The Evolution of Lip Enhancement: From Fillers to Lip Flips
Nearly half a decade has passed since Kylie Jenner openly discussed her lip enhancements (amidst widespread rumors and speculation), thereby catapulting lip injections into the mainstream spotlight. Over the years, various lip augmentation techniques, beyond traditional injectables, have also gained popularity. It's hard to overlook the prevalence of fuller, more pronounced lips in today's media—whether on social platforms like Instagram or in your favorite television shows. While some methods are overtly noticeable, others offer a subtler approach to achieving a more voluptuous pout.
As this aesthetic trend continues to grow, so too have the advancements and alternatives to dermal fillers for achieving a fuller lip look. One such method, known as the "lip flip," does not involve fillers but instead uses Botox above the upper lip to subtly alter the shape of the mouth. However, the results of lip fillers and the Botox lip flip are markedly different. To understand which might be more suitable for you, read on.
How Lip Fillers Function
Traditionally, a variety of hyaluronic acid–based fillers, including well-known brands like Juvéderm, Restylane, and Belotero, are employed to enhance the lips. These fillers are typically aimed at restoring lost volume due to aging or enhancing naturally thin lips. According to Dr. Oren Tepper, a board-certified plastic surgeon in New York City, "At the junction between the lip and the skin, there is a small elevated area known as the white roll. As we age, this elevation tends to flatten, and restoring this structure can significantly enhance a more youthful appearance." He further explains the area between the nose and the lips, which features two columns known as philtral columns. "Fillers can be used to accentuate these, creating a central depression that is aesthetically pleasing," he notes.
Related: Why Swelling Occurs After Lip & Cheek Fillers—and How to Minimize It
What is a Lip Flip?
The lip flip is a unique procedure that employs a neuromodulator rather than a filler. As described by Dr. Tepper, Botox is injected into the muscles surrounding the mouth, relaxing them to the point where the lips can flip outward. This method does not add volume to the upper lip like fillers do; instead, it creates the illusion of fuller lips by paralyzing the muscles near the Cupid’s bow and lip line. Essentially, it’s a form of optical illusion.
According to the American Journal of Orthodontics and Dentofacial Orthopedics, a Botox lip flip can also help in managing a gummy smile. Another study from the Dental Research Journal described it as "an innovative and effective approach" to improving a gummy smile, offering a straightforward and cost-effective alternative to surgical procedures.
Who is a Candidate for a Lip Flip?
Given the distinct outcomes, the choice between a Botox lip flip and fillers largely depends on the desired aesthetic result. If you envision achieving a look akin to Angelina Jolie’s famously plump lips, dermal fillers might be your preference. For those seeking a more subtle enhancement, the lip flip could align better with your goals. "It really depends on the individual and their specific lip structure," comments Dr. Ava Shamban, a board-certified dermatologic surgeon in Beverly Hills, California. She adds that most people lean towards a fuller look, which is typically achieved through fillers. However, some patients may benefit more from one method over the other, while others might find a combination of both to be the most effective. When used together, Botox helps shape the overall lip contour, while fillers provide additional volume. "Botox and fillers serve different purposes," notes Dr. Misbah Khan, a board-certified dermatologic surgeon in New York City. "One does not replace the other but can complement each other." She emphasizes that the final decision should be based on the physician’s assessment of the patient’s suitability for either procedure.
What is the Cost of a Lip Flip?
A Botox lip flip typically costs around $200, which is significantly less expensive than lip fillers, which usually range from $600 to $1000. However, prices can vary based on several factors, such as the number of Botox units required and your geographical location. It's important to note that you won’t achieve the same results with a lip flip as you would with fillers. Ultimately, the more volume you desire, the more you’ll need to invest in the cosmetic procedure.
Related: Tips to Make Your Lip Filler Results Last Longer
How Long Does a Lip Flip Last?
According to Dr. Shamban, the effects of Botox can last for about three months, whereas fillers tend to last much longer—typically between 6 to 18 months. If you’re unsure about undergoing a more permanent lip enhancement, the lip flip might be a more suitable option for you. Additionally, consider the potential for bruising, a common side effect of dermal fillers. "With Botox, there’s generally less bruising compared to fillers, which can be a significant concern for some," Dr. Tepper explains. However, individuals who have undergone the lip flip, such as beauty vlogger Amea May, have noted that the Botox can make the lips feel unusual for up to two weeks, and everyday activities like drinking from a water bottle or applying lipstick can feel awkward during this period. Regardless of the procedure you choose, allow 10 to 14 days to see the full results, as Botox takes time to take effect and fillers always cause some degree of swelling.
Other Lip Augmentation Techniques
There are numerous methods available for altering the appearance of your lips. Within the filler category, techniques like the Korean lift edge filler are gaining popularity. Another option is the Plasma Pen lip flip, which uses fibroblasting to reduce the space between the nose and the upper lip and elevate the lip. "LipLase is also a great choice," adds Dr. Shamban. "It’s a non-invasive laser treatment that helps achieve a fuller, more natural-looking lip using laser energy." On the surgical side, a lip lift involves removing a small strip of skin under the nose to raise the upper lip, providing a permanently fuller appearance without the need for ongoing maintenance.
Final Thoughts
To determine whether a Botox lip flip or lip fillers are right for you, consider how you want your lips to look and how much additional volume you desire. "Some people are concerned about making their lips look too large, so they avoid fillers," Dr. Tepper observes. If this describes you but you still want to add a touch of allure to your pout, the lip flip could be worth exploring.
