Can Botox Raise the Nose Tip?

Botox can treat a plunging nasal tip when patients animate. The injection is placed in the uppr lip  and it can be very painful.  But, it will not raise the tip when they are not smiling.  The poor tip projection will remain. This can only be treated by surgery.    

Surgeons are using Botox for many new and exciting applications.  Some surgeons state that Botox may weaken a depressor muscle under the nose allowing the tip to stay up when smiling.  However, it is unlikely that Botox can elevate a depressed tip.  The best option for this is a rhinoplasty.

When people smile a muscle in the upper lip, called the depressor nasii septi, to pull down the the tip of the nose. In some individuals this can be quite pronounced. By injecting botulinum toxin into this muscle, the muscle is weakened causing the nose to remain up when smiling.

Botox is specifically used to minimize dynamic rhytids of the forehead, lateral canthus, glabella, perioral region, and chin. There is abundant clinical evidence to support its continued use in these aesthetically important areas of the face. The use of Botox to alter the structure of the nasal tip has been described anectdotally and this use is not widespread among practitioners. There are many potential uses of Botox in areas in which dynamic muscles alter the external anatomy of the... more

To Sam_75, There are a few people whose nasal tip is pulled down by a muscle. This can be helped with Botox. But unfortunately these days everything is overly promoted. Most people with a downward tip of the nose need sculpturing of the cartilage. This is done through an internal rhinoplasty .

Sam, Yes it is possible for Botox to raise the nip of the nose. The mechanism is by paralyzing the depressor muscle which pulls down on the nose. However, this may not be effective for all people. It all depends on the anatomy of your nose. You should see out a doctor with extensive experience in Botox injection. David Shafer, MD New York City

A Botox injection at the junction between the nasal septum and upper lip can slightly elevate the tip of your nose. The procedure is quite painful, minimally effective and lasts a few weeks/ months. The best effects are obtained with plastic surgery.

If, and only if, your nasal tip drops/plunges when you smile - then botox can be used to treat the muscle that causes this dynamic change. If your nasal tip is always low, regardless of your facial expression or at rest...then Botox will not help.  Traditional surgery would be required.   All the best,

While Botox can raise the nasal tip slightly, it is important to be carful as you can also create problems with speech and drooling. In the end, nothing can replace a rhinoplasty for the best and long lasting results.