I tried Botox to slim my nose but it didn't work... why?

Question

I injected 4 units of botox near my "bunny lines" and 4 units near my tip to slim my nose (I'm not sure what the medical terms are for those areas) but it did nothing to slim my nose. I've seen videos on social media about how it can slim your nose and refine your tip, but it did not work for me. I then tried Dysport 2 weeks later in the same areas but nothing happened. Am I just not a candidate for it or is it a fad botox trend?

Andrew Miller, MD · Answer

Social media is a way for anyone to market something that they want to sell you. They may not be qualified in any way to do what they are selling, but social media doesn't care. Botox itself will not slim your nose - it doesn't even make sense. Botox relaxes muscles. So injecting it in a few spots around the nose where muscle pulls on it can keep the nose from being pulled down or out wide a bit, that's it. Get your plastic surgery advice for from respectable doctors.

Anna Chacon, MD, FAAD · Answer

Hello,

Thank you for reaching out with your experience regarding Botox for slimming the nose. It’s important to have clear expectations about what Botox can achieve, and I’d like to provide some insights:

Botox and Nose Slimming:
Botox is primarily used to relax muscles and reduce wrinkles, such as those around the eyes and forehead. Its use for altering the shape or size of the nose is not a common or well-supported application.
The idea of using Botox to slim the nose, particularly by injecting around the "bunny lines" or near the tip, is more of a trend seen on social media rather than an established medical practice. This might explain why you haven’t seen the desired results.

Possible Reasons for Lack of Results:
Anatomical Limitations: Botox affects muscles, not the structure of the nose. If the goal is to change the shape or slim the nose, surgical options such as rhinoplasty are typically more effective.
Individual Variation: Every individual responds differently to Botox, and the effects can vary based on muscle thickness and individual anatomy.

Exploring Other Options:
If slimming or reshaping the nose is your goal, consider consulting with a board-certified plastic surgeon or a dermatologist who specializes in cosmetic procedures for more suitable options.
Non-surgical alternatives like fillers might offer some subtle reshaping or contouring, but these are also limited in their ability to significantly change nose size.

Consultation:
It’s advisable to have a thorough consultation with a professional who can evaluate your specific goals and provide guidance on the most appropriate treatment options.

Best Regards,

Camille Cash, MD · Answer

It's difficult to know why your treatment didn't work.  It could be the expertise of the injector.  It could be that there was a misunderstanding what the treatment could do.  It could be the product itself.  I encourage you to visit with an expert injector to discuss your concerns.

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