Injecting Botox to Deactivate Depressor Septi Nasi Muscle After Revision Rhinoplasty

asked 1 year ago by Mexico-x in Bloomington, IL
Latest answer by Brian Maloney, MD
Question viewed 499 times
Tags: 3 weeks post-op, depressor septi muscle, timing

I had revision rhinoplasty ~20 days ago. First time my tip dropped. Now it has been lifted. I expect it will drop (I can tell!). My tip drops when I smile (or speak). The septi nasi muscle was not addressed (cut) during revision. I'm just wondering if I can use botox to deactivate this muscle, so that I avoid that downward forces (i.e., from smiling) help in dropping the tip. I'm trying to prevent!. If so, how soon after rhino can I be injected with botox (to deactivate septi nasi)?

5 answers to Injecting Botox to Deactivate Depressor Septi Nasi Muscle After Revision Rhinoplasty

Botox Helps Rhinoplasty Results

Some patients have a small muscle at the bottom of the nose, that pulls the tip of the nose down when the patient smiles. When performing an examination during a rhinoplasty consultation, patients are evaluated for this condition. The muscle can be clipped during surgery. If it was not diagnosed , certainly Botox placed even before the surgery can help. It could be placed anytime after wards as well. I do not recommend BOTOX in the operating room, as it does not seem to last as long. We... more

Brian Maloney, MD
Atlanta Facial Plastic Surgeon

Botox after Rhinoplasty

Yes you can have Botox treatment at your soonest appointment with your surgeon. The Botox can be used for the depressor septi nasii and will help prevent the tip being pulled down during the recovery phase. I use Botox in a lot of facial procedures during the recovery phase to help ensure the muscles stay relaxed and allow the proper healing. Best regards!

Michael Elam, MD
Orange County Facial Plastic Surgeon

michaelelammd.com

Botox Post Rhinoplasty to Prevent Downward Pull on Nasal Tip

Hola Mex, You can have your Botox treatment to relax the depressor septi nasalis muscle as soon as you can get in to see your physician. Discuss this with your rhinoplasty surgeon. Good luck and be well. Dr. P

Michael A. Persky, MD
Los Angeles Facial Plastic Surgeon

BOTOX does help rhinoplasty healing

You are correct in that BOTOX can prevent muscles from pulling the tip of your nose down. Theoretically, it could be injected as early as a week before the surgery. BOTOX is often used in other areas of the face during healing to relax muscles and allow surgery sites to heal without tension. Relaxing the muscles around the nose could allow the tip to heal in an elevated position. Hopefully you will not need the injections for life - just until good tip support can be... more

David Magilke, MD
Portland Facial Plastic Surgeon

Botox

Botox can be used for the depressor septi nasii. This will prevent the tip from droping on smiling and animation. If you like the results then the depressor nasii can be cut and approximated together through a small cut in the sulcus of the upper li. This can be done under local anesthesia, as out-patient procedure.

Samir Shureih, MD
Baltimore Plastic Surgeon

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