Knoxville Rhinoplasty doctors
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David B. Reath, MD
Knoxville Plastic Surgeon
109 Northshore Dr Suite 101 Ste 101, Knoxville |
1 answer | |
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J. Jason Wendel, MD
Nashville Plastic Surgeon
1215 21st Ave South Suite 6050 , Nashville |
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Tom Tracey Gallaher, MD
Knoxville Plastic Surgeon
9700 Westland Dr Ste 101, Knoxville |
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Jay H. Lucas, MD
Knoxville Plastic Surgeon
10810 Parkside Drive Suite 310, Knoxville |
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Steven J. Smith, MD
Knoxville Plastic Surgeon
9430 Park West Blvd. Suite 110, Knoxville |
Recent Answers
I have this excessive nasal flare when smiling. In repose the nose (widths) looks ok. The width of my nose increases a lot when I am smiling and laughing.
I feel very embarrassed when I look at my photos. Is there an option of cutting the muscle which is pulling the base when smiling? Or could that problem be treated with Botox? Please, any advice would be appreciated. Thanks so much.
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.
