Lip Flip

Temporarily achieve a fuller looking upper lip, improve lip shape, enhance Cupid's Bow, or address a Gummy Smile.

Initial results visible in a few days, with full results typically within 2 weeks.

On average, clients receive 3 treatments per year. The effects of botulinum toxin injections will naturally wear off after several weeks to months. You will need to schedule a new round of injections to maintain your results, but you should wait at least 3 months between each treatment.

The effects may wear off faster the more injections you receive over time, especially if your body develops antibodies to the botulinum toxin.

54% of patients have visible results as early as 2 days after treatment. 70% of patients have an improvement in lines at day 30.  5 months after treatment, 38% of patients have visible results.

Have not received any botulinum toxin injection in the last 3 months.

Not pregnant, planning pregnancy in the near future, or breastfeeding.

Do not plan to have surgery.

Not taking aminoglycosides or medication interfering with neuromuscular transmission, anticholinergic drugs, or muscle relaxants.

Do not have or have a past history of:

• Muscle or nerve conditions (such as ALS or Lou Gehrig’s disease, Myasthenia gravis, or Lambert-Eaton syndrome)
• Side effects from botulinum toxin products (including dry eye; breathing, swallowing, bleeding, or heart problems)
• Allergic reaction to any other botulinum toxin product
• Allergy to any of the ingredients in Jeuveau
• Skin infection at the planned injection site
• Heart problems or cardiovascular disease
• Breathing problems or disorder (such as asthma or emphysema)
• Swallowing problems
• Facial muscle weakness
• Cervical dystonia
• Bleeding problems
• Facial surgery
• Drooping eyelids

Jeuveau is a botulinum toxin type A (prabotulinumtoxinA). It is a neurotoxin dedicated exclusively to aesthetics and is manufactured utilizing Hi-Pure Technology to achieve 95% purity.

It is a prescription medicine that is injected into muscles and used in adults for a short period of time (temporary) that prevents nerves from telling facial muscles to flex, which can improve the look of moderate to severe frown lines.

It can be used for a 'Lip Flip' by relaxing the muscles around the upper lip so it turns upward and appears fuller. 

Each injection is 1 to 4 units. Total number of injections and units will be based on the target treatment area, personal anatomy, and goals.

Total units injected during a session will not exceed 100 units.

You can receive botulinum toxin injections every 3 to 4 months.

Completed by provider in office, treatment takes 10 to 15 minutes.

• Injection area cleaned
• Mark planned injection sites
• Injected into face muscles
• Small needle pricks, only minor discomfort
• Vibration used to help desensitize

• Clean skin
• Makeup removed
• Avoid alcohol and blood thinners (Aspirin, Advil, and certain supplements like fish oil) for 24 hours prior
• Avoid smoking for several days prior.

Follow-up appointment 2 weeks after to review results, can be completed virtually. Touch-up adjustments can be done as needed.

• Use ice or cold compresses immediately after and as needed to minimize redness, bruising, and swelling at injection sites
• Maintain proper hydration
• For 2 hours after: keep your head level, do not bend your head forward
• For 6 hours after: do not exercise or lie down
• No heavy exercise until the next day
• Keep skin clean, avoid touching the injection area, and avoid makeup until the next day
• Avoid excessive facial expressions and muscle movement until the next day
• Avoid alcohol and Ibuprofen (or any other blood-thinning medications) for 24 hours
• Avoid smoking for a few days after
• Refrain from sleeping facedown for a few days, try to sleep on your back
• Avoid wearing lipstick, lip balm or any other product on your lips for a few days.
• Refrain from putting pressure on your lips, including touching your lips, rubbing or massaging your lips, puckering your lips, kissing and sipping from a straw for a few days
• Take care not to eat any messy foods that may cause you to wipe your face or lips for a few days
• Be careful while brushing your teeth
• Avoid massages, saunas, or tanning beds for several days
• Wait 2 to 3 weeks for any other cosmetic treatments or facials such as microneedling, microcurrent, radiofrequency, or lasers

Notify your provider of any side effects.

Reactions can occur within hours to weeks after injection.

• Drooling
• Difficulty forming certain words
• Inability to spit or whistle
• Trouble keeping fluids in your mouth after drinking
• Drooping on one side of your mouth

Common:

• Injection site reactions (localized pain, infection, inflammation, tenderness, swelling, erythema, and/or bleeding/bruising)
• Headache
• Eyelid drooping
• Upper respiratory infection
• Increased white blood cell count

Serious (can be life threatening):

• Problems swallowing, speaking, or breathing, due to weakening of associated muscles, can be severe and result in loss of life. You are at the highest risk if these problems are pre-existing before injection. Problems may last for several months.
• Spread of toxin effects. The effect of botulinum toxin may affect areas away from the injection site and cause serious symptoms including: loss of strength and all-over muscle weakness, double vision, blurred vision and drooping eyelids, hoarseness or change or loss of voice, trouble saying words clearly, loss of bladder control, trouble breathing, trouble swallowing.
• Allergic reactions (itching, rash, red itchy welts, wheezing, trouble breathing, asthma symptoms, or dizziness or feeling faint)
• Heart problems (irregular heartbeat, heart attack)
• Eye problems (dry eye, reduced blinking, corneal problems)
• Hypersensitivity (anaphylaxis, serum sickness, urticaria, soft tissue edema, and dyspnea)
• Weakened neck muscles (breathing difficulties, respiratory failure)
• Contains albumin, a derivative of human donor blood. Extremely remote risk for transmission of viral diseases and variant Creutzfeldt-Jakob disease. No cases of transmission of viral diseases or CJD / vCJD have ever been identified for albumin contained in licensed products.