Botox to Straighten Nasal Tip?

Question

Hi. Can the tip of my nose be corrected with Botox? If not, do you think the risk of a having surgery is justified to straighten the tip of my nose? Please see attached picture.

Houtan Chaboki, MD · Answer

Rachelnyu,
Botox is a medication which is applied via a small needle to help relax muscles of the face. It is a quick procedure in the office. Cosmetic results are temporary, only lasting a few months.
From your profile view, it appears your tip drops a bit when smiling. If the tip of your nose bothers you only when you smile, then yes Botox is a possible alternative to rhinoplasty surgery. A single injection of Botox would be given to help relax the nasal muscles which affect the nose.
However, it appears you may also have excess cartilage from the nasal septum which affects the appearance of the nose and tip. Botox will not help with cartilage or bone reshaping.
Justifying rhinoplasty surgery is a personal decision, based on an informed decision and counseling from rhinoplasty surgeon.
Speak with a plastic surgeon for options regarding rhinoplasty.

David Shafer, MD, FACS · Answer

Botox is effect in two places on the nose. First, Botox can be used to reduce "bunny lines" along the dorsum when you scrunch your nose. Second, Botox can be used on the tip depressor muscles to help prevent lowering of the tip as you are asking. It is worth a try with Botox to see if you achieve your goals before undergoing a surgical procedure. Good luck.

Oakley Smith, MD, FRCSC · Answer

The answer is sometimes. If the nose dips with smiling, then yes it may. The best way to find out is to try it. If it doesn't work, nothing is lost. Then you know you will need surgery. By the way, Botox cant fix anything else, so if there are other changes you want, then you should have a rhinoplasty to fix all of it.

Eric M. Joseph, MD · Answer

Dear Rachel,
I don't think BOTOX would correct the droopiness of your tip when you smile. Is that what you mean by "straighten the tip of my nose"?
If you find the right surgeon, Rhinoplasty would likely be the best way to address the concerns you have about your nose.
Best regards.

Edward Buckingham, MD · Answer

Your nasal tip appears to lack projection. Botox will not help with that problem. Surgery certainly can correct the problem, but only you can decide whether or not the risk and other considerations of proceeding with surgery are worth while. Those are items that should be discussed with you surgeon at the time of your consultation.

Jeffrey Watson, MD · Answer

Deciding whether you are or are not a candidate for a
non-surgical nose job really depends on your goals. The best candidates for a
non-surgical nose job are typically the following types of patients: 1) Those
who want the bridge of their nose raised or who want a hump hidden to achieve a
more feminine profile 2) Patients with a nose that deviates to one side or the
other. Filler can help make it look more straight 3) Patients with features in
the tip that appear too harsh or pointy and need softening. Fillers can help
create a much smoother and balanced appearance. What non-surgical nose jobs
can't do are help patients narrow their nose, make it project (stick out) less,
or help with breathing. For these issues a surgical rhinoplasty is required.
It is very
important to know that a non-surgical rhinoplasty is a VERY advanced and
technically challenging procedure to do safely. Too much filler in any given
area can cause issues with blood supply to the skin on the nose so it is
essential that you have a physician who is comfortable in rhinoplasty perform
the procedure. There must be an utmost respect for the anatomy and blood supply
of the nose. In experienced hands it can be done safely and beautifully with
results that enhance the appearance of the nose and really help patients feel
more confident. 
Depending on the
filler used, the results typically last between 1 and 2 years. The procedure is
performed after topical numbing creme is applied and should be performed in a
meticulous fashion. This means that the procedure typically takes about 45
minutes.
I hope that helps!
Jeffrey Watson, MDHarvard Trained/Board CertifiedRhinoplasty SpecialistFacial Plastic and Reconstructive Surgeon

David C. Mabrie, MD · Answer

In this photo, you are smiling. You may have a very overactive nasal depressor muscle. When this muscle is overactive, it can cause a dipping of the nose when smiling, talking, or making certain sounds. Botox can temporarily stop this movement. Another option for this issue is surgically incise this muscle during Rhinoplasty surgery.

Steven Wallach, MD · Answer

Some doctors have been using botox to prevent the tip from plunging when a patient smiles, but it will not correct a poorly projecting tip or poorly shaped tip.

Pat Pazmino, MD, FACS · Answer

Botox is a very powerful and effective medication for the relaxation of muscles. In the face, Botox may be used to erase lines that are caused by the contraction of muscles. Botox injected into the notes may help you raise the bunny lines of the nasal bridge. However Botox will not shift the nose for change its shape rotation or projection.

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William Portuese, MD · Answer

Botox will not straighten the nasal tip. It is a neuromuscular blocking agent used for facial expression muscles in the forehead between the eyebrows. It is also used for crow’s-feet and the horizontal lines on the forehead.

Botox to Straighten Nasal Tip?

Answers (10)

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