A Lip Flip also called a Lip Injection, is a relatively new cosmetic procedure. It gives a person fuller lips with one quick and straightforward treatment. Botox is injected superficially into the Orbicularis Oris Muscle and results in fuller-looking lips while enhancing the profile with an increased outward projection of the lips. This procedure is often combined with Filler and PDO Threads placed at the vermilion border for complete lip enhancement.


Hyaluronic Acid (HA) Fillers like Restylane and Juvederm work by actually adding volume to the lips themselves, and not just to the border of the lip, to achieve an all-around plumper look.

Lip Flips relax the lip muscle to “Flip the Lip Out”, giving your lips the appearance of more volume since more of the pink section of your lips are showing.


The effects of aLip Flip will last for about two months. Botox typically lasts for approximately three months, but theLip Flip doesn’t last as long because theLip Flip involves injections into a muscle that we constantly move throughout the day.


A Lip Flip amplifies the natural shape of your lips, without over-exaggerating, for a natural look. It’s also a less-invasive option for lip enhancement. In fact, it’s considered to be one of the safest and most widely used injectables on a global level. Generally, it’s not as expensive as a lip filler.


If Filler is used with Botox, over a few months after the Filler is injected, your lips will slowly decrease in fullness before returning to their original shape.


For the first two days after your Botox Lip Flip treatment, we do recommend that patients avoid passionate kisses. Intense kissing can add additional pressure to the lips, negatively impact the lip shape after a Botox Lip Flip procedure.


ALip Flip procedure creates the appearance of a fuller, more round lip by giving the upper lip a “poutier shape” and adding definition to the upper lip line (a.k.a. the vermillion border). Your lip should show a subtle, relaxed fullness, especially when you smile, without adding excess volume or changing the natural shape of your lips.

See our FAQ below. Contact Us with any other questions.



As soon asLip Filler (Lip Enhancement) has been injected, the mere presence ofLip Filler (Lip Enhancement) beneath the skin is enough to smooth, plump, and volumize the face. Those immediate results are an excellent form of instant gratification. But it usually takes another two weeks to see Juvederm results for the patient’s results to develop or settle fully.

Both procedures cause the upper lip to ‘kick’ out more. Lip Flip injections (Botox) relax the muscles around the upper lip. Philtrum surgery shortens the distance between the upper lip and the nose (philtrum).

Facial drooping, overfilled or duck lips, and asymmetrical smile are possible effects of a bad Botox injection. A well-trained professional should not experience this as a problem.

The Russian Lip Filler technique accentuates the “cupid’s bow” part of your lips making it resemble a heart shape. This is done by injecting additional filler volume and giving lift into the center of the lips, while the sides still remain relatively in line with the face. The result is doll-like while still appearing naturally full and plump.

  • Avoid Rubbing Your Face.
  • Avoid Lying On Your Face.
  • Avoid taking a nap right after your appointment.
  • Avoid Strenuous Exercise.
  • Avoid Booze.
  • Don’t Take Blood Thinners.
  • Avoid Washing Your Face.
  • Avoid Heat and Sun.

We recommend that you don’t lie down for 4-6 hours after a procedure. Lying down too soon afterward increases the chances of the Botox migrating to different areas of the face.

At as little as five to ten minutes per appointment, a Lip Flip Treatment small injections that feel like pinpricks.

Lip Flips are FDA approved and deliver noticeable results in as little as 24 hours. They’ve been reviewed in over 700 clinical studies.

The Lip Flip can have a wrinkle-reducing effect on your upper lip, smoothing vertical lip lines.

Lip Injections are overall a very safe and easy treatment, but they are not approved by the FDA for teenagers or adults under the age of 21.

  • Anyone 21 years plus who would like a subtly more prominent “pout” to their lips.
  • If you feel your upper lip looks invisible when you smile.
  • If you want fuller-looking lips but do not want additional volume.
  • If you want a more temporary treatment (3-4 months).


  • Positive: Cleanliness ,  Professionalism ,  Punctuality Easy to book online. Seamless appointment and did not feel rushed. Tonya explained thoroughly and made sure i had the best results for botox and minimizing my frown line. Highly recommend!

    Karen Avatar Karen

    Tonya is amazing!! She made me feel so comfortable and really listened to my concerns about my skin. She really cares and knows what she is doing. I wouldn’t go anywhere else!! I was concerned my first appointment but I just had my third and I can say it’s so worth it!!! Botox has been an incredible experience and I’m so happy to have tried it, I’m so much happier with my appearance and it looks incredibly natural. I’ve included before and after photos, neither photo is filtered or edited, you can see how makeup would collect in my forehead, and how the after it’s smooth and looks so lovely. It doesn’t feel weird or like I can’t move my muscles at all, it feels super natural. One of my biggest concerns was that I wouldn’t be able to emote with Botox but that’s just not true at all. I feel so confident and that is thanks to Tonya!

    Devon Lopez Avatar Devon Lopez

    Positive: Cleanliness ,  Professionalism ,  Punctuality ,  Quality ,  Value Dr. Tonya Tuggle is a true professional and such a nice person. I highly recommend her and Sandia Skin.

    Lisa Rampy Avatar Lisa Rampy
  • Positive: Cleanliness ,  Professionalism ,  Punctuality ,  Quality ,  Value Getting botox at Sandia Skin & Face was the best decision I've ever made. No more lines on my forehead 🙂

    Melissa Kibler Avatar Melissa Kibler

    Positive: Cleanliness ,  Professionalism ,  Punctuality ,  Quality ,  Value First time getting Botox, I was very nervous. They ARE super friendly. They explained everything to me also answered all of my questions. Tonya is the BEST!!! she is so friendly and professional. I totally recommend this place to get Botox. THE BEST IN ABQ

    Arturo Camunez Avatar Arturo Camunez

    I recently relocated from CA. I was nervous to find a new place for lip fillers after going to the same person for several years. Tonya was absolutely amazing! She is extremely knowledgeable and instantly made me feel comfortable. Tonya exceeded my expectations. I’ve received so many compliments from friends and family. The entire staff were friendly and professional. I will definitely become a loyal client. Thank you Tonya and team!!!

    treesem Avatar treesem
  • The office staff is super accommodating and helpful, and Dr. Tuggle and Tonya Tuggle are both wonderful at what they do. I have had multiple procedures/treatments here over the years and highly recommend them. I never feel uncomfortable or judged, which is huge when deciding on cosmetic procedures. I also never felt pressured into anything and always felt informed about all of my decisions. They have great seasonal specials on fillers, etc!

    Amanda Hosbach Avatar Amanda Hosbach

    How amazing! I can’t believe what Tonya has done for me! She took excellent care of me! My first time ever for Botox and Lip Filler. I’m 58 feeling like 30 again! Everyone deserves this! I will be back! My crows are gone. My lipstick goes on smooth with no bleeds. You are totally amazing Tonya! Thank you again ! Tonya was so professional and went over everything in detail with me! Totally amazing place! Treat yourself! We all deserve to look great and feel great! ❤️

    Paula Winters Avatar Paula Winters

    Positive: Cleanliness ,  Professionalism ,  Punctuality ,  Quality Tonya really takes the time to listen to your concerns and is very accommodating. Results were fast and I love them. I highly recommend them.

    Jasmine Vazquez Avatar Jasmine Vazquez


Before your treatment session, our specialist will discuss what to expect during your treatment. However, it is helpful to remember that there are a few things to take into consideration before your session: (Consult your physicians on these prior to executing)

  • Please be advised that if you take chronic oral steroids, a discontinuation plan will need to be discussed with your primary care provider as abrupt stoppage may cause side effects.
  • 1 – 2 Months Prior: Stop steroid injections.
  • 1 – 2 Weeks Prior:
    • Discontinue any blood-thinning herbs, supplements, or vitamins.
    • Discontinue systematic steroids.
  • 4 Days Prior: Discontinue anti-inflammatory medications.
  • 2 Days Prior: Avoid topical products such as Tretinoin (Retin-A), Retinol, Retinoids, Glycolic Acid, or any “anti-aging” products.
  • 24 Hours Prior: Do not drink alcoholic beverages 24 hours prior.
  • On the Day of:
    • Eat a full, healthy breakfast and be sure to drink plenty of water
    • If you have suffered from facial cold sores, there is a risk that the needle punctures could contribute to another eruption of cold sores. Please let your us know if you are prone.
  • Do not have a Lip Flip if you are:
    • Pregnant or breastfeeding
    • Are allergic to any ingredients
    • Suffer from neurological disorders
  • Please inform us if you have any questions prior to your treatment.


After your treatment session, we recommend that all patients rest on the day of their procedure.

  • 1 – 2 Hours After:
    • Apply an ice pack and Arnica topically—Arnica + Bromelain tablets are both natural supplements to reduce bruising.
    • Take acetaminophen to reduce pain as necessary.
    • Avoid itching, massaging, or picking around the injection site. Itching is normal and generally disappears within a few hours to a few days. If these symptoms last more than 3 days, please contact our office.
  • 2 – 12 Hours After:
    • Until the swelling and redness are gone, avoid intense heat in the treated area(s). This includes sunbathing, tanning, saunas, hot tubs, or hot wax.
    • To reduce swelling, an antihistamine during the day, such as Zyrtec or Claritin, and Benadryl at night.
    • If there is a bump at the injection site, you can massage the area. Depending on the areas treated and the product used, you may feel “firmness.” These areas will soften and settle over time (1-2 weeks).
    • Sunscreen and makeup can be applied, and you may use a gentle cleanser on the area.
  • 12 – 48 Hours After:
    • Avoid drinking alcohol
    • Avoid strenuous exercise, as it may result in additional bruising.
    • To help alleviate bruising, we recommend taking Arnica or Bromelain, eating some fresh pineapple, and application of ice to the area.


  • Have any fever or chills
  • Have discolored blotches in areas not injected
  • Have blanching of injected areas
  • Notice the area appears red or feels hot to the touch
  • Have severe or increasing pain


Registered Nurse Practitioner Tonya Tuggle is Albuquerque’s choice for those who want to keep their youthful appearance and healthy glow. Tonya is passionate about educating patients on preventative skin care and providing non-surgical maintenance for graceful aging. We can’t wait to meet you!

Proudly Serving Albuquerque, NM, and the Surrounding Communities

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