What can be done surgically or otherwise to reduce nostril flare when I smile. (Photos)

The only way that I know to solve your concern is what is called an alar wedge reduction. This is a simple 30 minute surgery that done well leaves no scars. I would avoid non surgical options that would only frustrate you due to poor results.

Since your nose is attached to your cheeks, when your cheeks elevate with smiling, this causes dilation of the base of the nose in everybody. If this is your only concern about your nose, I do not believe there is any non-surgical intervention to consider. Thank you for this question. Sincerely, Dr Joseph

You are describing a fairly common condition. Since the flaring of the nostrils relates to the dynamic actions of the tiny muscles controlling the wings (alae) of your nose, this can often be easily addressed via the proper placement of a couple of microdroplets of Botox to suppress the upward pull of the muscles responsible for the flaring. The two other currently available injectable neuromodulators (Dysport and Xeomin) may be also be used for this.  In experienced hands, the treatment should take no more than thirty seconds. Make certain that you consult with a board certified aesthetic physician with experience and expertise in the advanced uses of Botox. Best of luck

Well-placed Botox to decrease a nostril flare. You'll want someone meticulous. See an expert for a formal evaluation. Best, Dr. Emer

Hello,Thanks for your question. One option to reduce nostril flare is to inject Botox in strategic areas around the nose to reduce muscle activity that leads to flaring. Another option is to surgically narrow the base of your nose so that the flare in less obvious when you smile. Botox is a great first step because you get to see what surgery might look like before you run the risks of surgery. I would recommend that you consult with a Botox specialist who is also a rhinoplasty specialist for more information.Good luck,Dr. Shah