Will a lip flip work so I can get filler or do I need a full on lip lift surgery? (Photo)

Hello, your lip-nose distance is very long, you are definitely a suitable candidate for lip lift. However, do not have the classic bullhorn procedure, we do it with the endonesal method and the scar remains much less. If you examine our patients, you can see the difference.
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Thank you for your question and photo. Whether a lip flip or lip lift surgery is the right approach depends on your specific lip anatomy and aesthetic goals.

A lip flip uses small amounts of Botox to relax the muscles around the upper lip, allowing more of the lip to show when you’re at rest or smiling. It’s a non-surgical, temporary enhancement and works best for:

Those with a long upper lip but still some existing vermilion (lip show)

Patients who want a subtle, natural-looking enhancement

Individuals who are not ready for or don’t need filler yet, but want improved lip definition

However, if your upper lip has minimal visible vermilion, even at rest, or the distance between the base of the nose and the lip is elongated, a lip lift surgery may offer a more permanent and dramatic result. This procedure physically shortens the philtrum and rolls the upper lip upward for greater exposure.

In many cases, a lip flip can serve as a useful diagnostic tool—it can give you a preview of how your lips might look with more “lift,” and from there, you can decide if filler or surgical intervention is necessary.

So to summarize:

A lip flip may be worth trying first, especially if you're looking for a subtle enhancement or want to prepare for filler.

A lip lift surgery may be more appropriate if your lip anatomy doesn’t support filler or if you're looking for a more permanent and structural change.

Your goals, lip proportions, and anatomy should guide the final decision.

Lip lift will evert and lift the lip, increasing the visibility of red portion of the upper lip. However, in some patient additional volume may be needed usually along the white role to accentuate lip shape and fullness.

You are an excellent candidate for a lip lift. A lip lift does 4 things: shortens the distance between your nose and upper lip, increases the mucosa of the upper lip, increases the incisor show and pulls up the corners. The procedure takes 1 hour to perform under local anesthesia and costs $3,000.

Best Wishes,

Gary Horndeski, M.D.

I'd suggest an in office lip lift with augmentation. We can shape your lips to a nicer position, fill them in, and get a more naturally attractive appearance which will last much longer than the very short duration of a lip flip.

A lip lift procedure would be very beneficial for you and you would probably get your desired results.