Will excess skin after lip flip resolve after Botox has completely worn off?

Question

My botox lip flip is wearing off (6 units total upper lip only) and I have visable extra skin on my upper lip now. I did not like the results or what it did to my smile. Im in the home stretch and now this. Everything I read says your lips will go back to normal, I cant find anything to confirm that stretched lip skin can happen. I am so afraid this is permanent. I will not consider injections again. Is there anything else I can do? Will it resolve when the botox completely wears off?

Camille Cash, MD · Answer

The effects of Botox are temporary.  Your lips will return to their pre-treatment appearance when the product wears off.  This typically occurs gradually over three to four months.

Eric S. Weiss, MD · Answer

Hi, thank you for your question. Botox is temporary and a lip flip should have little permanent effect on your skin. In this particular picture, I cannot see what you’re referring to. But you have 5 options. 1- continue waiting a couple of months and re-evaluate, your opinion may change after all residual neurotoxin has worn off. The toxin can affect different areas of the muscle differentially so any laxity or irregularity may change when your body normalizes. 2-repeat the procedure, if you liked it you could expect a similar result. 3- you could consider filler which can add a bit if volume and disguise excess skin. 4- consider a skin tightening procedure. In my office I have several but one is radiofrequency microneedling which stimulates collagen and can tighten the skin. Lastly if skin excess is significant, a surgical lip lift where a narrow segment of excess skin is removed below your nose, could be could be considered. Which option is best for you is dependent on a personal in person evaluation and also your own preferences. 
-Dr. Weiss

Will excess skin after lip flip resolve after Botox has completely worn off?

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Will excess skin after lip flip resolve after Botox has completely worn off?

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