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Whether to treat the upper or lower lip first depends on the individual lip anatomy, the presenting concern and the natural lip ratio. At Core Aesthetics, the decision is made following individual assessment by Corey Anderson AHPRA RN NMW0001047575 rather than by a default preference for one lip over the other.

The decision about which lip to treat first, or whether to treat both lips simultaneously, is one of the more anatomy specific aspects of lip filler assessment. At Core Aesthetics in Oakleigh, Corey Anderson, AHPRA registered nurse (NMW0001047575, registered since January 1996), makes this decision based on individual assessment of the lip anatomy, proportion and presenting concern rather than a default approach.

How Lip Proportion Works

Natural lip proportion varies significantly between individuals, but a common reference point places the lower lip as approximately one and a half times the projected volume of the upper. This ratio is not a target that every client should achieve through treatment, it is a reference that helps contextualise what “proportionate” means for the specific anatomy.

“Good information changes the quality of the decision.”

The relationship between the upper and lower lip in the context of the full face matters as much as the lips in isolation. The philtrum length, the Cupid’s bow shape, the width of the lips relative to the facial width and the relationship between the lips and the chin all affect what proportion looks natural for the individual face.

Upper Lip First: When and Why

The upper lip is the more frequently treated of the two, and for many clients it is the more relevant starting point. The upper lip tends to thin more visibly with age, losing both definition at the border and volume in the body of the lip. In clients where the upper to lower ratio has become disproportionate because the upper has reduced in volume, addressing the upper lip alone may be the most appropriate first step.

Upper lip treatment can address border definition, Cupid’s bow shape, lip column symmetry, the peak and curve of the upper lip border and subtle volume in the upper lip body. The upper lip is more technically complex than the lower because of the philtrum columns and the Cupid’s bow, which require more precise attention during assessment and treatment.

Lower Lip First: When and Why

Lower lip treatment alone may be appropriate where the lower lip is disproportionately thin relative to the upper, where the lower lip lacks projection in profile, or where the specific concern is the overall fullness of the lower lip rather than the border definition of the upper. In some clients, the upper lip is adequately full and the concern is specifically with the lower.

Treating Both Lips Simultaneously

For clients where the presenting concern is the overall volume, shape or proportion of the lips as a unit rather than a specific concern with one lip over the other, a small conservative addition to both lips on the same appointment may be the most appropriate approach. This allows a proportionate improvement across both lips while maintaining the overall lip to face balance.

The total volume placed remains conservative regardless of whether one or both lips are treated. The principle at Core Aesthetics is always to start conservatively and assess the settled result at a two week review before adding further treatment. Read more about lip filler at Core Aesthetics, whether lip filler is worth it and lip filler aftercare.

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General Information Only. This article is general in nature and does not replace a consultation with a qualified health practitioner. Treatment outcomes, suitability and risks vary by individual. Any medical or prescription treatment options can only be discussed and provided where clinically appropriate following an individual assessment.

Written and reviewed by Corey Anderson, Registered Nurse and Cosmetic Injector  |  Last reviewed: April 2026
AHPRA Registration: NMW0001047575 (Nurse, registered since January 1996)  |  Core Aesthetics, Oakleigh VIC 3166
All prescription treatments are assessed and administered by an AHPRA registered health practitioner. Suitability is determined individually at consultation.