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Do I need a Botox Lip Flip or Lip Filler?

Karli Plunkett, DMSc, PA-C, LME

July 18, 2023

3 min read

Lip augmentation procedures are the most common procedure in our Orlando med spa, and seems to be growing in demand nationwide. The overall diversity of lip anatomy and goals among our patients allows us to experiment with different techniques for different patients. Patients may think they know what they need before their consultant, and they're often right, though they often simply don't know what they don't know. Lip fillers and Botox lip flips are popular choices, and may appear to be interchangeable at first glance or upon searching "lip augmentation near me", though it is rare that both are suitable for the same patient. We want you to understand how they work, their differences and similarities, and which one may be the right solution for you.

Understanding Dermal Filler for Lips

Lip fillers are a form of injectable dermal fillers designed to plump up thin or aging lips, enhancing their volume and shape. The most commonly used lip fillers are made from hyaluronic acid (HA), a naturally occurring substance in the body that helps maintain skin moisture and plumpness. These fillers can subtly add volume, smooth lip lines, and enhance the lip's contour and structure.

The procedure involves injecting the filler into the lips with tiny needles. The depth and placement of the injections vary based on the desired outcome. The procedure is often done under local anesthesia and takes about 15-30 minutes. The effects of lip fillers can last anywhere from 6 to 18 months, depending on the specific product used and the individual's metabolism.

We use different hyaluronic acid fillers for different patients. Depending upon your lips, we may use JUVEDERM ULTRA®, JUVEDERM VOLBELLA®, RESTYLANE DEFYNE®, and/or RESTYLANE KYSSE®.

Why Botox for Upper Lip Flips?

Unlike lip fillers, a Botox lip flip doesn't involve adding volume to the lips. Instead, it uses Botox, a neurotoxin that works by blocking nerve signals in the muscles where it's injected. This causes the muscle to relax and reduce the appearance of lines and wrinkles.

In the case of a lip flip, Botox is injected into the orbicularis oris muscle, which surrounds the mouth. By relaxing this muscle, the upper lip slightly rolls out, or "flips," making more of the upper lip visible and giving the illusion of fuller lips. The procedure typically takes less than 10 minutes at our Orlando med spa, and the effects last around 2 to 4 months.

Lip Filler Injections vs. Botox Lip Flips

Lip fillers and Botox lip flip differ primarily in their methods and goals. Lip fillers physically add volume to the lips, making them appear fuller and plumper. On the other hand, a Botox lip flip changes the position of the upper lip, creating the illusion of fullness without adding volume.

We believe the most pleasing aesthetic is to have a larger lower lip than upper lip. Because lip flips only provide the illusion of a larger upper lip, fewer patients will need the lip flip procedure. 

Both procedures are minimally invasive and require no downtime, allowing patients to return to normal activities immediately after treatment. They're also temporary, meaning the results aren't permanent and will require follow-up treatments to maintain the effect.

The two treatments are not interchangeable, though it may be helpful to take note that lip flips cost less and need to be performed at least 3x as frequently as lip filler treatments to maintain results.

The Right Augmentation for Your Unique Lips

Choosing between lip fillers and a Botox lip flip depends on a patient's aesthetic goals, budget, and willingness to maintain results. Lip fillers are ideal for those seeking a more pronounced change in volume and contour. They allow more control over lip volume, enabling patients to achieve a range of outcomes from subtle to dramatic.

The Botox lip flip, meanwhile, is best suited for those wanting to enhance the upper lip's visibility, particularly when smiling. It's less invasive and less expensive than fillers, making it a good choice for those wanting a more subtle change or those trying lip enhancement for the first time.

In summary, both lip fillers and Botox lip flips have their advantages and can offer different results. Your lips are too precious for rushed, one-size-fits-all injections. A detailed consultation with one of our aesthetic injectors is the best way to determine which is best for you. 

Understanding these differences and similarities will help you make an informed decision about your lip augmentation journey. Whether you opt for lip fillers or a Botox lip flip, both techniques offer ways to enhance your natural beauty and confidence.

With our careful attention-to-detail and gentle hands, you're going to love your fresh lips from every angle. To learn more and see Before/Afters, you can find our Botox page, and our Lip Filler page.

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