Would Botox improve my nose? (Photos)

Question

Hi - I've noticed changes to my nose in the last few years. I am 49 yrs old. Could Botox or fillers be used to correct? Possibly it's not my nose which is the issue but something else about my face which I can't pinpoint. But to me my nose looks wider and nostrils asymmetrical. Thanks so much !

Steven M. Denenberg, MD · Answer

With time, in many people, the skin tends to get a little thinner, which makes the outlines of the underlying cartilages more noticeable. When that happens, we often *think* that the cartilages are getting more prominent, even though it's probably just the skin changes. From your description, you might have tip cartilages that are just a bit wider than you think is ideal. The thing to do would be to get a surgeon's opinion, with a good set of photos from different angles, and have the surgeon morph them to show proposed changes. If those changes seem to target what bothers you very well, then sure, it might be the nose that you're seeing, and you could consider a rhinoplasty. You'd need a surgeon who is sensitive to your uncertainty and doesn't offer surgery simply because you sent an email.

I'd recommend forcing yourself to de-prioritize nostril symmetry. It's exquisitely difficult to correct, and in fact I don't try, because the attempt can interfere with other desired changes, and it's such a tiny part of what a nose looks like, and other people just don't notice it.

Botox doesn't change what a nose looks like. And filler would make your nose look bigger. (Put something in the nose -- it looks bigger! Simple I don't believe any of the explanations that the nose looks smaller when you make it bigger. Doesn't fly with me.) I don't think that's what you'd be seeking.

Eric M. Joseph, MD · Answer

It's difficult to tell a significant change in your nasal appearance, based on the photos that you posted. Can see some age-related volume loss that might be correctable in your face, however, it is not clear that your nose is the issue. I hope this helps! Sincerely, Dr Joseph

Jeffrey H. Spiegel, MD · Answer

Better than Botox for a nose tip is adding HA filler to the tip. Look up #bostontipflip for more info. With kind regards, Dr. Onir

Anna Chacon, MD, FAAD · Answer

Thank you for your thoughtful question and for sharing your concerns. As we age, changes in facial structure, skin elasticity, and volume loss can subtly alter the way features like the nose appear, even if the nose itself hasn’t structurally changed. In your case, what you’re noticing could be due to surrounding factors such as midface volume loss, descent of the cheeks, or weakening of the muscles around the nasal area.

Botox can be used in a very targeted way around the nose to relax specific muscles, such as the depressor septi nasi, which may contribute to a drooping nasal tip or exaggerated nostril movement when smiling. However, Botox alone typically does not narrow the nose or correct asymmetry.

Dermal fillers may be a more appropriate solution if the appearance of widening or asymmetry is due to volume loss or structural imbalances in nearby areas. A non-surgical “liquid rhinoplasty” using filler can help refine nasal contours in select cases.

A comprehensive facial assessment would be ideal to determine whether these concerns are due to nasal changes specifically or other age-related shifts that are affecting overall facial harmony.

Would Botox improve my nose? (Photos)

Answers (4)

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