Alar Botox after Rhinoplasty

Question

I had a rhinoplasty a few years ago and I'm not happy with the result, but until I can afford a revision I'm thinking about doing alar botox because I don't like how big my nostrils become when I smile and I also have super thin skin and when I smile my tip gets white spots where cartilage bumps are and sometimes a scab and I'm afraid my skin is going to tear, I hope alar botox helps with that. But can it be dangerous just like filler? If it gets in a blood vessel? Or is there no risk?

Camille Cash, MD · Answer

All treatments come with some risk, but in the hands of an experienced injector these risks are kept to a minimum.  An evaluation of your concerns is needed to determine if Botox is the right treatment to help you or if an alternate application would be recommended.

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Generally speaking a Revision Rhinoplasty would be a much better result than having Botox at the alar base. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Alar Botox after Rhinoplasty

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Alar Botox after Rhinoplasty

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