Reveal a Softer, More Confident Smile
A well-shaped, beautifully balanced smile is one of the most defining features of the face. For patients who feel their upper lip disappears when they smile, or who prefer a subtle enhancement without adding volume, a Lip Flip offers an elegant, minimally invasive solution. Drawing on decades of surgical experience, Kristine Romine, MD, has developed proprietary, advanced cosmetic dermatology techniques refined over 25+ years. She and Sara Romine, DNP, FNP-C—the only clinician formally trained in these methods—use nuanced dosing and precise placement to reveal natural lip show and balanced expression, never an overdone look.
What Is a Lip Flip?
A Lip Flip is a quick, non-surgical procedure that uses small doses of neuromodulator—such as Botox®, Jeuveau™, or Dysport®—strategically injected into the orbicularis oris muscle, the ring-like muscle encircling the mouth. These injections gently relax the muscle fibers that cause the upper lip to curl inward when you speak or smile. As the injections relax this overactivity, more of the pink mucosal portion of the lip becomes visible, revealing a fuller upper lip while maintaining your natural expression and movement, unlike traditional lip fillers.
The result is a natural enhancement that complements your existing lip shape without altering your authentic expression.
Who Benefits from a Lip Flip?
The Lip Flip procedure is ideal for patients who:
- Notice their upper lip disappears or “rolls in” when they smile.
- Have thin lips or minimal pink lip show and desire a subtle enhancement.
- Experience mild perioral lines caused by repetitive pursing.
- Want to define lip shape without adding filler volume.
- Prefer a conservative approach before trying lip fillers or lip augmentation.
- Wish to maintain injectable HA (filler) results longer.
When additional fullness is desired, a Lip Flip can be paired with hyaluronic acid lip filler to add volume while preserving natural expression.
Your Treatment Experience at BelleSante
After discussing your aesthetic goals, our experts may apply a topical numbing cream to ensure minimal discomfort. Using a fine needle, Dr. Romine or Sara Romine will inject a neuromodulator into a few precise points along the vermilion border and near the corners of the mouth.
The procedure takes only a few minutes and involves little to no downtime. You may notice mild swelling or tenderness at the injection site, but this resolves quickly; results typically begin to appear within a few days, with optimal results visible at two weeks.
Subtle, Natural Results You Can Expect
A Lip Flip is designed to subtly enhance your appearance—not drastically change it. You’ll still be able to drink from a straw, speak clearly, and smile naturally. Results typically last 2-3 months as the neuromodulator gradually metabolizes and the muscle activity returns.
To maintain your preferred look, most patients schedule quarterly touch-ups or as recommended by our expert team.
Safety & Precision at BelleSante
At BelleSante, safety and natural expression are always the top priority. Using precision dosing and anatomic mapping, our team preserves function while minimizing risks such as difficulty speaking, a “gummy smile,” a “heavy” look, or subtle changes in smile dynamics.
Most patients experience only brief pin-prick sensitivity with mild swelling or bruising, and downtime is minimal. True allergic reactions are rare. Your medical history—including any prior neuromodulator treatments, current medications (such as blood thinners), and HSV history—is reviewed in detail before proceeding to ensure a safe and seamless experience.
What Our Clients Are Saying
The BelleSante Difference
Because every face and facial structure is unique, dosing and placement are carefully tailored to the individual. Our team’s expertise in aesthetic dermatology ensures that results remain balanced, expressive, and in harmony with your features.
At BelleSante, artistry and precision meet to deliver elegant, understated enhancements that let your natural beauty shine.
Discover Subtle Beauty at BelleSante
If you’re curious about enhancing your smile with a Botox Lip Flip, schedule a consultation with our experts at BelleSante. Together, we’ll create a customized plan to refine your smile and restore harmony with precision, artistry, and care.
