Average Number of Injections for Botox in Thin Lips?

Is there a way to get Botox injections for a natural look in thin lips without having oversized lips making it obvious that you've had injections? 

Doctor Answers 15

Filler over Botox for thin lips

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Because Botox and Dysport are used to soften fine lines/wrinkles, these products may be conservatively used around the mouth for the challenging vertical lines that develop.  This treatment, with the right dosing and technique, may help to cause a subtle rolling out or eversion of the upper lip as the muscle relaxes.  Unfortunately, the effects are short-lived.

The best and only option to volumize the mouth/lips is to use cosmetic dermal filler.  Choosing the right product combined with an injector that understands your goals and concerns of looking unnatural will produce a nice result.  

Ask to see before/after photos, and make certain that your practitioner is able to verbalize your goals back to you while keeping you involved in the treatment plan.


Los Angeles Facial Plastic Surgeon
4.4 out of 5 stars 7 reviews

Botox for thin lips?

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Botox is not used to treat thin lips.  It can sometimes be used for lip lines that are due to the muscle overactivity.  For thin lips the best things are the HA's like restylane and perlane.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

Average Number of Injections for Botox in Thin Lips?

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  I have used Botox to reduce unwanted lines around the lips and mouth for almost 20 years and assure you, it's very safe and very effective however, Botox is a neurotoxin used to soften unwanted lines and wrinkles, not plump the lips.  Lip Augmentation uses volume fillers like Restylane and Juvederm.  If you go to a plastic and cosmetic surgeon or MD that uses the proper aesthetic judgment, your lips can be filled without looking silly.  If not, yikes they can look way to full, duck like and well, awful. 

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.7 out of 5 stars 28 reviews

Absolutely do not use Botox in your lips

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Botox should absolutely not be used in your lips. Botox is a neurotoxin meaning it makes it so your muscles don't function properly; thus, you aren't able to frown, wrinkle, etc. after you inject it into areas like the forehead, glabella, etc. Injecting it into the mouth will make it so your lips and mouth don't function properly. It will make your lips fall and can make you drool, not be able to eat properly, not be able to speak properly, not be able to smile, etc. You want dermal fillers - like Juvederm or Restylane, and with that you probably want only one syringe, following the natural lines and volume of your lips, i.e. on most people the bottom lip is fuller than the top lip. Trying to even those out or overinjecting the top lip is where you run into unnatural looking lips. If you find somewhere willing or encouraging you to inject Botox into your mouth or lips, RUN. This is not a good idea and not what you want!!!

Don't inject Botox for fuller lips. Use Juvederm or Restylane

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Botox relaxes the muscles and can help as an off-label use, to reduce the vertical lines from pursing the lips.  Very small units of Botox are used for that but can affect smile, speech and eating. It should be avoided in singers, public speakers and wind instrument muscians.  People who want somewhat fuller lips need a filler such as a hyaluroinc acid.  Both Juvederm and Restylane are such fillers. They bind your water and keep it plump for several months, up to even a year in some (although the lips tend to deflate faster than other areas). This can be done with a gentle hand, aesthetically without overdoing the augmentation and keeping you looking natural without being overdone.

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
4.9 out of 5 stars 38 reviews

Botox Injections for Thin Lips

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Botox is used to eliminate or decrease muscle contraction which causes unwanted wrinkles and line, but this product will not increase volume. Fillers like Juvederm or Restylane, which are used to increase lip volume, should be injected by an experienced surgeon to achieve a natural appearance rather than oversized trout lips.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 42 reviews

Fillers versus Muscle Inhibitors

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Botox is a muscle inhibitor and works by interfering with muscle action. If the muscle causes wrinkles when it contracts, then stopping it from contracting will stop the wrinkles. It does not provide volume so it will not make lips fuller. Fillers (and there are many on the market, Juvederm and Restylane are perhaps the best known) when injected provide volume and fullness. This is the kind of product you need. A consultation with a board certified doctor who injects these products will help you evaluate what is best for you. Good luck.

Margaret Skiles, MD (retired)
Sacramento Plastic Surgeon

Confusion about Botox, Dysport or Restylane, Juvederm for fuller lips.

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I'm glad you asked this question. It gives me an opportunity to clarify which injectables are used for different lip issues. Botox, Dysport, and the new Xeomin are botulinum toxins which don't take up space, but do weaken nerve/muscle interaction. In lips, they can be used very sparingly to soften the wrinkling action of the lip muscles (with caution: they can also cause weakness that hinders speaking and eating properly if overused). The hyaluronic acid fillers Restylane and Juvederm don't have any action on nerves or muscles, but do take up physical space and are what is often overused to fill lips. The right physician injector trained in the surgical anatomy of lips (dermatologist, plastic surgeon, or ENT/facial plastic surgeon) can safely use a combination of these two treatments (or just the fillers), to gently enhance your lips without making them look fuller than you want. Lip shape and fullness is VERY subjective, so make sure your doctor is on the same page you are in terms of the desired outcome.

Jessica J. Krant, MD, MPH
New York Dermatologic Surgeon
4.7 out of 5 stars 41 reviews

What is the best product to add volume to lips?

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Botox can sometimes  be used to weaken the muscles of the lip and aid in the appearance of vertical lip lines (i.e. smoker's lines).  It is not appropriate for use to add volume.  You would be helped by the use of a filler such as Restylane or Juvederm.  These are both excellent products to add voulme to thin lips.  In regards to having oversized lips an experienced physician can easily adjust the amount of product injected to help you achieve your goal of a slightly larger lip  but still natural looking.

Ted Brezel, MD
Long Island Dermatologic Surgeon

Fillers for Thin Lips

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Neurotoxins like Botox are considered to be muscle relaxers, which is why they are usually not used to enhance lips.  It sounds like you're thinking about improving your lips' contours and volume, which means you're most likely going to use a filler like Juvederm or Restylane (which was recently FDA cleared for this use).  The most important factor here is deciding which doctor's office you want to visit.  Take a look at their previous work. Ask friends. Just remember that often the best work does not stand out!

Ava Shamban, MD
Santa Monica Dermatologic Surgeon
3.9 out of 5 stars 9 reviews

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.