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Published on: 9/22/2026
Most lip flip results last about 2 to 3 months, with some people seeing effects fade closer to 6 to 8 weeks and others holding results up to 4 months. The subtle rolling-outward effect usually appears within 3 to 7 days, peaks around 2 weeks, then gradually softens as the botulinum toxin wears off. Duration varies based on dose units, metabolism, muscle strength, how often you speak or exercise, and whether you have had repeat treatments. Before and after photos often show a fuller upper lip border and less gum show, but these changes are temporary and generally shorter-lived than lip filler. Several factors affect your personal timeline, so see below to understand more.
If your lips, mouth, or facial muscles feel different than expected after treatment, or you are dealing with unexpected swelling, asymmetry, difficulty speaking, or discomfort, it helps to get clarity fast rather than guessing. A free, instant, online symptom check walks you through targeted questions about what you are experiencing, flags whether your symptoms are likely a normal part of healing or something worth having evaluated, and points you toward the right type of care. It takes only a few minutes, requires no insurance or appointment, and gives you clear language to bring to your injector or physician so you can make confident decisions about your next steps.
Last reviewed for medical accuracy: 09/22/2026
A lip flip is a popular cosmetic procedure that uses small amounts of botulinum toxin (commonly known as Botox) to relax muscles around the upper lip. This subtle treatment can create the appearance of a fuller lip without adding volume. If you’re considering a lip flip, you’ve likely wondered, “Lip flip before and after: how long do results last?” Below is a clear, concise guide based on credible sources to help you understand what to expect.
A lip flip involves injecting tiny amounts of botulinum toxin into the orbicularis oris muscle (the muscle around the mouth). By relaxing that muscle, the upper lip “flips” slightly upward and outward, giving the illusion of more volume.
Key points:
Understanding the timeline helps set realistic expectations. Below is the usual progression from day 0 to several months post-treatment.
Day 0 (Procedure Day)
Day 2–4
Day 7–10
Week 4–8
Months 2–4
The longevity of a lip flip varies per individual, but on average:
Factors influencing duration:
It’s helpful to contrast a lip flip with dermal fillers to decide which option suits your goals.
| Feature | Lip Flip | Lip Fillers |
|---|---|---|
| Effect on volume | Illusion of fullness | Actual volume added |
| Duration | 6–8 weeks | 6–12 months |
| Downtime | Minimal | Possible bruising/swelling up to 7 days |
| Risks | Mild bruising, asymmetric smile | Bruising, swelling, lumps, very rare vascular complications |
| Cost (U.S. average) | $100–$300 per session | $600–$1,200 per syringe |
Lip flips are generally safe when performed by a qualified professional. Potential side effects include:
If you experience drooling, difficulty eating or speaking, or severe discomfort, contact your provider immediately.
A lip flip may be right for you if:
You might not be a good candidate if:
Before scheduling your procedure, consider:
While a lip flip is cosmetic, any unusual symptoms warrant prompt attention. If you experience any of the following, speak with a healthcare professional:
For non-emergency concerns, you might consider a free, online symptom check, using the doctor approved Ubie Symptom Checker, to help guide your next steps.
A lip flip is an effective, low-downtime way to achieve a fuller-looking upper lip. Results typically last 6–8 weeks, with variability based on individual factors. Always choose a qualified provider, understand the potential side effects, and maintain realistic expectations for before and after outcomes.
If you have any serious or life-threatening concerns, please speak to a doctor immediately.
(References)
* Villarreal-Villarreal CD, Allen E, Kassir M. Gummy smile, dermatologist or dentist? J Am Acad Dermatol. 2021 Mar;84(3):e127-e129. doi: 10.1016/j.jaad.2019.08.055. Epub 2019 Aug 29. PMID: 31473298.
* Teixeira JC, Ostrom JY, Hohman MH, Nuara MJ. Botulinum Toxin Type-A for Lip Augmentation: "Lip Flip". J Craniofac Surg. 2021 May 1;32(3):e273-e275. doi: 10.1097/SCS.0000000000007128. PMID: 33170825.
* Grewal JS, Yanik SC, Strohl-Bryan AM, Tatum SA. The unilateral cleft lip repair. Am J Otolaryngol. 2021 May-Jun;42(3):102908. doi: 10.1016/j.amjoto.2021.102908. Epub 2021 Jan 13. PMID: 33508593.
* Gatti JE. Lip-Shortening Surgery. Plast Reconstr Surg. 2023 Oct 1;152(4):765-772. doi: 10.1097/PRS.0000000000010361. Epub 2023 Mar 7. PMID: 36877617.
* Quereshy FA, Schieder GF 4th. Perioral Filler Augmentation. Atlas Oral Maxillofac Surg Clin North Am. 2024 Mar;32(1):23-33. doi: 10.1016/j.cxom.2023.10.001. Epub 2023 Nov 29. PMID: 38307632.
* Kim JS. 9-point Injection Technique for Lip Augmentation and Lip Corner Lifting Using Sonographic Imaging of the Labial Artery Pathway. Aesthet Surg J. 2024 Sep 16;44(10):1080-1090. doi: 10.1093/asj/sjae086. PMID: 38649792; PMCID: PMC11483566.
* Castellaneta F, Lombardi M, D'Antonio S, Fabrizio T. The "4.3," A New Filler Lips Technique. J Cosmet Dermatol. 2025 Jan;24(1):e16601. doi: 10.1111/jocd.16601. Epub 2024 Oct 24. PMID: 39445530; PMCID: PMC11743185.
* Pitchford CA, Desrosiers AS, Tolkachjov SN. The lip flip: a systematic review of botulinum toxin lip augmentation. Arch Dermatol Res. 2025 May 16;317(1):765. doi: 10.1007/s00403-025-04265-0. Epub 2025 May 16. PMID: 40377719.
* Hassan AM, Talanker MM, Yu P, Adelman DM, Villa MT, Hanasono MM. Lip Reconstruction Following Cancer Resection. Head Neck. 2026 Jan;48(1):206-218. doi: 10.1002/hed.70020. Epub 2025 Aug 29. PMID: 40878772.
* Menezes MVA, Dezanetti CBG, Penna FWP, Cury RSL, de Aquino SBG. Aesthetic Treatment of the Lips With Hyaluronic Acid Filler: The Multi Vector Lip Technique. J Cosmet Dermatol. 2025 Sep;24(9):e70445. doi: 10.1111/jocd.70445. PMID: 40931930; PMCID: PMC12424118.
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