
A Botox lip flip relaxes the upper lip muscle so the lip rolls slightly outward. At SOM Aesthetics in Encinitas, this is a subtle adjustment, not volume replacement. Candidacy is assessed individually in consultation.
A Botox lip flip at SOM Aesthetics in Encinitas is priced at $14–$16 per unit. A typical plan uses 4–8 units along the upper lip border, for an estimated $56–$128. Final units and total cost are confirmed during consultation. Treatment takes 10–15 minutes. The upper lip may begin to roll slightly outward within 5–7 days, with full effect developing around 2 weeks. Results typically last 6–8 weeks.
$56–$128
4–8 units
10–15 min
5–7 days
2 weeks
6–8 weeks
10–15 minutes
5–7 days
6–8 weeks per session
None typical
4–8 units
Dermatologist-trained SOM provider
Every case is documented by the SOM team. A lip flip is subtle, so changes are best seen at rest and in a natural smile.
A Botox lip flip places small amounts of neurotoxin into the orbicularis oris at the upper lip border. This relaxes inward muscle pull so the upper lip rolls slightly outward and looks more defined.
The lip does not get larger. A lip flip is not a substitute for a volumizer (Juvederm, Restylane, RHA). A volumizer adds shape and volume; a lip flip adjusts resting position. Consultation determines which matches your goal.
Dermatologist-trained SOM providers follow the SOM Method.
We tell you if a volumizer fits your goal better.
Dermatologist-trained providers follow shared SOM clinical standards.
Impact on speech and smile is minimized.
Lip flip vs volumizer explained in every consult.
• Upper lip that rolls inward or disappears at rest
• Want subtle lip adjustment without added volume
• Comfortable with a 6 to 8 week treatment cycle
• Thin upper lip or extra gum show when smiling
• Prefer a non-volumizer option to start
• Healthy adult with no active lip infection
• Goal is added lip volume (a volumizer is more appropriate)
• Significant lip asymmetry requiring shape correction
• Active lip infection, cold sore, or neurotoxin allergy
• Pregnant or breastfeeding
• Speak or sing professionally and cannot risk temporary change
• Want a long-lasting result (a lip flip lasts only 6 to 8 weeks)
A consultation with a dermatologist-trained provider confirms candidacy. Lip flip and volumizer serve different goals, and consultation determines the right path.

Confirmed before treatment
Planning estimate
High muscle activity at the mouth
Estimate only. Final unit count and total cost are confirmed during consultation.
A dermatologist-trained provider reviews your smile, lip movement, and proportion, and whether a flip or volumizer fits.
A conservative plan along the upper lip border. Typically 4 to 8 units.
About 10 to 15 minutes. Fine-needle placement at the lip border, usually comfortable.
The lip rolls outward in 5 to 7 days, full effect at 2 weeks. Lasts 6 to 8 weeks.
A lip flip uses only a few units, but easing off blood thinners (ibuprofen, aspirin, fish oil, vitamin E) for 48 hours still helps prevent bruising near the lip border. Avoid alcohol the night before, arrive with clean, product-free lips, and note any cold-sore history.
• Hold blood thinners ~48h ahead
• Avoid alcohol the night before
• Clean lips, no balm or lipstick
• Tell us about any cold-sore history
• Expect a subtle, gradual change

A lip flip is quick, about 5 to 10 minutes. A dermatologist-trained SOM provider places just a few units into the muscle along your upper lip border. You’ll feel tiny pinches, no numbing is needed, and you can head out right after.
• 5 to 10 minute visit
• Only a few units used
• Injected along the upper lip
• Tiny pinches, no numbing
• Leave right after

Avoid pressing or massaging your lips for 24 hours, skip straws and heavy lip products that day, and don’t over-exercise the area. The subtle outward roll of the upper lip appears over 3 to 7 days and lasts about 6 to 8 weeks.
• Don’t press or massage lips for 24h
• Skip straws and heavy lip products
• Effect appears in 3 to 7 days
• Subtle, natural change
• Lasts about 6 to 8 weeks

• Stay upright for 4 hours after treatment
• Apply ice gently if the lip feels tender
• Eat soft foods and sip carefully the first day
• Let the effect settle over 1 to 2 weeks
• Return if you want the effect adjusted
• Call us right away with any unusual symptoms
• Do not rub or press the lips for 24 hours
• Do not use a straw or pucker hard the first day
• No saunas, hot yoga, or intense exercise for 24 hours
• No alcohol for 24 hours
• Do not expect added lip volume from a flip
• Do not replace medical review with online advice
No. A Botox lip flip relaxes a small part of the upper-lip muscle so the lip rolls slightly outward. It does not add volume. Lip filler, called volumizer in SOM's treatment planning, adds shape, structure, or fullness with hyaluronic acid.
A lip flip may suit someone who wants a subtle upper-lip change without added volume, especially when the lip turns inward while smiling. It is not the right choice for every lip shape or functional concern. A dermatologist-trained SOM provider, evaluates lip anatomy, smile movement, and your goals first.
Yes, selected patients may benefit from both because the treatments do different jobs. The lip flip changes muscle movement, while volumizer changes shape and volume. SOM may stage the treatments so the result stays balanced and the effect of each step can be assessed.
Because the treatment involves an active mouth muscle, temporary difficulty using a straw, pronouncing certain sounds, or controlling the upper lip can occur. Conservative dosing and precise placement help reduce this risk. Contact SOM if a functional change is unexpected or concerning.
A Botox lip flip usually lasts about 6 to 8 weeks, often shorter than Botox in the forehead because the mouth muscles move frequently. Repeat timing depends on how your lip function returns and whether the subtle change still matches your goals.
The upper lip may begin to roll slightly outward within 5 to 7 days, with the full effect around 2 weeks. The result should look subtle rather than adding visible volume. SOM recommends waiting for the full response before deciding whether the plan needs adjustment.
SOM providers may combine upper Lip Flip with other treatments when a balanced facial plan is appropriate.
SOM Aesthetics is on N El Camino Real in Encinitas, accessible from Del Mar, La Jolla, Carlsbad, Solana Beach, and Rancho Santa Fe. Call (760) 766-7546.