Botox does not plump the lip

Ronald Shelton, MD answers: How many Botox units are needed for upper lip plumping?

I've heard that you can use Botox around the upper lip to make the fuller. How many units does that take?

Ronald Shelton, MD
13 months ago
Botox can be used on the upper lip as a non-approved use for the vertical lines. Botox doesn’t plump the lip. You would need a filler for that. Botox can be used to affect the muscle of the skin-colored upper lip (moustache area, not pink lip) to minimize a “gummy” smile. There are some other unusual techniques as well, but I’m not aware of plumping the lip with Botox.
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A: Never heard of plumping lips with Botox

Steven Wallach, MD
14 months ago

I do not recommend Botox injections to the lip. I have never heard of plumping the lip with Botox. Some people inject the upper lip to soften fine lines, but it can cause a lip droop.

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A: Botox DOES NOT PLUMP

David Shafer, MD
14 months ago

There is a great misconception that Botox Cosmetic plumps the lips or helps fill out smile lines. This is absolutely false. If there is a doctor or injector telling you this, then do not let them touch you. Botox Cosmetic works by paralyzing the underlying muscles which helps reduce the overlying dynamic lines. There is no volume to Botox. If you are looking for volume, then you need a dermal filler such as Juvederm or Evolence for the smile lines and lips and Radiesse or the cheeks.

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A: 5-8 units usually does it

Kenneth R. Francis, MD
13 months ago

Miss Nataleigh,

Botox can indeed be used to augment the lips. It does not have a direct filling effect, but by relaxing the muscle which tightens the upper lip in a horizontal direction it allows the upper lip to evert slightly, showing more of the vermilion (pink portion of the lip). It usually takes somewhere between 5 and 8 units. The lip weakening may cause difficulty drinking with a straw, whistling, smoking and kissing. Good luck!

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A: Botox has no role in lip augmentation.

George J. Beraka, MD
4 months ago

Hi.

This is a common misconception.  Botox can raise the corners of the mouth, and help to erase upper lip lines.  But it has no role in lip augmentation.

Juvederm is a good filler for lip augmentation.

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