
Botox and Neurotoxins
Lip Flip Before and After
A lip flip relaxes the muscle around the upper lip so it rolls out slightly, showing a little more lip without filler.
Every result below was treated in our North Raleigh office.
Tox treatments at La Miel- Treatment:
- Neurotoxin injections
- Treatment:
- Neurotoxin injections
- Treatment:
- Neurotoxin injections
- Treatment:
- Neurotoxin injections
Individual results vary. Photos show typical outcomes for the treatment shown, not a guarantee of your result.
Every photo is shared with the written consent of the patient. Thank you to each of them.
What is a lip flip?
The orbicularis oris is the ring of muscle around the mouth. When it tightens, it can tuck the upper lip in, so the lip looks thinner, especially when you smile.
A gummy smile is related: the muscles that lift the upper lip pull it high above the teeth, showing more gum than you would like.
How we treat the lip and smile
A few small points of neurotoxin along the upper lip relax the muscle so the lip rolls out slightly. For a gummy smile, the same approach is used on the muscles that lift the lip. Neither adds volume; for volume, lip filler is the option.
Your Botox timeline
Typical for Botox. Dysport works a little faster and Daxxify lasts longer; see the comparison below.
Day 0
Treatment
A few small injections. Avoid lying flat for 4 hours and skip strenuous exercise and facials for 24 hours.
Day 4 to 7
First softening
The treated muscles start to relax and the lines begin to soften.
Week 2
Full effect
The peak effect arrives. This is when we check in and adjust with a small top-up if needed.
Months 3 to 4
Time to retreat
Results last 3 to 4 months on average. Most patients maintain with 3 to 4 treatments per year.

Who treats you
Adriana Sandoval Veliz, RN/MSN
Owner and Lead Injector
- Master injector certification, Empire Medical Training
- Master certification, Aesthetic Medical Educators Training (AMET)
Under the medical direction of Dr. Susan Lovelle, MD, a former plastic surgeon.
Meet the teamTreatment options
Each result above uses one of these treatments. Their pages explain how each one works, who it suits, and what to expect.

Botox
Botox in Raleigh NC delivered by a master-certified RN injector under physician supervision.
Learn about Botox
Daxxify
Daxxify in Raleigh NC is the newest FDA-approved neurotoxin and the longest-lasting option available.
Learn about Daxxify
Dysport
Dysport in Raleigh NC is the Galderma neurotoxin, FDA-approved since 2009, best known for its faster onset compared to Botox.
Learn about Dysport
Xeomin
Xeomin in Raleigh NC is the Merz Aesthetics neurotoxin, FDA-approved since 2010, and the only botulinum toxin type A on the market without accessory proteins.
Learn about Xeomin
Concerns these results address
Common questions
Lip Flip and Gummy Smile: common questions
No. A lip flip uses neurotoxin to relax the muscle so the lip shows more, without adding volume. Lip filler adds volume and shape. Some patients choose one, some combine both.
Ready When You Are
Two ways to start: book the specific treatment you came for, or book a consultation and we will build your plan together.
Tue to Wed 10 to 5, Thu 10 to 9, Fri 10 to 3. Closed Sat to Mon.
7718 Six Forks Road, Suite 106, Raleigh, NC 27615








