Lips That Still Look Like Yours
Filler for shape and volume, a lip flip for a little more show, and an honest answer about which one you actually need.
Two Different Treatments People Keep Confusing
Lip filler adds volume. A small amount of hyaluronic acid gel is placed to build shape, restore a border that has flattened, or correct an imbalance between the upper and lower lip. It changes size and it changes outline.
A lip flip adds no volume at all. A very small amount of neuromodulator relaxes the muscle that circles the mouth, so the upper lip rolls slightly outward and shows more of itself at rest. If your lip has decent volume but rolls under when you smile, this is often the treatment you actually wanted.
Plenty of people arrive asking for one and leave having had the other, or a small amount of both. Which is right depends on what your lip is doing rather than on what you have seen work on someone else.
Come In If This Sounds Like Your Situation
And if what you are showing us was achieved surgically rather than with a syringe, we will say so.
Three Steps, Start to Finish
Show Us Your Smile
We look at the lip at rest and in motion, because a lip that behaves well at rest and badly in a smile is a different problem with a different fix.
The Smallest Amount That Works
Lips swell dramatically and they swell for days. We treat conservatively so the settled result is the result, not a compromise you learn to live with.
Reviewed Once It Has Settled
Two weeks out we look together. Adding a little more is a five minute appointment. Taking too much back is not.
Lips Are the Easiest Place to Go Too Far
Everyone can spot an overfilled lip and nobody can spot a well judged one. That asymmetry decides how we work.
The First Two Weeks, Honestly Described
Why the Lip Behaves Differently From the Rest of the Face
The lip is mobile tissue with a rich blood supply, which is exactly why it swells so much more than a cheek and why bruising is more common here. It is also why product placed in a lip breaks down faster than the same product placed against bone.
A lip flip works on the orbicularis oris, the ring of muscle around the mouth. Relaxing its upper fibers slightly reduces the inward roll, so more of the lip you already have is visible. The dose is small by design, because too much affects speech, drinking from a straw and how you form certain sounds.
Risks worth knowing about include swelling, bruising, asymmetry, lumps and, rarely, vascular occlusion. The lip has arteries running close to where product goes, which is precisely why this is a physician injection rather than a quick add on. Hyaluronic acid can be dissolved if it needs to be.
What People Ask Us First
Not if the volume matches your face and the border is respected. What people recognize is a lip that has outgrown the face around it. If what you are asking for will read that way on you, we will tell you plainly before we start.
Volume problems need filler. A lip that has volume but rolls under when you smile usually needs a flip. Quite a few people benefit from a small amount of both. We will tell you which after we watch you talk and smile.
A lot, for the first day or two, and far more than most people expect. Do not book this in the week of an event. Give yourself two clear weeks before anything photographed.
Lips are sensitive and we numb them properly first. Most people describe pressure rather than pain once the numbing is working. Tell us if you are anxious and we will go slowly.
Yes, and that is often the best version of this treatment. A small, well placed amount that restores the border can change a face more than volume ever does.
Often Considered Alongside This
Tell Us What You Want People to Notice.
Usually the answer is nothing in particular, and that is the result we are best at.
4211 N. Buffalo Road, Suite 15, Orchard Park, NY 14127
