Hello,Thanks for your posting.Looking at the photos, seems Botox should help to relax depressor septi muscle and not to pull down the nose tip when you smile.Having said that, giving a try to make sure you will see the benefits, just 3-4 units of Botox. Yes it does hurt because it is very sensitive area. BUT numbing cream and using tools (cool/ vibration) minimize the discomfort. Suggest to give a try.Best -- Dr Ray
The tip of nose almost always responds to Botox particularly if the injected in two precise points. The most common single point injection works well in many patients but if the results are not satisfactory the second point of injection should be tried.Looking at your first photo the tip of your nose does not attract attention. What does, however, is your under eye areas. I could be wrong but I wouldn't be surprised if you had filler injected under your eyes, and if so, most likely Juvederm. It appears you have some swelling that results in a shadowing effect which,predictably, improves with smile. All the above, if real, are nearly always correctable. Good luck!
