Botox Lip Flip NYC: The Subtle Alternative to Lip Filler

The lip flip is a precise, off-label technique in which a small amount of neuromodulator — typically four to eight units — is injected into the orbicularis oris, the muscle that encircles the mouth. By gently relaxing the portion of the muscle that pulls the upper lip inward, the treatment allows the lip to roll slightly outward, creating the appearance of a fuller, more defined pout without adding any volume.

At our practice, we primarily use Daxxify (dabotulinumtoxinA-lanm), a peptide-formulated neuromodulator that many patients find lasts longer than traditional options. Results from a lip flip typically appear within three to five days and last one to three months, making it an ideal introduction to cosmetic lip treatments for patients who prefer a conservative approach.

What to Expect During and After Your Lip Flip

The procedure itself takes only a few minutes and involves a series of small injections along the upper lip border. Most patients describe the sensation as a brief pinch — no topical anesthetic is usually required, though one can be applied for comfort.

There is no downtime after a lip flip. You can return to your regular routine immediately. We recommend avoiding pressing on the treated area for the first 24 hours and steering clear of intense exercise on the day of your appointment to allow the product to settle properly.

How many units of Botox are used for a lip flip?

Most lip flips require between 4 and 8 units of neuromodulator, though the exact amount depends on your muscle strength and anatomy. This is a very small dose compared to other treatments.

Can I combine a lip flip with lip filler?

Yes. A lip flip pairs beautifully with a small amount of hyaluronic acid filler for those who want both a subtle volume boost and a more visible upper lip when smiling. The two treatments complement each other, and combining them often means less filler is needed.

How much does a Botox lip flip cost?

At most NYC practices, a lip flip typically costs a few hundred dollars ($300–$700) per session. At The Dermatology and Laser Group, the lip flip is included as a complimentary enhancement for any patient receiving a neuromodulator treatment.