness, especially after the first treatment. Most adapt quickly, and these effects are generally not noticeable to others.

Is the Lip Flip procedure painful?

Discomfort is minimal. The procedure uses very fine needles, and topical numbing can be applied if needed.

Who should perform my Lip Flip?

A Lip Flip should be performed by a board-certified physician or experienced injector with specialized training in facial anatomy and neuromodulator techniques.

How do I know if I am a good candidate for a Lip Flip?

If you want a subtle enhancement in lip shape without added volume, or if your upper lip disappears when you smile, you may be a good candidate. A consultation with an experienced provider is recommended.