Can Botox Change Length of Nose?

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.

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.

BOTOX® 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