My upper lip pertrudes out further than bottom. is it lip filler or lip flip that is causing this?

That is a great question. Your upper lip is fuller than the lower, while the opposite is the norm (upper to lower lip ratio is 1.6:1). The change likely came from the lip flip and may need to be revised by the surgeon if it does not improve spontaneously over time. Adding filler to the lower lip is a quick fix as it provides more volume on the lower lip and creates balance and natural-looking results.

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in-person or virtual consultation to develop a custom and effective treatment plan. It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

It's difficult to determine what is causing your concerns without more information. Typically Botox gradually wears off after 3 to 4 months, so if it you had treatment 6 months ago the Botox should have worn off. Depending on the type of filler used you may have some residual filler present. I encourage you to visit with an expert injector near you for an evaluation.