have you ever wondered what is this lip
flip all about so the lip flip just
talking about it in front of a crowd of
people at a conference everyone perks up
all the lip flip I want the lip flip
what is it when most people talk about
it what they're referring to
is flipping the edge of the lip using
neuromodulator okay so Botox like
medicines that can give a little perk to
the lip it can give that ski-jump look
because a youthful lip often has that
projection so it can for many people
adding a little filler to it would be
part of a package but I would say the
most accepted is neurotoxin alone most
clients come in and have filler as well
at some point or it can be a gateway so
that people start with it they're okay
with how the lip looks and then they're
okay I'll do a little filler I like the
trend so let's talk about we now know
what it is let's talk about who should
get it and who shouldn't get it so who
should get the lip lip and when should
you use it I think a good use of it is
just like I talked about a gateway or an
introduction to lip filler people some
people are very scared to look unusual
they're scared that the people will know
or notice that they had something done
to their lips and this would be a good
use of it for a subtle result as an
entry point into what the lip might look
like with a little filler because you
can't use a lot of neuromodulator or
you'll change speech so it's not
something that's gonna last a long time
if it lasts six to eight weeks that's
really good because average is typically
six units or so the next good use the
second reason a lot of people do it or I
might do it for patients is those who've
had filler and they like the way the
filler looks they're not ready to get
refilled but they want a little perk up
to the edge a little more pink sha this
is a great use it might be four to six
months into their filler experience and
they want a little pick-me-up it's quick
it's easy
and they can do it and it makes the
filler look a little bit better the
third time to use the lip lip would be
if someone gets lip filler but they
really want to be seen as having lip
filler they want that look that's a
little more dramatic using it at the
same time concurrently with the filler
can at date three to five kick that edge
up just a little bit more so that it
accentuates the look at the lip filler
most people who would do this or people
have already had a lip filler before
they're comfortable with the look and
they know they want to accentuate
they're already high ski-jump as we call
it so a seasoned veteran would might
want them concomitant ly Trika another
good use of the lip lip would be if
somebody has an event coming they didn't
want to bruise they didn't want a lot of
downtime and they didn't want the
possibility that someone knew that they
had something done just before I think
it's very reasonable especially those
people who aren't on aspirin fish oil
it's very low risk of bruising it's a
very superficial injection when we're
gonna see bruising as if when people try
and actually inject the muscle but
really a subcutaneous injection is all
you need for this area so if you want
something that's quick you're in a now
low risk of bruising swelling or the
other side effects that are normal with
lip fillers then the lip lip might be
for you
okay so we know why we might use it when
should you not use the lip flip with
neurotoxin the first reason would be
someone who wants more so comes in they
want more volume the lip lip it's gonna
kick the edge up a little bit but it's
not gonna add a lot of volume they're
gonna be unsatisfied there's not going
to be a dramatic result so somebody who
wants more volume go to filler first or
filler and neuromodulator at the same
time but it won't give them enough
result the second time I wouldn't use it
would be if we're worried about speech
or someone who comes in and speech is
their living or they've never had it
before they're worried about changing
the motion around their mouth or they
whistle to get their dog back or they
have to whistle or personal if you're
going to lose that with the lip clip so
it might be a time when
don't want to do neuromodulator around
the mill filler would be a better option
another good reason not to use it would
be someone who's aged a little more more
Aging in the perioral area if we use it
we might help vertical lip lines it's a
great way to stop vertical lip lines but
if there's no Vermilion border to begin
with it will be unimpressive you're not
going to get a lip flip or true lip lip
you need to have a nice crisp border in
order to get a nice-looking result and
one way around this could be just adding
filler to the border the Vermilion
border the lip then adding
neuromodulator it's not going to give
the patient a lot of volume but you need
that crisp border and adding
neuromodulator will not create a crisp
border it changes the angle so that's
the lip lip one of the most important
things to keep in mind and the big
picture is key here is when we talk
about lip it's all though angles
dimensions and proportion
you have the Ergo trade the area above
the lip you have the edge of the mouth
the downturn the depressor anguli oris
that is part of the lip because it's
pulling the edge down you have the upper
tubercles the two upper three tubercles
and the bottom two tubercles of the lip
to think about filling the angle of the
cheek nose and chin all those
projections are going into the mind of
your injector as they're recommending do
we do a lip flip do we do filler or do
we do both so it's much more complex and
studying beauty and studying angles is a
big part of it but the lip flip can be a
very rewarding procedure when it's used
appropriately now we know what it
actually is and what it can be combined
with how do you use it do you like it
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