After my lip flip I now have a crease about my top lip when I smile. Could more Botox fix this?

Question

I got 4 units of Botox for my lip flip and I love how full it looks but now when I smile there’s a horizontal crease above my top lip. I’m guessing because my lip used to roll up it didn’t happen before, but now with the increase in volume it’s squishing up my lip towards my nose causing this fold/crease. Will it go away as the Botox starts to go away or would more Botox help fix this problem? Because I love everything about the lip flip but the new creasing.

Peter N. Butler, MD, FACS · Answer

The answer is difficult without seeing photos, but depending on your anatomy, you may be able to place 1-2 where the crease is to soften the transition.

Kenneth Hughes, MD · Answer

Hello, thank you for your question. It is hard to tell without proper photos, schedule a consultation to see a local expert injector with extensive experience and training to ensure optimal results and safety.

Jason Emer, MD · Answer

yes you need more botox and/or fillers. also a picture is needed you may want a surgery to improve this long term if this area bothers you. start daily hydration and plumping with lucy and co and the emeragecosmetics lip essentials kit. Best, Dr. Emer.

Nelson Castillo, MD · Answer

Thank you for sharing your question. I would not recommend additional botox as this may cause your upper lip to lower instead of “flip” up.  Hope this helps.

Camille Cash, MD · Answer

The effects of Botox will gradually wear off over three to four months.  Your lips will return the look you had prior to injection.  Contact your injector for an evaluation of the crease that bothers you.  Depending on the type/location a touch up may improve it.

Robinson Facial Plastic Surgery - Alpharetta · Answer

Hello ! It's wonderful that you're happy with the lip enhancement from Botox. When Botox is injected into any muscle for the first time, the surrounding muscles may try to compensate, becoming overactive. Since a small amount of Botox was used, this side effect should be brief and temporary, as the muscles adapt. You will most likely not need additional treatment.
 All the best,Michelle Giglio, PA-C

Matt Tahsini, MD · Answer

Hello and thank you for your question. Its difficult to say without seeing a picture, its best you have an in person evaluation to discuss your concerns and options. Best wishes.
Dr. T

Rita Rakus, MBBS - Account Suspended · Answer

Hello and thank you for your question. From your question we can advise here but nothing would compare to a face to face consultation in clinic for an accurate plan of what would work best. This sounds as thought more botox would not help, however rest assured this will likely disappear after the botox has worn off a bit.  Hope this helps, Best wishes

After my lip flip I now have a crease about my top lip when I smile. Could more Botox fix this?

Answers (8)

More Botox Questions

After my lip flip I now have a crease about my top lip when I smile. Could more Botox fix this?

Answers (8)

More Botox Questions

I am 19 with fine lines on my forehead. is it wise to do Botox at this young age? if I did it could I have consequences later?

Will Botox in the massater muscle reduce nasolabial folds or make them more prominent?

Would masseter Botox help my face look more feminine and could it cause more jowling? (photos)