Does Botox Work for Lips and How Long Does It Last?

Does Botox Work for Lips and How Long Does It Last?

Doctor Answers 25


Hi Maggie.  If the objective is lip augmentation, I think you may actually benefit from facial filler.

The general algorithm is that Botox is effective in the “upper ⅓” of the face: forehead lines, crow’s feet, and lines between the eyebrows. These lines are “dynamic” lines, caused by underlying muscle contractions. By relaxing the associated muscles, Botox smoothens the upper ⅓ of the face. “Static” lines in the lower face, such as the lips and nasolabial folds, that require augmentation (filling) are amenable to facial filler.

Hope this is helpful. Best wishes. Dr. Shah

San Antonio Facial Plastic Surgeon
4.5 out of 5 stars 12 reviews

Botox for lips

Depending on what condition of the lips you want, Botox may be of assistance in providing an appearance you desire. It will only last about three, maybe four months around the mouth at the most.  As an off-label procedure, botox can be injected carefully and with only 1 to 2 units per site on the skin-colored upper and lower lip to help smoothen the vertical  creases into which lipstick "bleeds".  There may be a flattening of the lip and issues such as not being able to smile enough to show your upper teeth, and difficulty pronouncing certain letters, singing, orating, and playing a wind instrument.

The other aspect of perioral aesthetic improvement that Botox can accomplish, is by injecting the muscles that pull down on the corner of the lip (the DAO, depressor anguli oris), the corner of the mouth which curves down in many people as they age and gives a sad appearance, can lift up more horizontally. The DAO must be injected in the safer regions as doctors who have injected too high up near the corner of the mouth have found that unwanted relaxation of adjacent muscles have caused asymmetry of the mouth and problems smiling, which are temporary and come back to normal, but can take what seems like an endless four months, or so.

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

Botox for Mouth Wrinkles & Lines

Many of our female patients are fans of this technique inasmuch as the outcomes are subtle, the dosing is cost-effective, and there only a few viable options for treating this very strong muscle.

Most will find benefit in combination treatments of Botox/Dysport, dermal fillers, laser resurfacing, and good skin care.

The only downside with this treatment is a short duration being that the strong muscle action degrades the product much quicker than other areas.  Most will report a 9 week duration that may improve with time as the patient consistently works on this area.

Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon
5.0 out of 5 stars 7 reviews

BOTOX does not work to make the lips more plump

BOTOX does not work to make the lips more plump, but to reduce fine lines around the lips and, in selected patients, to slightly lift the middle portion of the lip.  This is done by relaxing the muscles around the lips.  It does not create fuller lips and this use of BOTOX is off-label.  You definitely need to go to someone who has had experience injecting BOTOX around the mouth, and be aware that it will not make your lips fuller. To make the lips fuller, I recommend  Juvederm because it is a hyaluronic acid filler that can be tweaked to suit the best shape for your face.

Joseph A. Eviatar, MD, FACS
New York Oculoplastic Surgeon
5.0 out of 5 stars 49 reviews

Botox is not generally for lips

If you want fuller lips then you want a filler such as Juvederm.  Botox can be used to help reduce wrinkles above the lips, but there are other more proven methods for this area - such as laser treatments and other dermal fillers. 

Mitchel P. Goldman, MD
San Diego Dermatologic Surgeon
4.5 out of 5 stars 11 reviews

Botox for lips

To improve the fullness of lips, the best treatment is a filler such as Juvederm or Restylane. If you're mainly interested in the furrows or lines around the mouth called "smoker's lines" (most common in smokers, & women in general), then Botox is a nice option which will help though not completely eliminate the lines for about 3-4 months. The cost would be in the $100 range.

Benjamin Barankin, MD
Toronto Dermatologic Surgeon
5.0 out of 5 stars 39 reviews

Botox for lip lines

I find that Botox works very well for the lips, specifically the uppers, to soften lines.  Sometimes however, if the lines are very well defined or have been there for a long time, volume is needed instead of, or in addition to the Botox.  I usually start VERY conservatively, so as not to interfere with function- smiling, eating and speaking are more important.  Because of this, I find that the results last usually less than the typical 3-4 months that we see on other parts of the face.

Christopher R. Hove, MD
Paoli Facial Plastic Surgeon
5.0 out of 5 stars 5 reviews

Botox works to soften wrinkles around the mouth

Yes, botox can soften wrinkles around the mouth.  Usually relatively small quantity is needed and the results can last for several months.

Anatoli Freiman, MD
Toronto Dermatologist
5.0 out of 5 stars 4 reviews

Botox can treat the fine lines above the lips

As you may know, Botox relaxes the muscle it is injected into. The small fine lines above your lips can be helped with Botox. However, it would not augment your lips. You may want to consider using fillers exclusively or in combination if you are seeking a full lip (rather than your same size lips with a reduction in the fine lines around them).

When you are ready to undergo any esthetic procedure, it is best to have a consultation with a board certified cosmetic doctor or dermatologist who you trust. They will give you the honest answers for your unique situation (your starting point, your objectives and your budget).

At the Victoria Park Medispa, we take off the consultation fee from any appointment booked, therefore reducing a client’s risk of having a treatment performed without taking the time to think about what they really want. Any esthetic tool needs to be in the right hands, to achieve the best possible results.

Steven Bernstein, MD
Montreal Dermatologic Surgeon
5.0 out of 5 stars 6 reviews

Treatment of unwanted lip lines

Botox is used to relax muscles, not add volume.  In some cases lip lines caused by muscle action ("puckering") can be improved by treatment with botulinum toxins such as Botox, Dysport, or Xeomin.  These products also can produce eversion of the lips.  With injection of higher doses, difficulty smiling or "puckering" can result.  Injectable fillers such as Juvederm and Restylane may be used to improve the appearance of lines caused by volume loss in the lips and laser skin resurfacing procedures are used to treat wrinkled lip skin.  Sometimes botulinum toxins, fillers, and lasers are all needed to obtain best outcomes.

Brian Biesman, MD
Nashville Oculoplastic Surgeon
5.0 out of 5 stars 38 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.