
The lip flip has become one of the most popular entry-level cosmetic injectable treatments in recent years — and its appeal is easy to understand. At £50, it is one of the most accessible treatments available at Elements Medical, and the change it creates — a subtle, natural-looking improvement in the fullness and definition of the upper lip — is one that suits a wide range of patients who want something, but are not ready for or interested in lip filler.
The key distinction between a lip flip and lip filler is what each treatment actually does. Lip filler adds physical volume to the lip using hyaluronic acid, making the lip genuinely larger. The lip flip adds no volume at all — instead, it changes the position of the upper lip by relaxing the muscle responsible for pulling it inward, allowing the lip to roll slightly outward and reveal more of its natural surface area. The result looks like a fuller lip, but the effect is positional rather than volumetric.
This makes the lip flip well suited to patients with a thin or naturally inward-rolling upper lip who want a more defined cupid’s bow and a greater visible surface of the lip, and to patients who feel their upper lip disappears when they smile. It is not the right choice for patients who want significantly larger or more voluminous lips — for that, lip enhancement with filler is the appropriate treatment.
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A lip flip uses botulinum toxin — the same prescription medicine used for anti-wrinkle injections and other injectable treatments — but at a very small dose, injected into specific points along the upper border of the upper lip.
The target muscle is the orbicularis oris — a circular muscle that encircles the mouth, forms the body of the lips and is responsible for many fine mouth movements. When a small amount of botulinum toxin is injected into the upper portion of this muscle, it temporarily reduces the muscle’s ability to pull the upper lip inward and downward. With this inward pull relaxed, the upper lip gently rolls outward — flipping upward and forward — exposing more of the upper lip’s natural vermilion (the coloured, visible surface of the lip) and enhancing the definition of the cupid’s bow.
The result is an upper lip that appears slightly fuller and more prominently defined from the front, and a slight upward curl to the lip at rest that is flattering and naturally youthful in appearance. Because no volume is added, the change is subtle — it is an enhancement of what is already there rather than a transformation.
The effects develop gradually over the two weeks following treatment as the botulinum toxin takes full effect. Results typically last six to eight weeks — shorter than standard facial anti-wrinkle treatment because the orbicularis oris is in near-constant activity during eating, drinking and speaking, which accelerates the breakdown of the effect.
The clinical evidence for botulinum toxin in perioral muscle treatment and lip enhancement is supported by peer-reviewed research. British Journal of Dermatology — botulinum toxin perioral treatment
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For patients with a naturally thin, flat or inward-rolling upper lip, the lip flip restores the visible surface area of the upper lip that muscle tension has been concealing — creating the appearance of a more prominent, defined and youthful upper lip shape without any filler being placed. The cupid’s bow becomes more defined, the upper lip appears to have greater height, and the lip looks naturally fuller at rest. This is a genuinely meaningful cosmetic improvement for patients whose upper lip is disproportionately understated relative to the lower lip or to their overall facial features.
At £50 per treatment and with results lasting six to eight weeks, the lip flip is one of the most accessible and lowest-commitment cosmetic injectable treatments available. For patients who want to maintain an enhanced lip appearance as part of their regular self-care routine — without the upfront cost, volume change or longer commitment of lip filler — the lip flip offers a practical and proportionate option that fits comfortably into a regular injectable schedule.
Not every patient who feels self-conscious about their upper lip wants a dramatic or obviously augmented result. For many, the goal is simply to look more like themselves on a good day — a lip that appears naturally full, well-defined and youthful rather than thin, flat or disappearing when they smile. The lip flip achieves this with a subtlety and naturalness that filler cannot always match for this specific concern, and the confidence that comes from a lip that simply looks better — without looking treated — is a meaningful and consistently reported outcome.
1. Creates the appearance of a fuller upper lip without filler By gently relaxing the orbicularis oris and allowing the upper lip to roll outward, the lip flip enhances the visible surface area and definition of the upper lip with no volume addition.
2. Subtle and natural-looking result Because no volume is added, the change is positional rather than volumetric — the lip looks naturally fuller and more defined rather than visibly augmented. The result is well-suited to patients who want improvement without obvious treatment.
3. Enhances cupid’s bow definition The outward roll of the upper lip that the flip produces brings the peaks of the cupid’s bow into greater prominence, improving the overall shape and definition of the upper lip border.
4. Ideal for lips that disappear when smiling Patients whose upper lip flattens or appears to disappear when they smile — because the orbicularis oris pulls it inward — often find the lip flip particularly effective, as the relaxed muscle allows the lip to remain visible and defined throughout a full smile.
5. No downtime and no filler commitment The lip flip requires no anaesthetic, produces no meaningful downtime and involves no dermal filler — making it an excellent first treatment for patients who are curious about lip enhancement but not ready to commit to filler.
6. Extremely accessible price point at £50 At £50 per treatment, the lip flip is one of the most affordable cosmetic injectable treatments available at Elements Medical and a very low-cost entry point into injectable lip enhancement.
7. Combines well with lip filler for enhanced results For patients who already have lip filler, adding a lip flip on top can enhance the definition of the upper lip border and improve the visibility of the filler result, particularly in patients whose orbicularis oris tension compresses the filler and reduces its visible effect.
The lip flip and lip enhancement with filler are not the same treatment and serve different purposes. Understanding the difference is important for choosing the right option for your goals.
Lip flip: uses botulinum toxin to relax the upper lip muscle and allow the lip to roll outward. Adds no volume. Creates the appearance of a fuller upper lip. Results last 6–8 weeks. Costs £50. Best for subtle enhancement and natural-looking improvement in lip definition.
Lip filler: uses hyaluronic acid dermal filler to physically add volume to the lips. Makes the lips genuinely larger. Results last 6–12 months. Costs from £140. Best for patients who want a more significant, longer-lasting change in lip size and shape.
The right choice depends on your goal. If you want a subtle, natural-looking improvement in upper lip definition without volume change, the lip flip is likely the better starting point. If you want noticeably fuller, more voluminous lips, lip filler is the appropriate treatment. If you are unsure, your practitioner will discuss both options at consultation and recommend the most appropriate approach for your specific lip anatomy and goals.
The gummy smile treatment and the lip flip both use botulinum toxin around the mouth, but they address different concerns and work in different ways.
A gummy smile occurs when the upper lip elevates significantly when smiling, revealing an excessive amount of gum above the upper teeth. Gummy smile treatment uses botulinum toxin to limit how high the upper lip rises on smiling, reducing the amount of gum visible.
The lip flip addresses the position of the upper lip at rest and during a neutral smile — rolling it outward to create a fuller-looking upper lip appearance — and does not specifically address how much the lip rises on smiling.
If your primary concern is the amount of gum visible when you smile, gummy smile treatment is the appropriate option. If your concern is that your upper lip looks thin, flat or disappears when you smile, the lip flip is more appropriate. Your practitioner will assess your lip and smile at consultation and recommend the correct treatment for your specific presentation.
At Elements Medical, the lip flip is performed by practitioners experienced in perioral botulinum toxin injection technique. The placement of botulinum toxin around the mouth requires precise dosing and careful targeting — too much in the wrong location can affect the natural movement of the mouth in ways that are temporarily problematic for eating, drinking and speaking.
We take time at every consultation to understand your goals and ensure that the lip flip is genuinely the right treatment for what you want to achieve, and that your expectations of the result — and the duration of that result — are accurate and realistic before treatment takes place.
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15 minutes
Treatment will continue to work over the next days, at the stage of 2 weeks post treatment you should see your result
Injection site bruising and potential swelling
minimal
Immediately
Not required
A lip flip is a botulinum toxin treatment that uses a very small amount of prescription medicine injected into the orbicularis oris — the muscle that encircles and forms the upper lip. By gently relaxing this muscle, the upper lip rolls slightly outward, revealing more of its natural surface and creating the appearance of a fuller, more defined upper lip. No volume is added — the effect is entirely positional.
Lip filler physically adds volume to the lips using hyaluronic acid dermal filler, making them genuinely larger and fuller. A lip flip adds no volume at all — it changes the position of the upper lip by relaxing the muscle that pulls it inward, creating the appearance of fullness without any increase in size. Lip filler lasts 6–12 months and costs more; a lip flip lasts 6–8 weeks and costs £50. The right choice depends entirely on your goal.
A lip flip typically lasts 6 to 8 weeks. This is shorter than standard facial anti-wrinkle treatment because the orbicularis oris is in near-constant use during eating, drinking and speaking, which causes the botulinum toxin to break down more quickly in this location. Repeat treatment every 6–8 weeks maintains the result.
The effect develops gradually as the botulinum toxin takes effect over the two weeks following treatment. Most patients begin to notice a visible change within five to seven days, with the full result apparent at two weeks.
Most patients find lip flip treatment very comfortable. The injections are superficial and the needle used is very fine. No anaesthetic cream is required, though it can be applied on request for patients with particular sensitivity. Any mild discomfort during the injections resolves immediately.
A small proportion of patients notice a temporary and very mild change in their ability to use a straw, whistle or make certain sounds that require a tight lip seal. This is a normal and expected effect of the very gentle muscle relaxation the treatment produces and resolves completely as the treatment wears off over six to eight weeks. It is not experienced by all patients and is generally very mild in those who do notice it. It is worth being aware of before having the treatment.
Yes. Adding a lip flip to existing lip filler is a popular combination. The botulinum toxin can enhance the definition of the upper lip border and improve the visible effect of the filler — particularly in patients whose orbicularis oris tension tends to compress and reduce the visible result of their filler. Your practitioner will advise on timing relative to your existing filler.
The lip flip is best suited to patients with a naturally thin, flat or inward-rolling upper lip who want a subtle, natural-looking improvement in upper lip definition. It is also very suitable for patients whose upper lip appears to flatten or disappear when they smile. It is not the right treatment for patients who want a significantly larger or more voluminous lip — for that, lip enhancement with filler is more appropriate.
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Select Your Treatment
Browse through our website and choose the treatment that’s right for you.
Book Online or Call Us
Follow the link below to book your treatment online. Or call us on 01302 34 34 32
Complete Your Forms
Your medical history form will be emailed for you to complete before you attend.
Call us: 01302 34 34 32
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