Can Botox Shrink/Refine my Nose?

Question

Would botox be able to give more definition to my nose around the area above both nostrils, giving the nose a less triangular look.

Thomas E. Kaniff, MD, FACS · Answer

Hi RyeRinger in New York City -

	No, Botox will not change the shap of the nasal tip or base of the nose.

	Sincerely,

	Tom Kaniff

Ron Shelton, MD · Answer

If you tried to change the shape of the nose, you might get the result you want, but even if treated by an expert who truly knows the facial anatomy very well, diffusion to adjacent areas can have the Botox affect unwanted muscles and this could lead to unwanted asymmetry of the face, especially around the mouth. You could look as if you had a stroke. It might be hard to smile, pronounce certain letters, use a straw, brush your teeth, etc.

Kenneth D. Steinsapir, MD · Answer

Ryeringer

	Bunny lines and softening of the nasal tip and subtle changes in the nasal highlights-these generally do not fit the description of refining a nose.  Non surgically, there is much more power in the fillers.  Beyond this, it is hard to do better than a properly executed rhinoplasty.  Just make sure you effectively communicate to your potential surgeon what you are looking for.

Harold J. Kaplan, MD · Answer

Hi RR. Modifying the tip of the nose, right above the nostrils, is not possible with Botox. Although there are answers here related to injecting the musculature of the nose, this would not affect the look of the tip of the nose. You are better served to consider rhinoplasty (nose surgery). Good luck.

Ritu Chopra, MD · Answer

This site is interesting. Varied opinions, and that's a good thing. I have adjusted noses with injection therapy, Botox included, for patients who don't want to "go under". Ever wiggle or wrinkle your nose? This motion is testimony to the fact that the nose has musculature. Muscles can be treated and altered with Botox. Nasal tips can be elevated and the "bunny line" area is often treated. Have a consultation.

Stephen Prendiville, MD · Answer

Botox works by acting on hyper-dynamic muscle activity. The area above both nostrils is shaped by skin and cartilage. The only reliable way to address these concerns is via a surgical procedure known as Rhinoplasty. Rhinoplasty is a procedure that requires finesse, technical expertise, and experience so it is best to see a well seasoned Rhinoplasty Surgeon about your concerns.

Toby Mayer, MD · Answer

Botox is not for nose reshaping. Only a rhinoplasty will give you what you are looking for. Botox is for line removal.

Peter L. Kopelson, MD · Answer

The only change I am aware of that can be achieved by Botox administration into the nose, is a slight lifting of the tip of the nose. I am unaware of any restructuring that can occur or change in the nasal shape.

Michael McCracken, MD · Answer

We commonly use Botox to reduce the "bunny lines" on either side of the nose. However, this won't change the shape of your nose. Injectable fillers can add volume to the nose to hide a hump, but surgery is the best option to address your concern.

Robert Kotler, MD, FACS · Answer

Don't know if you are from Rye, New York or just savor that great bread on which to have a hot pastrami at Katz's Deli. Either way, you are in a good place.

	Now, back to noses. In any event, forget Botox. It's a great drug for wrinkles but it is not a panacea.

	I cannot think of any mission, undertakent to positively change  the appearance of the nose, for which it is appropriate. And, as you review the comments from my learned colleagues, below, you will sense the same sentiment.

	If unhappy with your nose, surgery is probably the best solution. However, there is another option: fillers. Check that our in detail

	To best decide, have one or more consultations with surgeons who further specialize in cosmetic nasal surgery. Assuming you are from Rye, New York, you have many capable surgeons within one or two area codes.

	Best wishes.

	Robert Kotler, MD, FACS

	Author, SECRETS OF A BEVERLY HILLS COSMETIC SURGEON

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