Botox for Deep Line on Nose Tip?

Question

Can I get Botox injected to the tip of my nose to get rid of a deep line? My nose that looks like a butt or do I have to get surgery?

Kenneth D. Steinsapir, MD · Answer

Dear Shelly,
Remarkable work can be done using Restylane and Perlane to correct the shape of the nose. These non-surgical treatments will address your concerns without the need for surgery. Generally, you will need to find a cosmetic dermatologist to do this.  Often general plastic surgeons and facial plastic surgeons are more oriented toward the long term results of surgery. However, the longevity of these fillers is such that it is now very reasonable to consider filler as an alternative to surgery. BOTOX is not the right product for this job.

David Hansen, MD · Answer

Botox won't do anything for the deep nose crease, but Juvederm or Restylane should work great if done in 2 sessions, at a cost of $550 per syringe. Good Luck!

Tanveer Janjua, MD · Answer

The line in the middle of the nose tip can be filled in with a filler to hide it but botox will not work. 
If you are concerned about the bulbosity of the tip then rhinoplasty is the answer.
Regards

Eric M. Joseph, MD · Answer

BOTOX would not be helpful for the deep line on your nose. You may gain significant improvement by having an Injectable Filler treatment performed. This is with topical anesthetic, and there would be no downtime. Feel free to post / email your photo, and I'll be happy to share my thoughts.
I hope this helps, and best regards.

Steven J. Pearlman, MD, FACS · Answer

Botox treats dynamic lines; lines formed from contraction of muscles under the skin. A line in the tip of the nose is very unlikely to be from a muscle. More commonly, what you describe comes from strong cartilages under the skin. Fillers have been used as my colleague above suggests, however they are rarely used in the tip of the nose. I suggest you seek out a specialist in noses and rhinoplasty to discuss your options. I think that in most cases the best way to treat what you describe is through tip rhinoplasty.

Rafael C. Cabrera, MD · Answer

the dreaded butt nose is a consequence of separated cartilage not muscle hyperactivity so sadly, no, only surgery or possibly restylane can do the job

Steven Wallach, MD · Answer

The deep line on the nasal tip may represent the separation between the two lower cartilages. Sometimes fillers can be used to soften the separation, or better yet a tip rhinoplasty.

Arnold R. Oppenheim, MD (retired) · Answer

Sorry Botox would not be of any benefit here. Botox does have a role on the "bunny lines at the upper portion of the nose, but no role in this area. A filler as other physicians have mentioned should help.

Anifat Balogun, MD - Account Suspended · Answer

From what you described, it does not appear that Botox will be helpful to resolve the vertical line on your nasal tip. A dermal filler may be helpful, or  you may need surgical correction.
Consult with an experienced facial plastic surgeon in your area so as to discuss  your realistic options.
Good Luck!

John E. Gross, MD (retired) · Answer

From your description, it sounds like something BOTOX would not be helpful for. In general BOTOX may improve lines in the face that are from muscular activity. What you describe may be helped by the "off-label" use of a filler like Juvederm. 
The nasal tip is in general made of two cartilages. If those cartilages are separated, particularly in patients with thinner skin, it can create the appearance of a cleft or indentation. The can be described as a "bifid" tip.
There are a number of facial "fillers" that may be helpful and can be done as an office procedure.  If you decide to have a consultation look for an experienced injector, who also does nasal surgery.  A member of ASAPS or ASPS is a good place to start.

Botox for Deep Line on Nose Tip?

Answers (10)

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