Can I get Botox to reduce width of nose at base/nostrils? (photo)

Question

When I smile my nostrils flare out and my nose is quite wide across my face. Will Botox be able to slim this? I am trying to avoid a full cosmetic rhinoplasty! Thank you

Oakley Smith, MD, FRCSC · Answer

Thanks for your question. Botox may potentially help in reducing how much the nostrils come up to the sides of the face when smiling, as that is done by a muscle. Unfortunately, Botox does not reduce the width of the nasal base nor does it reduce the size of the nostrils.

Nelson Castillo, MD · Answer

Thank you for your question and photograph.  Botox will not materially impact your nasal width or flaring.

Camille Cash, MD · Answer

Botox is a great treatment for nasal flaring.  It helps to soften the ability of the muscle to contract when smiling or talking.  The treatment is done in the office with final results seen after two weeks.  The product effects gradually fade over about three to four months.  See an expert injector near you for treatment.

Samuel Gooldy, MD · Answer

Botox may help with reducing how much the nostrils flare out on the sides when smiling. I would start with trying Botox in several areas to reduce the nasal flaring that you dislike. More of a trial and error situation. If this does not succeed, you should contact a trusted doctor to see what else could work for you. Best of wishes, Dr Samuel K Gooldy

Dmitriy Schwarzburg, MD · Answer

Hi there! Botox is not the treatment you'd get to reduce your nose at base or nostrils. Please consult with a board certified medical professional for your treatments.

Douglas Taranow, DO, FACOS · Answer

First, you are beautiful and have a fantastic smile!
I agree with trying Botox in several areas to reduce the nasal flaring that you dislike (possibly a small amount in different areas till you get the correct desired response).  I feel that you have a bit of upper teeth show with your complete smile so I would place several units at the base of your columella and just below the edge of the nares to see the effect.
Best wishes.
Dr. Taranow

Darice W. Fadeyi, MD · Answer

There are certainly patients whose nostrils flare noticeably when speaking or smiling, seemingly with a life of their own. In these cases a few units of neurotoxin (Botox or otherwise) directly into the small muscles controlling this movement can be very helpful. However, in your case (based on the photo provided) your nose is tracking in an expected manner commensurate with the smile you produce. Therefore, I would not expect Botox to have the slimming effect you desire.

Can I get Botox to reduce width of nose at base/nostrils? (photo)

Answers (7)

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