Subtle changes to the lips can make a surprising difference in how the face looks and feels. Whether the goal is more lip show, a youthful lift, or a softer upper-lip shape, many people eventually come across two options: a lip flip and a lip lift. Despite the similarity in names, these treatments suit different needs, timelines, and aesthetic preferences. Learning what sets them apart brings clarity to an otherwise confusing decision.
What is a Lip Flip?
A lip flip is a non-surgical, injectable treatment designed to create the illusion of a fuller upper lip without adding volume.
- The Method: The procedure involves the precise injection of a small amount of a neuromodulator into the orbicularis oris muscle (the circular muscle around the mouth). These neuromodulators, such as Botox, work by temporarily relaxing targeted muscles.
- The Mechanism: By relaxing the portion of the muscle just above the upper lip, the treatment causes the lip to gently roll, or “flip,” outward. This exposes more of the pink part of the lip (the vermilion), making it appear more prominent and defined.
- The Goal: A lip flip is intended to provide a subtle enhancement. It can also be effective for individuals whose upper lip thins or disappears when they smile. It does not physically shorten the space between the nose and the lip.
The entire procedure is typically performed in an office setting and takes only a few minutes.
What is a Lip Lift?
A lip lift is a surgical procedure that provides a permanent enhancement to the upper lip by physically altering its position.
- The Method: A lip lift is a surgical procedure that involves removing a small, precisely measured strip of skin from the area just beneath the base of the nose. This incision is often made in a “bullhorn” or gull-wing shape to remain discreetly hidden within the natural creases.
- The Mechanism: By removing this segment of skin, the surgeon shortens the distance between the nose and the upper lip (an area known as the philtrum). This action physically pulls the upper lip upward, increasing the amount of visible pink tissue and enhancing the definition of the Cupid’s bow.
- The Goal: The primary goal of a lip lift is to create a more youthful and proportionate upper lip area. It can also increase the amount of the upper teeth visible when the mouth is at rest, or “tooth show,” which is often associated with a youthful appearance.
This is a permanent, structural change performed by a qualified plastic surgeon.
Key Differences at a Glance
| Feature | Lip Flip | Lip Lift |
| Procedure Type | Non-surgical, injectable | Surgical procedure |
| Primary Goal | Create the illusion of fullness by rolling the lip outward. | Physically lift the lip to increase vermilion show and shorten the philtrum. |
| Method | Injection of a neuromodulator to relax a muscle. | Surgical excision of skin from beneath the nose. |
| Results Longevity | Temporary (typically 2-4 months). | Permanent structural change. |
| Downtime | Minimal. | Initial recovery period of 1-2 weeks with sutures. |
Who is a Good Candidate for Each Procedure?
Candidacy depends entirely on an individual’s anatomy, goals, and preference for a surgical versus non-surgical approach.
A lip flip may be a suitable option for individuals who:
- Desire a subtle enhancement without adding volume.
- Feel their upper lip “disappears” when they smile.
- Want to “try out” a fuller look without a long-term commitment.
- Have adequate existing lip volume but want more of it to show.
A lip lift is often indicated for individuals who:
- Have a long philtrum (the space between the nose and the upper lip).
- Desire a permanent improvement in the shape and lift of their upper lip.
- Have a thin upper lip that they wish to appear more prominent.
- Want to increase the amount of tooth show at rest for a more youthful look.
The Importance of a Professional Consultation
Choosing between a lip flip and a lip lift is a significant decision that should be guided by expert advice. During your consultation, a surgeon will:
- Evaluate your unique facial anatomy, including the length of your philtrum and the current shape of your lips.
- Discuss your specific aesthetic goals in detail.
- Explain the risks and benefits associated with each procedure.
- Provide a professional recommendation based on which procedure will most effectively and safely meet your objectives.
This personalized assessment is the most critical step in the process.
To explore your options and receive a personalized evaluation, we invite you to schedule a consultation with our plastic surgeons at Seattle Plastic Surgery.
FAQs
Are lip lift and lip flip the same thing?
No, a lip lift is a surgical procedure that shortens the space between the nose and the upper lip, creating more visible lip height. A lip flip is a nonsurgical treatment using neuromodulators to relax the upper lip muscles, allowing the lip to roll slightly upward.
Is it better to get a lip flip or lip filler?
It depends on the desired outcome. A lip flip enhances lip show without adding volume, while lip filler adds fullness and shape, so the right choice comes down to your natural anatomy and aesthetic goals.
Does a lip flip or lip lift look more natural?
Both can look natural when performed by an experienced provider.
Can you get a lip flip and a lip lift together?
Yes, some patients combine the two since a lip lift creates structural height and a lip flip can add a touch of extra softness or upward roll.
How much does a lip lift cost in Seattle?
Pricing varies depending on the surgeon, technique, and facility fees.

Dr. Jonov is a cosmetic surgeon who specializes in plastic surgeries of the face, breast, and body at Seattle Plastic Surgery.