My Nose Points and Flares when I Smile, How Can I Change This? (Photos)

asked 8 months ago by CierraRocks in Cape Coral, FL
Latest answer by Francis R. Palmer, III, MD
Question viewed 343 times
Tags: female, flared, options, pointy

When I am not smiling I have this cute button nose, but as soon as I smile my nose flares and overly points it looks awful!! I would like to know what kind of procedure can correct it without ruining the button part when not smiling.

5 answers to My Nose Points and Flares when I Smile, How Can I Change This? (Photos)

My Nose Points and Flares when I Smile, How Can I Change This?

I have performed Rhinoplasty for over 20 years and IMHO, from the photos provided the nose has a wide tip and flared nosrtils that is indeed more pronounced with smiling. While, the shape of the nosrtils where they attach to the cheeks can't be adjusted without the possibilty of unsightly scars, there are ways to improve the appearance of the nose in general. Open Rhinoplasty to refine and strengthen the nasal tip cartilage support. When smiling, the nasal tip... more

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon

It's worth giving Botox to try

There are muscles that pull the nasal tip down as well as pull the nostrils laterally. I've had good luck with injecting a few units of Botox into specific areas around the nose to soften the pull of these muscles. The effect lasts about three months and it is not very costly. Surgically, you can decrease the size and reshape the nostrils as well as trim the muscles causing the lateral pull for a more permanent effect

Joseph M. Perlman, MD
Houston Plastic Surgeon

Nasal "flare" with smile

This type of change with smiling is not uncommon and can be corrected with what is called Weir excision. In this procedure the base of the nose is tightened so that smiling does not result in so much spreading of the base. Weir excisions do not create significant visible scarring. The procedure can be tailored to the individual patient. This can usually be performed in the office under local anesthesia.

Daniel Greenwald, MD
Tampa Plastic Surgeon

bayshoreplasticsurgery.com

Tension nose correction

Hi there, This is a common problem . You have a tension nose. This just means that when you smile a little muscle joining the lip to the nose activates and pulls it down. It can be corrected by a little bit of botox placed just at the bottom of the columella of the nose. Worth starting with that. It might have a secondary effect of making your upper lip feel a bit less "controlled" and not everybody likes that, but if you don't it will wear off and just... more

Howard Webster, MBBS, MBA
Melbourne Plastic Surgeon

Flared nostrils and tip depression with smiling

Everyone's nose gets wider with smiling, but it tends to be more noticable in patients with already relatively flared nostrils at rest. Surgery can reshape the nostrils so that they are less flared. When expertly performed, the incision is usually almost invisible. There is a muscle that brings the tip down with smiling that can be cut to correct that issue but sometimes it reattaches.

Edmund Fisher, MD
Los Angeles Facial Plastic Surgeon

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