How long after Nose Botox Can I Get Rhinoplasty?

Question

The first surgeon I sent images to said they didn't recommend rhinoplasty for me, but suggested I just get botox in the the nose to prevent the muscle from pulling down the tip & causing a droopy look. I want to try this out as the procedure is cheap with no down time. If it doesn't adequately fix my issues I'd still want to seek rhinoplasty elsewhere. How long after botox in the nose (depressor septa muscle) would I need to wait to get rhinoplasty surgery?

Jonathan Kulbersh, MD · Answer

Hello, thank you for your question. You may need to wait anywhere from 4-6 months after receiving Botox injections to have a rhinoplasty procedure. It is important to see your natural nose to make decisions and a personalized rhinoplasty procedure plan to make adjustments that have natural and balanced results. It is essential to have an in-person consultation with an experienced board-certified facial plastic surgeon that can make suggestions and explain different options.

Caner Kacmaz, MD · Answer

Good afternoon,
Thank you for your question. It's safe to have Rhinoplasty surgery after Botox injections to the nose. Botox dissolves in about 4 months, therefore Botox injections will not affect the results of your rhinoplasty surgery.
Thank you and have a lovely day.

Matthew Bridges, MD, FACS · Answer

I would say until the Botox wears off, maybe 3-4 months.  It probably doesn't matter that much.  There is more to it than the muscle in terms of surgery.  The secret to preventing drooping of the nose with smiling has more to do with tip projection.  I would have to see your nose too explain more.

Trang Vo-Nguyen, MD · Answer

We usually inject a few units of Botox to treat the depressor septi muscle, so the effect will go away after a couple months. After it wears off you can get a rhinoplasty.

Robert Ciardullo, MD · Answer

How long does it take for Botox to wear off? it generally takes 3 to 6 months for the effect of Botox to wear off. So six months should be enough time.

William Portuese, MD · Answer

Placement of Botox in the depressor septi ligament Will have no effect upon when you can get a rhinoplasty procedure. And a full set of pictures from all angles are required to make sure your candidate for the procedure. Digital computer imaging would also be helpful to understand what can be accomplished with your nose upon your facial features. Releasing the depressor septi ligament is a routine component of rhinoplasty when patients have a dynamic droopy tip

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