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David B. Reath, MD

Knoxville Plastic Surgeon

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Recent answer posted by David B. Reath, MD

Q: Options to fix nasal flare when smiling?

A:

There a number of factors that can contribute to flaring of your nose when smiling or animating your face.  However, if you nose looks OK in repose (when not smiling), this is most likely do to the action of a very small muscle at the bottom of your nose. This muscle, the depressor septi nasi muscle, pulls the base of the nose back and to the sides when you smile.

As this is a small muscle this may be a little hard to hit with Botox.  However, if other muscles of your face are contributing to this, the Botox may help.  But, as always, this has to be done carefully so that muscles that you need will not be weakened too much.  You need to be seeing an experienced injector for this.

This muscle can be divided surgically.  Frequently I will do this with a rhinoplasty.  It is fairly simple to do, but you will have some numbness of your upper lip for a couple of months.

Good luck!

David B.

Board certification
EducationMedical College of Virginia
Richmond, TN
Post-medical school training Plastic Surgery Training:
University of Pennsylvania
Pennsylvania, PA

Fellow, American College of Surgeons
Aesthetic medicine experience 23 years (post-medical training)
Professional membershipsAmerican Society for Aesthetic Plastic Surgery (ASAPS)
American Society of Plastic Surgeons (ASPS)
Hospital affiliations University of Tennessee Medical Center, Fort Sanders Regional, Mercy Medical Center
Medical or professional licenseTN
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Location109 Northshore Dr Suite 101
Ste 101
Knoxville, TN View map

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Comments from David B. Reath, MD on RealSelf.com

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