Nurse Practitioner
Megan Lafuente
West Hollywood
What Megan does
- Neurotoxins
- Dermal filler
- Hormone therapy
- Peptide protocols
- Medical weight management
- Lab work review
Injectables
Volume, shape and definition, or just a subtle roll of the upper lip. Two very different treatments at two very different prices, placed by a licensed injector who will tell you which one you actually want.
$150per treatment
Subtle shape, no added volume
New clients save 15% on your first treatment.
Most first-time filler patients use one syringe. A lip flip and filler can be combined in the same appointment. Touch-ups are included where needed. The new-client discount applies to standard pricing.
Financing available
Pay over time with the same providers we use in center. Checking your options does not affect your credit score.
Lip enhancement · Lip body
In short
Lip enhancement covers two different treatments. Lip filler uses hyaluronic acid gel to add volume, shape and definition, lasts 6 to 12 months and is priced per syringe. A lip flip uses a few units of neurotoxin to relax the muscle around the upper lip so it rolls slightly outward, adds no volume, lasts 2 to 3 months and costs far less.
A lot of people book filler when they wanted a flip, and a few book a flip expecting filler. Filler adds gel, so it adds volume, shape and projection, and it lasts most of a year. A flip adds nothing at all. It relaxes the muscle that tucks your upper lip under when you smile, so more of the lip you already have shows. If your lips are the size you want and they simply disappear when you smile, the $150 treatment is the right one and the $700 one is not.
Before and after
Real BHRC patients, photographed before treatment and after the filler has settled. One syringe unless noted.
Individual results may vary. Lip filler is a cosmetic procedure and results depend on your natural lip structure, the product used and the volume placed. Photos are of BHRC patients and are shown with consent.
Units and cost
The two options side by side.
| Area | Typical units | Cost |
|---|---|---|
| Lip flip (neurotoxin) | 2 to 3 months | $150 per treatment |
| Lip filler, one syringe | 6 to 12 months | from $700 |
| Lip filler, second syringe | 6 to 12 months | from $700 |
| Lip flip plus filler | 6 to 12 months | from $850 combined |
| Nasolabial folds | 6 to 12 months | from $700 per syringe |
| Marionette lines | 6 to 12 months | from $700 per syringe |
| Dissolving filler | Same day | Priced at consultation |
Most first-time patients need one syringe. Building gradually across two appointments generally gives a better result than one large session, and it is easier to stop at the point you like.
Treatment areas
Lip body
1 syringe
Volume through the body of the lip.
Cupid's bow
1 syringe
Definition along the upper border.
Upper lip flip
$150
A few units to stop the lip tucking under.
Lip lines
1 syringe
The fine vertical lines above the vermillion border.
Nasolabial folds
1 syringe
The lines from nose to mouth corner.
Marionette lines
1 syringe
From mouth corner down, where the face starts to look tired.
How it works
What each treatment is physically doing, and why the results differ.
Filler is a hyaluronic acid gel placed in precise planes of the lip. Where it goes determines whether you get body, border definition or projection, which is why placement matters more than volume.
A lip flip places a few units of neurotoxin in the orbicularis oris, the ring of muscle around the mouth, relaxing its pull so the upper lip rolls slightly outward.
Hyaluronic acid attracts water, so filler swells for two to three days before settling. The lip you have at day one is not the lip you keep.
Which product
The honest version of a question people usually get sold on.
Starts working: 3 to 5 days. Lasts: 2 to 3 months. Relaxes the muscle so more of your existing lip shows. Adds no volume. Best when your lips vanish as you smile, or you want the smallest possible change.
Starts working: Immediate, settles in 2 weeks. Lasts: 6 to 12 months. Adds real volume and lets shape, border and symmetry be built deliberately. The right choice when there is genuinely not enough lip to work with.
Starts working: Immediate, flip in 3 to 5 days. Lasts: 6 to 12 months. Filler builds the body, the flip stops the upper lip tucking under. Common for a heavy upper-lip smile.
Starts working: n/a. Lasts: n/a. If you have had filler elsewhere within the last few months, the honest advice is often to wait and see where it settles before adding more.
Good to know
Including the parts people are usually worried about.
Hyaluronic acid gel placed in the body of the lip, built gradually rather than all at once.
Precise placement along the vermillion border sharpens a lip that has gone soft-edged.
Most lips are uneven. Filler is placed asymmetrically on purpose to correct for it.
Lips thin and lengthen over time. Restoring the body and shortening the visible upper lip reads as youth, not as filler.
The fine lines above the lip soften as the structure underneath is supported.
Migration is filler moving above the lip border, usually from over-filling or placement too superficially. It is avoided with conservative volumes and correct planes, and it is correctable: hyaluronidase dissolves hyaluronic acid filler, including work done somewhere else.
Hyaluronic acid filler is reversible. That is the single biggest advantage it has over anything permanent.
Aftercare
Lips swell more than anywhere else on the face. Plan for it.
Expect significant swelling, and possibly bruising. Ice gently, sleep with your head elevated, and do not judge the result.
Swelling peaks around day two then begins to drop. This is the stage people panic at, and it is normal.
For a lip flip, the effect appears now. For filler, swelling is resolving and the true shape emerges.
Filler has fully settled. This is the earliest sensible point to judge the result or plan a touch-up.
Strenuous exercise, alcohol and heat for 24 hours. Blood thinners and fish oil beforehand if your prescriber agrees, to limit bruising.
Book at least two weeks ahead. Never the same week.
Filler softens gradually rather than vanishing. Most patients top up at 6 to 12 months.
Aftercare
Your result lasts longer when what you use at home is doing the same work. This is the routine our providers start most patients on, dispensed through the practice. Not sure it is right for your skin? Take the skin quiz, or ask your provider to build one around the treatment you are having.
skinbetter science
An exfoliating foam cleanser for normal to oily skin, for a brighter and more refined look without a separate scrub.
skinbetter science
A morning antioxidant serum with a broader antioxidant blend than a single-ingredient vitamin C.
skinbetter science
skinbetter science's most recognized product, and the one most people start with. AlphaRet pairs a retinoid with an alpha hydroxy acid in a single overnight step.
skinbetter science
An eye gel with a visible short-term tightening effect alongside longer-term peptide work.
All four steps together. Dispensed by the practice and shipped to you, or picked up at any of our 22 centers.
Is it for you
Enhancement Lip enhancement treatments are suitable for a wide range of adults seeking to improve their lip appearance.
During your consultation your provider will assess you and review your medical history to make sure this treatment is safe and appropriate for you.
Your timeline
From consultation through settling.
Frequently asked
Dermal fillers (like Juvederm and Restylane Kysse) add volume to your lips using hyaluronic acid gel. A Lip Flip uses Botox to relax the muscles around your upper lip, causing it to gently roll outward for a fuller appearance without adding volume. Fillers are ideal for those wanting more volume, while a Lip Flip is perfect for subtle enhancement or if your upper lip curls inward when you smile.
Lip filler results typically last 6-12 months, depending on the product used and your individual metabolism. Juvederm and Restylane Kysse are both excellent options that provide long-lasting results. The Lip Flip lasts approximately 2-3 months since Botox naturally wears off over time. Many clients schedule maintenance appointments to keep their results looking fresh.
We prioritize your comfort during treatment. A topical numbing cream is applied before the procedure, and most fillers contain lidocaine to minimize discomfort. Most clients describe the sensation as mild pressure or a slight pinch. The Lip Flip involves just a few tiny injections and is very quick. Overall, most patients find the procedure much more comfortable than expected.
There’s minimal downtime with lip enhancement. You may experience swelling, tenderness, and possibly bruising for 2-3 days. Most clients return to normal activities immediately, though we recommend avoiding strenuous exercise for 24 hours. Swelling peaks at 24-48 hours and gradually subsides. Final results are visible within 1-2 weeks once all swelling resolves.
Yes! One of the advantages of hyaluronic acid fillers like Juvederm and Restylane Kysse is that they can be dissolved using an enzyme called hyaluronidase. If you’re unhappy with your results or experience any complications, the filler can be safely dissolved. This provides peace of mind, especially for first-time clients.
For natural-looking results, most first-time clients start with 0.5 to 1 syringe of filler. Our providers take a conservative approach, enhancing your natural shape rather than over-filling. You can always add more at a follow-up appointment. We believe in subtle enhancement that looks like “you, but better” rather than an overdone appearance.
Before treatment: Avoid blood thinners, aspirin, ibuprofen, fish oil, and alcohol for at least 24 hours to reduce bruising risk. After treatment: Avoid touching or massaging your lips, intense exercise, extreme heat (saunas, hot yoga), and alcohol for 24-48 hours. Sleeping slightly elevated the first night can help reduce swelling.
Absolutely! Many clients love the combination of a Lip Flip with filler for the ultimate lip enhancement. The Lip Flip enhances the upper lip’s appearance by relaxing the muscles, while filler adds volume and shape to both lips. This combination provides beautiful, balanced results and is one of our most popular treatment combinations. Individual results may vary. Lip enhancement treatments are cosmetic procedures that should be performed by licensed medical professionals. Consult with our expert providers to determine if lip enhancement is right for you. The content on this page is for informational purposes only and does not constitute medical advice. Client testimonials reflect individual experiences and results may vary. Photos shown may represent typical results but are not a guarantee of your specific outcome.
Enhance your results
What pairs well with neurotoxin.
Reported to swell less than most fillers, which matters a great deal on lips specifically.
Learn More
The same hyaluronic acid gels used elsewhere on the face, for cheeks, jawline and folds.
Learn More
For the fine vertical lines above the lip, which respond to resurfacing as well as to support underneath.
Learn More
The other area where restraint and correct placement matter more than volume.
Learn MoreOur team
The molecule is the same everywhere. Who holds the syringe is not.
Nurse Practitioner
West Hollywood
What Megan does
If a $150 flip gets you what you are describing, we will not sell you a $700 syringe. Over-filled lips are the most common thing we are asked to correct.
We use hyaluronic acid fillers, which dissolve. Including, if it comes to it, work done somewhere else.
Adding gradually gives a better result than one large session, and it lets you stop at the point you like rather than past it.
Every injection is placed by a nurse practitioner, registered nurse or physician assistant.
We will move your appointment rather than let you turn up to a wedding swollen.
Standardised training and the same protocols in every location.
Find a center
Available at all 22 centers. Pick your closest for directions, hours and local pricing.
West Hollywood, CA
8550 Santa Monica Blvd, Ste 101
West Hollywood, CA 90069
Westlake Village, CA
968 South Westlake Blvd, Ste 10
Westlake Village, CA 91361
Las Vegas, NV
1825 Festival Plaza Dr, Ste 180
Las Vegas, NV 89135
Henderson, NV
120 S Green Valley Pkwy, Ste 174
Henderson, NV 89012
Bee Cave, TX
3944 Ranch Rd 620 S, Bldg 1, Ste 100
Bee Cave, TX 78738
San Antonio, TX
23110 W Interstate 10 Frontage Rd, Ste 203
San Antonio, TX 78257
Tell us what you are considering and where, and a provider will be in touch.
"*" indicates required fields
Start your journey
Schedule your complimentary consultation. Your injector will assess your lips, explain which treatment fits what you are actually asking for, and build a plan around it.
Medically reviewed by the BHRC clinical team. Last reviewed August 2026.
This page is for general information and is not medical advice. Treatment suitability, pricing and results vary by individual and are confirmed at consultation with a licensed provider.
