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A newer and more recent type of lip augmentation procedure uses Botox®. The lips are shaped and plumped up to create a more pronounced pout. The effects achieved through Botox® are subtler because the approach used involves flipping out the lips along the lip line and rolling them outwards slightly to create a “sexier” look.


If you would like to enhance your lips but feel like fillers aren’t your style, you might consider Botox injections, in a quick procedure called a “lip flip.” Our injectable specialists have been getting requests for this lip enhancement option at Skin Envy Dermatology, and patients who try it love their results.  The Botox lip flip can be an excellent alternative to fillers for patients who want a more subtle lip enhancement, as well as those who want to enhance the shape of their upper lip with minimal effort.

What is the Botox lip flip?

As the name implies, the Botox lip flip involves using Botox to enhance the upper lip. Just a few quick injections can help the upper lip relax and roll slightly upward, which allows more of the upper lip to be visible. It is an excellent alternative to fillers for patients who want a more subtle enhancement than fillers provide, or for those who want to enhance the shape of their upper lip with minimal effort.

How does the lip flip work?

To perform a Botox lip flip, our injectable specialists make a series of injections just above the upper lip, into the orbicularis oris muscle, which encircles the mouth. Botox temporarily relaxes the part of the muscle over the upper lip, causing the lip to roll slightly upward so it appears more voluminous and defined. This muscle relaxation can also help smooth vertical lines around the lips. Most patients notice the effects within a few days of treatment, with full results in about one week.

Botox lip flip vs. lip fillers

The Botox lip flip isn’t a substitute for lip fillers. We perform both at Skin Envy Dermatology, as we have patients who are better suited to one treatment or the other, or both. Our injectable specialists consider your natural lip anatomy, your desired outcome, and your personal preferences when deciding whether Botox or a dermal filler, such as Juvéderm XC or Volbella XC, is the best lip enhancement option for you.

You likely will be happy with the Botox lip flip if: 

  • You would like a subtly more prominent “pout” to your lips

  • You feel your upper lip looks invisible when you smile

  • You want fuller-looking lips but do not want additional volume

  • You want a more temporary treatment (3-4 months)

Fillers are likely a better lip enhancement option if: 

  • You would like additional volume in the upper and/or lower lip

  • You would like to address more severe vertical lip lines

  • You would like to improve overall lip shape and symmetry

  • You want a longer-lasting lip enhancement (6-12 months)


In some cases, the best solution for a patient is to combine Botox with fillers. Using fillers to enhance lip volume and Botox to lift the upper lip slightly can achieve a beautiful effect for patients with very thin lips.

How much does the Botox lip flip cost?

The typical Botox lip flip costs $80 – $200 per treatment. If you’re surprised at how inexpensive this seems, consider that we only need a few units of Botox to achieve the desired “lip flip” effect. Each person and the amount needed varies. It is important to keep in mind that the Botox lip flip only lasts two to three months, and you’ll need to return for treatment about two to three times as often as you would for filler injections. That said, Botox can be a very cost-effective solution for patients desiring a subtle, but meaningful improvement in lip appearance. You can schedule your free consultation to discuss how many units you may need for your Lip Flip.

How can I get a natural lip flip result?

While it may sound simple to get fuller looking lips with Botox, not every injector is qualified to perform a lip flip. It takes a very high level of skill and knowledge of anatomy to achieve the right effect, so be sure you choose a highly qualified specialist who has specific training and plenty of experience performing the Botox lip flip. Over treating is a real risk with inexperienced providers and can limit your ability to move your lips normally. For instance, you may not be able to whistle or use a straw until the Botox starts to wear off if too much Botox is used or if it is injected into the wrong location.


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