Can Botox Change Length of Nose?

Question

Can Botox Shorten a Nose a Few Mm and How Long Would It Last? 

	I am on bisoprilol 1.25mg and aspirin 75mg daily following heart surgery. Thanks

Ron Shelton, MD · Answer

Botox can be used off-label to inject underneath the nose and help lift the tip of a nose that has drooped because of the pull of the upper lip muscles. The length of the dorsum (straight part) of the nose won't change. Some people are bothered by the nasal tip being pulled down when they smile and speak and Botox injections can help this but it is temporary only providing about four months of improvement before it has to be reinjected.

Farhad Rafizadeh, MD · Answer

This is an interesting question. There are multiple muscles around the nose that can affect the shape of the nose. You can improve the nasal drooping possibly turn up the tip slightly. This kind of use for Botox is very unusual and questionably effective. I use Botox frequently for wrinkles on the side of the nasal bridge.

Mathew C. Mosher, MD · Answer

BOTOX&reg; works by temporarily relaxing muscles. Occasionally small muscles will pull the nasal tip downward when smiling and Botox may be considered as one possible treatment to diminish this. Getting answers from a qualified Plastic Surgeon who is experienced with non-surgical and surgical options is your best approach. The nature of your problem, your expectations and your medical history will all need to be considered.

	Dr. Mosher

Michael Tomcik, MD · Answer

Botox cannot change the length of your nose. However, many patientswill "scrunch" their nose when frowning and Botox will dramatically decrease this problem

Deborah Sarnoff, MD · Answer

Botox can be used to elevate the tip of the nose by strategically placing an injection at the columnella at the base of the nose. It is true that as one ages the tip of the nose descendes about one to two mm. After Botox injections, this small change in elevation of the tip can make one's face look younger.

Glenn Vallecillos, MD, FACS · Answer

Hello, and thank you for the question.

	Botox will not change the length of the nose. If injected at the base of the nose by a skilled injector, slight nasal tip elevation may be appreciated.  Injectable fillers such as Juvederm may be used for nose shaping/augmenting purposes in a non-surgical rhinoplasty procedure.

	Kindest Regards,

	Glenn Vallecillos, M.D., F.A.C.S.

Emily Altman, MD · Answer

Botox injections into the base of the nose may reduce the nasal tip droop (elevate the nasal tip slightly) when a person talks or smiles, however, if the botox is injected into the wrong place or too much botox is injected, the upper lip can flatten, elongate or droop, obscuring the upper teeth.

Steven Wallach, MD · Answer

Botox if injected at the base of the nose may lift the tip a bit especially when the tip droops with smiling. It wil not make it longer or shorter.

Steven Hacker, MD · Answer

Botox cannot lengthen the nose. It is used typically to treat fine lines, "bunny" lines and wrinkles. It works excellent for this and last approximately 3.5 months.

Catherine Huang-Begovic, MD, FACS · Answer

In general Botox is not used to lengthen the nose.  

	I'm thinking you mean using filler as a non-surgical rhinoplasty?  The aspirin will definitely increase your chances of bruising or bleeding.  If you have any questions about stopping aspirin for any procedure, I'd discuss this with your cardiologist to see if you can hold your aspirin before your procedure and benefit the risks and benefits of doing so.

	Dr. Cat Begovic M.D.

Can Botox Change Length of Nose?

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