At Kopelman Aesthetic Surgery, Dr. Kopelman examines your face and muscle movements to determine whether Botox, fillers, or both may provide the best results.
Key Takeaways
- Botox around the mouth can help soften movement-related lines, improve a gummy smile, support a lip flip, and reduce downturned mouth corners when muscle activity contributes to the concern.
- Results are usually subtle and natural-looking, with changes often appearing within several days and lasting about three to four months, depending on the treatment area and dosage.
- Botox works differently from dermal fillers because it relaxes muscle movement rather than adding volume, which is why some patients benefit from a combined treatment plan.
- The mouth area requires careful injection placement because the muscles affect smiling, speaking, drinking, and facial expressions, making injector experience especially important.
- Side effects are usually temporary, but patients should follow aftercare instructions and contact their provider if they notice unusual weakness, speech changes, or difficulty drinking.
What Botox Around the Mouth Treats
This treatment may help with mouth lines, downturned corners of the mouth, a gummy smile, a lip flip, and Botox for frown lines around the mouth. It uses botulinum toxin to relax muscle movement that can create lines and wrinkles near the lips and lower face. It may also help when marionette lines are partly due to muscle pull near the corners of your mouth. The goal is to soften movement, not freeze the mouth.
Treatment, Results, and Recovery
Treatment is usually quick and uses small doses in precise injection sites. The provider may ask you to smile, purse your lips, or move the corners of your mouth before each Botox injection to study muscle movement.
This helps guide placement for concerns such as mouth lines, gummy smile, lip flip, or downturned corners of the mouth, while also helping determine where to safely inject Botox.
Most treatments take only several minutes once the plan is confirmed. Patients often notice early changes within 3 to 7 days, while full results may take about 1 to 2 weeks. Patients can review before-and-after pictures of Botox to better understand realistic changes and treatment results.

Lip flip results may appear more subtle at first because the treatment relaxes upper lip movement rather than adding volume.
Most providers suggest avoiding hard exercise, rubbing the area, facial pressure, or lying flat for the first 24 hours after treatment. Mild redness, swelling, or soreness can happen near the injection sites and usually improves quickly. Results often last about three to four months, depending on the dose, muscle strength, and treatment area.
Side Effects
Side effects may include mild swelling, redness, bruising, soreness, or short-term uneven movement. Poor placement can affect smiling, speech, drinking, or lip control. This is why the provider must understand lower-face anatomy.

Call your provider if you notice unusual weakness, trouble speaking, trouble drinking, or uneven movement that does not improve. Small changes can matter. Careful treatment helps lower these risks.
Botox Lip Flip vs. Fillers
A lip flip and fillers are not the same, which is why many patients compare Botox vs. fillers before choosing treatment. Botox relaxes muscle movement. Hyaluronic acid fillers add shape, volume, or support.
Some patients do better with Botox. Others need fillers for deeper folds or volume loss. Some patients need both for a more balanced result.
Botox Around Mouth Cost
The cost at Kopelman Aesthetic Surgery is $1,800 per session. The practice does not charge per unit. A consultation helps confirm whether Botox alone or other cosmetic treatments should be part of the plan. Cost should be weighed with injector skill and safety.
How to Choose Your Injector
Choose an injector who understands lower-face anatomy and uses a careful plan. Dr. Kopelman’s background in facial plastic and oculoplastic surgery supports detailed care for mouth movement, expression, and function.
A good consultation should explain the benefits, limits, risks, and expected results before treatment. To learn whether Botox is right for you, schedule a consultation with Kopelman Aesthetic Surgery.

