Is a Lip Flip the Same as Lip Filler?

No. A lip flip and lip filler are two different treatments that use different products, work in different ways, and produce different results. A lip flip uses a small amount of neurotoxin to relax the muscle above the upper lip, allowing it to curl outward slightly. Lip filler uses a hyaluronic acid gel injected directly into the lip tissue to add volume, shape, and definition. The two treatments are sometimes confused because both address the appearance of the lips, but they are not the same procedure.

Watch: Lip Flip vs Lip Filler in Under a Minute

Not sure which treatment you actually need? This short video from our clinical team covers the key difference so you can walk into your consultation already knowing what to ask.

What Is a Lip Flip?

A lip flip is a neurotoxin treatment. A small amount of Xeomin, Botox, or another botulinum toxin type A is injected into the orbicularis oris, which is the muscle that rings the upper lip. When that muscle relaxes, the lip rolls slightly outward rather than tucking inward. The result is the appearance of a fuller upper lip without adding actual volume.

Key points about a lip flip:

• Uses neurotoxin, not filler
• Affects the upper lip only
• Results are subtle and temporary, typically lasting 6 to 8 weeks
• Does not add measurable volume to the lip
• Works by changing how the lip sits at rest, not by adding tissue
• A good option for someone who wants more visible upper lip without a significant size change
• Results may vary based on anatomy and neurotoxin placement

A lip flip can soften the appearance of a gummy smile for some patients, where a significant amount of gum shows above the upper teeth when smiling. This is a clinical consideration that your provider will assess during your consultation.

At Express Med Spa, our nurse injectors perform lip flips using Xeomin and Botox. Both are FDA-approved botulinum toxin type A neurotoxins. Xeomin is a purified formula with no additives. Not sure which neurotoxin is right for you? Read our Xeomin vs Botox comparison to learn how they differ. We also offer Letybo, the newest FDA-approved neurotoxin option. Pricing starts at our per-unit rate and varies based on how many units are used.

After your lip flip, your provider will walk you through Xeomin aftercare tips to protect your results during the first 24 hours.

What Is Lip Filler?

Lip filler is a dermal filler treatment that adds physical volume and definition to the lips. The most common filler materials used in lip augmentation are hyaluronic acid gels. Hyaluronic acid is a substance naturally found in the body, which makes it well-tolerated for most patients.

During a lip filler appointment, a nurse injector places the filler in precise locations within and around the lip to achieve the desired shape. Depending on the product used and the technique applied, filler can:

• Add volume to the upper lip, lower lip, or both
• Define the lip border and Cupid’s bow
• Smooth vertical lip lines
• Improve symmetry
• Create a more projected look at the profile

Lip filler results are visible right away and typically last 9 to 12 months, though this varies by patient and product. Learn more about how long lip filler lasts and what affects the timeline.

At Express Med Spa, lip filler is available starting at $599 per syringe. Our providers work with premium hyaluronic acid products and tailor placement to each patient’s anatomy and goals. Wondering when to come back for a touch-up? Our guide on how often you should get lip filler covers what to expect long term.

Lip Flip vs Lip Filler: Side-by-Side Comparison

The growing interest in both treatments is not just anecdotal. A 2025 peer-reviewed study published in the Journal of Cosmetic Dermatology analyzed longitudinal public search trends for lip filler and lip flip alongside a review of clinical literature, finding that patient interest in both treatments has risen consistently over time. Lip Filler vs Lip Flip: Longitudinal Public Interest and Literature Review. Read the full study via the National Library of Medicine.

Which One Is Right for You?

The answer depends on what you want to change about your lips.

Consider a lip flip if:

You want your upper lip to appear slightly fuller without adding volume. You are new to lip treatments and want to start with something subtle and short-term. You are curious about how neurotoxin feels before trying filler.

Consider lip filler if:

You want a visible increase in lip size or fullness. You want results that last longer than a couple of months. You want to address lip symmetry, border definition, or vertical lines around the mouth.

Consider both if:

Some patients choose to combine a small amount of lip filler with a lip flip for added projection and upper lip visibility. This is sometimes called a lip combo and can create a balanced result that neither treatment achieves on its own.

Before either appointment, review what to do before lip injections so you arrive prepared and reduce your risk of bruising and swelling.

The best way to decide is through a consultation with one of our nurse injectors. They will look at your lip anatomy, listen to what you want to change, and recommend an approach that fits your goals.

Can You Combine a Lip Flip With Lip Filler?

Yes, a lip flip and lip filler can be done in the same appointment or at separate visits. Some patients find that combining the two gives them the most balanced result, particularly those who want more upper lip visibility after filler without adding excessive volume. Some also find that combining the two can reduce the appearance of smiling lip creases after filler. Your provider will help you decide whether combining makes sense based on your anatomy and desired outcome.

If you are getting both at the same appointment, the filler is typically placed first, followed by the neurotoxin for the lip flip.

Does a Lip Flip Hurt?

A lip flip involves a small number of injections into the muscle above the upper lip. Most patients describe the sensation as a quick pinch. The treatment takes only a few minutes. No topical numbing is typically required for a lip flip, though it can be applied if you prefer.

Lip filler appointments involve more injection points and take longer. A topical numbing cream is applied before treatment to reduce discomfort. Learn more about what to expect during a lip filler appointment.

How Long Does Swelling Last After Each Treatment?

After a lip flip, any swelling is minimal and typically resolves within 24 to 48 hours. After lip filler, swelling is more noticeable and may peak in the first 24 to 72 hours before settling over 1 to 2 weeks. For a detailed look at the recovery timeline, see our guide on how long lip filler swelling lasts.

Bruising from lip filler is also possible and usually fades within a few days to a week. For day-by-day guidance on what to expect through each stage of healing, read our post lip filler care guide. Reviewing our lip filler aftercare guide before your appointment can help you plan accordingly.

Where Can I Get a Lip Flip or Lip Filler Near Me?

Express Med Spa offers both lip flip and lip filler treatments at all four Chicagoland locations. Find your nearest location in Frankfort, La Grange, Shorewood, and Mount Greenwood in Chicago. All injectable treatments are performed by trained nurse injectors under the clinical oversight of Stefanie Drozd, MSN-APRN, our founder and lead nurse practitioner.

Frequently Asked Questions: Lip Flip vs Lip Filler