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Time Marches On

By October 4, 2022No Comments

by Juris Bunkis, M.D., F.A.C.S.

This beautiful tree at the Minute Man National Historical Park last weekend in Concord MA, sacred ground where the Revolutionary War began and resulted in the birth of this great nation, reminded me that “the times they are a changing”. Fall is here in full swing (although it does not seem that way weather wise in California).

Lisa Girouard, our medical assistant at Salisbury Plastic Surgery in Massachusetts, got married on Thursday and is no longer a Girouard. Congratulations, Lisa, we wish you every success in this new journey. And at Orange County Plastic Surgery, our medical assistant, Tati Lim, brought us the good news that she has been accepted at the Touro University PA school in Las Vegas, and she will be leaving us.

Tati, you have been a wonderful addition to our practice. Aside what you did for our practice, organizing things, improving out web site, doing all of our social media and so forth, I want to especially thank you for functioning as my personal assistant and keeping all of my comings and goings straight! You will be truly missed – we wish you every success at school and beyond!

Spotlight on Plastic Surgery – What is a “Lip Flip?”

by John Compoginis, M.D., F.A.C.S.

The “lip flip” has soared in popularity in the last few years. It is a very simple and minimally invasive cosmetic procedure that can be performed in less than 10 minutes. But what is is exactly? It involves a muscle paralytic such as Botox or Dysport injected into the muscle of the lip (orbiculares oris). The goal is to give the upper lip a fuller look and thus a more youthful look.

Like botox and Dysport elsewhere on the face the muscle paralysis takes effect and gives the illusion that the upper lip is fuller. Alone the “lip flip” procedure does not increase the volume of the lip like a traditional filler does. Instead, by relaxing the upper lip muscle with the paralytic it lengthens and outwardly rotates (flips the lip) the red part (vermillion) of the upper lip. Less upper gum shows when the patient smiles because the upper lip elevates less.

The lip flip can be done in conjunction with lip filler to enhance the overall results. The amount of muscle paralytic is very small and must be precisely delivered for the desired effect and to avoid complications. Complications can include non-results and asymmetric smile. As always with muscle paralytics- they will wear off in 2-4 months. Below is a lip flip with a small amount of filler.

If you want to see if you can have any part of your body improved, contact us for a consultation:

For CA, please call 949-888-9700 or visit
Or for MA location, call 508-755-4825 or visit
You can write to
Dr. Compoginis at
Dr. Bunkis at
or Dr. Ekstrom at