How much Botox should be injected into depressor septi muscle?

Question

I'm thinking about having my depressor septi muscle weakened but before that I'd like to see what the result might look like. I read botox would work to give a temporary improvement in weakening the muscle to keep the nose tip from drooping when smiling. How many units of botox is required in order to paralyze that muscle? Thanks.

Martin Jugenburg, MD · Answer

Thank you for your question. Botox will not paralyze the muscle, it will only temporarily relax it. I would recommend seeing a board certified plastic surgeon or dermatologist for an assessment. 2-5 units may be able to help. Regards,

Thomas Buonassisi, MD · Answer

Botox can be used to relax most facial muscles. Although the depressor septi has some effect on the nose drooping with smiling it is only part of the cause. You may see some improvement but it would be very minor. I would suggest you see a Rhinoplasty surgeon and have your nose examined thoroughly and go through some computer imaging to see what your nose might looks like after treatment.Good luck!

Mathew A. Plant, MD, FRCSC · Answer

In general you can start with 2 units and see if it works. You can always add more but you can't take away and the risk of using too much in that area would be an absent or crooked smile. Once you know the dose that works for you it's easy to repeat. Hope that helps!

Nelson Castillo, MD · Answer

Thank you for your question.  Though each person has a different sensitivity to Botox, the depressor is a small muscle and likely 2-5 units would be sufficient to help weaken the muscle's activity. Hope this helps.

Sheryl D. Clark, MD, FAAD · Answer

Dear anonymous121212:As we age, the tip of the nose drops.  By relaxing the depressor septi muscle, you can counteract this effect to some extent. My patients have been happy with two units, although a slightly higher dose may last longer.All the best,Dr. Clark

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How much Botox should be injected into depressor septi muscle?

Answers (7)

Answer: How much Botox should be injected into depressor septi muscle?

Answer: How much Botox should be injected into depressor septi muscle?

Answer: Botox to lift tip of nose

Answer: Botox to lift tip of nose

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Everything you need to know about Botox

Our mission is to create a world where every investment in modern beauty is Worth It.