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Can You Botox Lips to Get a Plumper Lip?

Is Botox ok for lip plumping? I want fuller lips and I've heard the most about Botox.

Doctor Answers 51

Botox and Fillers are different types of injectable treatments

Most people speak of “injectables” as non-surgical options for facial enhancement, but many misunderstand that there are many different types of ”injectables”, and that different materials serve different functions.
Botox is a chemical that causes paralysis of muscles when injected into the tissue in small amounts. The advantage of this is in preventing specific localized muscles from contracting in ways that cause wrinkles and lines. Additionally, some advanced techniques using Botox can provide elevation of the eyebrow by preventing certain muscles from pulling the brow down, or even widening of the eye by preventing muscles from tightening around the eye. Another advanced technique for Botox involves injections of small amounts around the lips, to prevent the vertical lines and wrinkles often seen with age- and smoking. This type of injection can also, in SOME people, allow a LITTLE widening of the lip. This only works in patients who have overactive muscles around their lips that cause constriction of the red portion of the lips. Botox, though, is NOT a first choice injectable for plumping anything- including the lips.
Plumping of tissue including the lips is performed by using an injectable filler. This is a material that, usually temporarily, will stay in the spot where it is injected as a space occupier and a “filler” of deflated tissue. There are many types of such filler injectables, and each has unique properties of swelling, duration, and areas where they may be more or less useful. These injectable fillers include Restylane, Juviderm, Radiesse, Evolence…. the list goes on. For plumping of the lips, one of these types of injectables may be more appropriate for you than Botox. What is important for you is to find someone who is familiar with a large array of different fillers that can provide you with a particular treatment to achieve your individual goals.

Botox offers mild "plumping" of lips, but fillers are better

Botox does indeed give a MILD plumping effect , (due to relaxation of the "edge" of the muscle), when administered close to the lip, BUT side-effects such as difficulty saying the letters "p" and "b", and sipping through a straw, etc., can occur. For real lip volume improvement, fillers work very well..

Debra Irizarry, MD
Crestone Plastic Surgeon
5.0 out of 5 stars 3 reviews

Can I Use Botox to Plump My Lips?


Botox is great for a lot of areas on the face but lip plumping is not one of them.  In fact, if you use a small amount of Botox to the corners of the nose in an advanced technique to decrease the amount of gumline when you smile you will actually thin out your upper lip as a consequence.  Botox to the angle of the chin can perk up the edges of your smile but in no way can it make your lips bigger.  Your best bet is to use a tried and true filler like Juvederm or Restylane.

Grace Liu, MD
Newport Beach Dermatologic Surgeon
5.0 out of 5 stars 38 reviews

Botox lip injection - Off label uses

Be cautious when a provider is suggesting a non-FDA approved use of a medication. Botox is not approved for improving the look or shape of the lips.

Botox can be used to change the balance in the orbicularis oris muscle (one of the muscles that helps you pucker) and this can create a slightly improved fullness. This however comes at some risk to more dramatic muscle paralysis and typically Botox would not be the first choice and certainly will only produce minimal results before it reaches a level where it will cause problems.

That being said other dermal fillers aren't FDA approved for this either (Juvederm, Restylane) however the mechanics of this application at least makes some sense (provide a space occupying substance to improve the fullness of the lips).

Be sure to discuss your concerns with a board certified dermatologist or plastic surgeon.

I hope this helps.

Botox for Vertical Lip Lines: Options for Lip Augmentation performed with facial fillers

The lips can age drastically with time. The two most significant problems with the lips include a loss of volume and vertical lip lines with puckering or at rest. Facial fillers such as Juvederm or Restylane are safe to use on the lips to restore volume. Botox, on the other hand, will not restore volume but will reduce the vertical lines with puckering.

Always contact an experienced surgeon for these options. Technique is extremely important.

Raffy Karamanoukian, MD, FACS
Los Angeles Plastic Surgeon
5.0 out of 5 stars 70 reviews

Botox does NOT plump lips

Holly, Botox is good for smoothing out dynamic wrinkles. Botox does not plump lips. For lip plumping, you need an injectable like Restylane or Juvederm or Fat Grafting. Botox is most useful for smoothing out wrinkles on the forehead, between the eyebrows and around the eyes. Dr. David Shafer, New York City

David Shafer, MD
New York Plastic Surgeon
5.0 out of 5 stars 66 reviews

Botox will relax lines, not plump the lips

If you are interested in lip plumping, fillers are the best choice. My personal preference is Juvederm, but there are lots of options in experienced hands.

Botox can be used to relax lines around the lips, but it will not plump them up.

A combination of Botox and a filler can be used as well, but first have a consultation with a Board Certified Plastic Surgeon and he or she will lay out several options for you.

Shahram Salemy, MD, FACS
Seattle Plastic Surgeon
5.0 out of 5 stars 124 reviews

Botox is not for lip plumping

Botox is not an option for lip plumping. Although it can be used in a variety of ways in the lower face to achieve a variety of different effects, lip plumping is not one of them. When used around the mouth, Botox can relax lip wrinkles but this does not “plump” the lip. For beautiful lips, consider the soft tissue fillers Juvederm, Restylane, or Belotero. Hope this helps!

Douglas Wu, MD
San Diego Dermatologist
5.0 out of 5 stars 14 reviews

Botox is not the best choice for lip plumping

Botox is wonderful for treating dynamic wrinkles and can be used in a variety of other ways as well, but it is not the best choice for plumping the lips. Botox is a neuromodulator, which means that it works by relaxing the muscles that cause wrinkles. It will not help much to plump up the lips. A better choice would be a hyaluronic acid gel filler such as Juvederm or Restylane Silk. These will actually inject volume into the lips and can provide great results. 

Karen Beasley, MD
Baltimore Dermatologic Surgeon
5.0 out of 5 stars 2 reviews

Botox vs Filler for Lip Augmentation

Botox is great for smoothing out lines and wrinkles. To get plumper lips it is recommended that you try fillers such as Juvederm and Restylane. This will give you a plumper and fuller lip.

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.