Beauty fads come and go, but one that has remained consistent is enhanced lips. The aesthetic appeal of the face is significantly influenced by the lips. Full lips can also help contribute to a youthful and healthy appearance. So, it’s no surprise that lip enhancement is one of the most requested cosmetic procedures.

For many years, dermal filler was the only effective way to enhance the lips. Now, those seeking the perfect pout have another option — the lip flip!

A lip flip is not the same as lip filler. The two procedures have key differences and provide totally different results. In fact, many people combine the two procedures to create a customized lip transformation that strikes the ideal balance between subtle enhancement and noticeable fullness.

In this blog, we will discuss the specifics of each technique, highlighting their individual pros, cons, characteristics, and outcomes, and answer some frequently asked questions. We will also explore why combining a lip flip with lip filler might be the best way to achieve the lips of your dreams!

What is a Lip Flip?

A lip flip involves injecting a small amount of Botox or a similar product (typically only 4-6 units)  into the upper lip to subtly accentuate your natural lip shape. The botox relaxes the muscles around the cupid’s bow, causing a gentle outward flip.

The goal with a lip flip is not to drastically change your appearance but to accentuate the cupid’s bow and create a gentle outward flip. The result? A more defined and appealing pout without significant lip volume.

A lip flip is perfect for those who want to correct a gummy smile or desire a slight, subtle enhancement without adding significant lip volume.

Pros and Cons of a Lip Flip


Subtle Enhancement

One of the major perks of a lip flip lies in its ability to subtly define your upper lip, creating a natural, sloped aesthetic that enhances your existing lip border without exaggeration.

Wrinkle Reduction Above the Upper Lip

The lip flip can help lessen the appearance of vertical lip lines, smoothing out wrinkles above the upper lip. This is achievable as the Botox in a lip flip relaxes the muscles around the cupid’s bow, smoothing the vertical lip lines.

Gummy Smile Fix

Beyond wrinkle reduction, the lip flip can address a “gummy smile” issue. Relaxing the lip muscles reduces the visibility of your gums when you smile, enhancing your overall smile aesthetics.

More Affordable Option

The lip flip comes with a lower price tag than traditional lip fillers. With just 4-6 units of Botox, the cost is significantly lower, making it an accessible choice for those seeking a subtle enhancement.

Minimal Downtime

With a lip flip, there’s zero downtime. You can return to your routine right after the injections, making it convenient for those with a packed agenda.

Short-Term Transformation

The lip flip offers temporary results, allowing you to test the waters without a long-term commitment. It is great for those who are curious about lip enhancement. It’s a short-lived enhancement, lasting approximately 3-4 months. This flexibility lets you explore the effects without a prolonged obligation.


Subtle Results that Might Be Too Mild

While the lip flip offers a delicate enhancement, some individuals may find the results too subtle for their liking. If you are looking for fuller lips, lip filler or a combination of lip flip and filler would be best.

Shorter Duration of Results

Effects of a lip flip are temporary, lasting on average about 3 months. Regular upkeep is required for continuous results, making consistent appointments necessary for maintaining the lip flip’s effects.

Delay in Results

Patience is key with the lip flip. Complete results take about a week to become visible, so this might not be the ideal choice if you’re looking for an immediate transformation.

Short-Term Numbness and Swelling

As with any cosmetic procedure, there’s a chance of experiencing short-term numbness and swelling after the lip flip. While these side effects are typically temporary, it’s something to consider when planning your schedule around the procedure.

Difficulty Performing Some Everyday Activities

Due to the temporary alteration of muscle movement caused by the lip flip procedure, some people have reported having temporary issues spitting, whistling, drinking through a straw, rubbing the lips together (such as after applying lip balm), and pronouncing certain words. If they occur, these experiences are typically short-lived and only associated with the settling process of Botox.

What is Lip Filler?

Lip filler, also known as dermal filler, is a type of gel-like substance that is usually made up of hyaluronic acid. It can be injected into the lips to enhance their volume, shape, and contour. Hyaluronic acid is a natural substance found in the body, which makes it a safe and compatible option for cosmetic procedures.

This gel has the ability to attract and retain water, which gives the lips a plump and hydrated appearance. The procedure is highly customizable, which means that skilled practitioners can adjust the volume and shape to meet individual preferences. This means that the results can range from a subtle enhancement of the lips to a more dramatic transformation, depending on what the patient wants.

Lip filler injections are known for their quick and relatively painless procedure, with minimal downtime required for recovery. The effects of the treatment can last from six months to over a year, depending on the type of filler used, the amount injected, and the individual’s metabolism.

Pros and Cons of Lip Filler


Long-Lasting Plumpness

Unlike some temporary enhancements, lip filler offers results that can last up to a year. This means you can enjoy a consistently plump, defined look without frequent touch-ups, providing a longer-lasting solution. You can read this article for more details on when to reschedule your dermal filler. 

Volume Enhancement

No smoke and mirrors here – lip filler delivers actual volume and shape to your lips. It’s a tangible enhancement that not only plumps but also smoothens the lines around your lips, giving you a well-defined pout.

Immediate Results

One of the standout features of lip filler is its instant gratification. While it takes a couple weeks for the filler to fully settle, you can witness the transformation right after the procedure, allowing you to flaunt your enhanced lips immediately.

Safe and Natural Composition

Lip fillers commonly use hyaluronic acid, a substance naturally found in the body. This makes it a safe choice with a low risk of allergic reactions.

Controlled Volume Increase

With lip filler, our skilled team has precise control over the volume increase. The amount of filler injected can be adjusted to meet your vision, ensuring a personalized and tailored enhancement.


Higher Price Tag

Lip filler has a relatively higher price tag than a lip flip. While it requires a more significant upfront investment, the extended duration of results justifies the cost for those seeking a longer-lasting solution.

Potential Side Effects

While generally considered safe, lip filler may present some side effects, including tenderness, bumps, swelling, bruising, and redness. It’s important to note that these side effects are typically mild and transient, lasting no more than a month in most cases.

How is a Lip Flip Different From Lip Filler?

These two procedures may share the goal of achieving enhanced, more defined lips, but their techniques and outcomes differ.

Lip Flip Key Features

  • BOTOX® is the injectable of choice for a lip flip.
  • Results last approximately 8-12 weeks.
  • Subtly enhances the appearance of the upper lip.
  • Provides control over the lip shape.

Lip Filler Key Features

  • Dermal filler, often using hyaluronic acid, is the chosen injectable for lip filler.
  • The effects can last up to a year.
  • Offers customizable volume increase for the lips.
  • Involves injecting filler into various areas of the lips.

Key Differences Between Lip Filler and Lip Flip

The main distinction between lip filler and lip flip is in the results they achieve. While a lip flip creates a subtle enhancement without adding extra volume, lasting for about three months, lip filler adds volume and smoothes out lip lines, resulting in a more dramatic enhancement that can last for up to a year.

The procedures also differ in execution. A lip flip is a quick and minimally invasive process that involves Botox injections into the lip line to create a subtle upward flip. This procedure is particularly effective for reducing lip movement while smiling and addressing concerns such as a gummy smile.

On the other hand, lip filler requires a more complicated process. The filler is injected into different areas of the lips using a tiny needle. While a numbing cream is applied beforehand, some discomfort may still be experienced, and there is a possibility of swelling and bruising post-procedure.

Ultimately, choosing between a lip flip and lip filler depends on your aesthetic goals and preferences. Evaluating the advantages and disadvantages of each procedure can guide you in selecting the method that best suits your desired outcome.

Can You Combine Lip Filler and a Lip Flip?

Yes! You do not have to choose between a lip flip and lip filler. Because they serve distinct yet complementary purposes, many combine the procedures to create a dynamic and personalized lip enhancement experience.

A lip flip, utilizing Botox to relax muscles around the mouth, offers an elegant lift to the upper lip, reducing the appearance of a gummy smile and accentuating the cupid’s bow. On the other hand, lip filler, often composed of hyaluronic acid, adds volume and fullness to the lips, sculpting a plump and alluring pout.

When these two procedures come together, they create a harmonious symphony of subtle refinement and noticeable fullness. The lip flip’s subtle lift and contour enhancement complement the volumizing effects of lip filler, resulting in a more pronounced and enduring enhancement than when either procedure is performed alone.

You can also opt to have the procedures performed at different times, using a lip flip in between filler appointments. By strategically integrating a lip flip between filler appointments, you may extend the benefits of the lip flip, maintaining the refined contours and lift achieved.

So, the answer is a resounding yes – not only can you combine lip filler and a lip flip, but it’s often suggested to create the desired outcome of lip enhancement.

Pros and Cons of Combining Lip Filler with a Lip Flip

Combining lip filler with a lip flip offers various benefits for achieving a well-rounded and personalized lip enhancement. However, it’s crucial to weigh these advantages against potential drawbacks.

Here are a few pros and cons of combining lip filler and a lip flip. However, consulting with a qualified practitioner is advised to better understand how this combination might align with your individual lip goals and preferences.

You can also check out this article for more on how fillers can enhance botox treatments. 


Enhanced Balance

Combining lip filler and a lip flip creates a unique, balanced lip aesthetic. While the lip flip refines the upper lip contours and reduces a gummy smile, the lip filler adds volume and fullness, resulting in a comprehensive and balanced enhancement.

Customized Results

Combining these procedures allows you to tailor the results to your specific aesthetic goals. The lip flip provides subtle refinement, while lip filler allows for personalized adjustments to achieve your lips’ desired shape, size, and overall appearance.

Extended Benefits

Incorporating a lip flip between filler appointments may extend the benefits of the lip flip, preserving the refined contours and lift achieved. This strategic approach can produce a more continuous and radiant result over time.


Increased Cost

Combining procedures typically comes with an additional cost. While each procedure may have its price, the cumulative expense of a lip flip and lip filler should be considered.

Possible Discomfort

Undergoing multiple procedures may result in increased discomfort, especially if you have a lower pain tolerance. While practitioners often use numbing agents, the overall experience may be more intense compared to undergoing a single procedure.

Extended Recovery Time

While lip enhancements generally have minimal downtime, combining procedures might extend recovery. Swelling, bruising, or other side effects may persist longer when two treatments are performed closely.

Varied Duration of Results

A lip flip and lip filler have different results with different durations. The lip flip’s effects may last around 8-12 weeks, while lip filler can provide results for up to a year. This longevity discrepancy means that the combination’s synchronized benefits may not persist uniformly over time. This can easily be remedied by booking additional lip flip appointments as needed.

Which Hurts Worse? Lip Flip or Lip Filler?

Pain perception varies from person to person, and both lip flip and lip filler procedures involve some level of discomfort. However, keep in mind that pain is subjective, and factors such as individual pain tolerance, anxiety levels, and the specific technique used by the practitioner can influence the experience.

The lip flip procedure generally involves a series of small injections along the upper lip. In contrast, lip filler requires injections into the lip tissue. Many individuals describe both procedures as tolerable, with minor discomfort during the injections. A topical numbing cream or a dental block can help minimize pain during both procedures.

If pain concerns you, discussing it with your practitioner beforehand is advisable. They may provide recommendations for managing discomfort during the procedure and ensure a positive experience.

Lip Flip FAQ’s

Whether it’s a lip flip or lip filler, there is a lot to understand before getting lip injections. Additionally, you should understand the products used for each procedure. Botox and dermal fillers have distinct differences. 

Throughout this blog, we’ve already answered some of the most frequently asked questions about a lip flip – such as what a lip flip is, how it differs from lip filler, if a lip flip is painful, and if you can combine a lip flip with lip filler.

Here are a few other common questions and answers from our expert injectors:

Is a Lip Flip Safe?

Yes! A Lip Flip is considered a safe procedure. Although it’s noteworthy that Botox, the key ingredient in a lip flip, is an off-label treatment for this specific area, it has a well-established safety record in cosmetic use.

The off-label status simply means it’s not yet FDA-approved for lip flip purposes. Rest assured, experienced practitioners commonly perform this procedure with positive outcomes. Always consult with a qualified practitioner to discuss potential risks and benefits tailored to your unique circumstances.

What is the average cost of a Lip Flip?

Lip Flip costs vary, but because only a few units of Botox are needed, a lip flip is almost always more affordable than lip filler. Prices depend on the practitioner and location.

Are there any long-term side effects of a Lip Flip?

No, long-term side effects are rare. Temporary swelling and bruising are a lip flip’s most common side effects; however, this doesn’t happen for every patient and goes away quickly.

Can I get a Lip Flip if I’ve had lip filler before?

Yes, a lip flip can be done even if you’ve had lip filler. They can complement each other for a comprehensive enhancement.

How often do I need to get a Lip Flip to maintain results?

The effects of a lip flip last around 8-12 weeks, so repeat treatments are typically scheduled within this timeframe for consistent results.

Can a Lip Flip be reversed if I don’t like the results?

While rare, Botox effects can be partially reversed with another injection. However, it’s essential to consult with your practitioner first. Because the results are temporary, most people who are unsatisfied with their lip flip simply wait it out.

Can a Lip Flip be performed on the lower lip?

While less common, a lip flip can be done on the lower lip for specific enhancements. Discuss your goals with your practitioner.


The desire for the perfect pout isn’t a trend we predict to go away anytime soon. However, we are seeing more people seek subtle lip tweaks over dramatic, voluptuous lips. While dermal filler can offer subtle results if you don’t over-fill, a lip flip is the perfect way to achieve a more refined and understated enhancement.

Lip flip is perfect for those who want lip enhancement without volume or want to help correct a gummy smile. In contrast, filler is better for those who seek fuller, poutier lips. Combining a lip flip and lip filler can provide a harmonious balance, addressing different aspects of lip aesthetics.

Consulting with our experienced practitioners is vital to exploring the options and determining the ideal solution for your unique lip goals.

Lip Flip and Lip Filler in Middle Tennessee

Lip enhancement requires precision, skill, artistry, and expertise. You want to ensure that your injector is licensed to inject and specifically has experience in lip enhancement.

While the results of both a lip flip and lip filler will fade with time, and there is the option to have both Botox and dermal filler dissolved, it is still important to only use an experienced injector. Not only will this lessen the chances of you being dissatisfied with your results, but it will also ensure heightened safety and expertise.

At The Lett Center, we firmly believe that the key to delivering exceptional plastic surgery results lies in a combination of education and experience. We are dedicated to staying abreast of the latest techniques and standards in lip enhancement, ensuring our patients receive the safest and most optimal outcomes.

Contact us today to book a complimentary lip enhancement consultation.