I don’t like how my nose droops when smiling - what can I do about this? (Photos)

Question

Hi there! I do not like how my nose looks when I smile. For some reason it goes down and touches my lip. What can I do about this without altering my nose or smile?

Nima Shemirani, MD · Answer

Hi @isaaa2003. For the droopy tip with smiling, you can add a few units of Botox and/or filler to the area. I hope that helps :)

Jonathan Kulbersh, MD · Answer

Thank you for submitting your question and photos. Muscle movements that occur when smiling can cause the nose to appear droopy, which can be reduced by weakening the muscle with Botox injections. Botox blocks the signal between a nerve and muscle, reducing activity of the targeted muscle. This process may reduce the pull that is causing the drooping effect you’re referring to. I recommend scheduling an in-person consultation with an experienced, board-certified injector who can assess your concern and suggest the best option for you.

Jason Emer, MD · Answer

It's difficult to say without the benefit of a formal evaluation. This is my expertise and a huge portion of my practice. Asymmetry is normal and expected. See an expert who does facial shaping with surgical and non surgical methods to get a comprehensive option. Best, Dr. Emer.

Nelson Lee Novick, MD · Answer

Since the downward pull of the nose occurs with the motion of smiling, one can inject a couple of microdroplets of Botox at the appropriate locations at the base of the nose to diminish this. Novice, inexperienced Botox injectors are generally accustomed to the simple use of Botox for treating the frown (eleven lines) between the eyebrows. So, you would be wise to make certain to consult an experienced, board certified cosmetic dermatologist for your issue. Hope this helps and best of luck.

Camille Cash, MD · Answer

Botox can be used to help soften the effect of the nose drooping when smiling.  Only a small dose of Botox is needed to accomplish the effect.  The treatment is done in the office with final results seen after two weeks.  See an expert injector near you to learn more.

Leonard Grossman, MD · Answer

It is not that your nose dips when you smile but the smiling action pulling the lip up towards the nose. This can easily be corrected with a small amount of Botox being injected at the junction of the upper lip and the nose base. That should help you considerably. I hope this helps and good luck from New York City Plastic Surgery.

I don’t like how my nose droops when smiling - what can I do about this? (Photos)

Answers (6)

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