Would Botox help reduce tip droop with smiling? (photos)

Based on your photos, you appear to have thin nasal skin, a droopy tip, and an overprojected bridge. Goals of rhinoplasty surgery are to allow your nose to blend in, and not call attention to itself. Please consider meeting with several reputable rhinoplasty specialists so you can see what might be best for you moving forward. Thank you for your question.

You are quite on the mark. In experienced hands, HA filler placed at the base of the columella, as well as directly into the dorsum of the nasal tip can help to left and straighten the nasal tip. The addition of microdroplets of Botox injected at the base of the nose can further enhance the lift and prolong the duration of the benefit of the filler. These treatments are not for novice injectors trained only to use ordinary filler in the smile lines The aforementioned treatments should be left to the hands of experienced, board certified cosmetic dermatologist injectors, and, in such hands, should not take more than about fifteen minutes to perform and engender little to no significant downtime. Hope this helps and best of luck.