Will my L- Shaped Silicone Nose Implant Move Downwards if I Get Botox in the Forehead?

Sometimes our brains try to explain events in order to make sense of things.  The nasal discomfort may be completely unrelated to the BOTOX injections.  It is remotely possible to introduce an infection into an implant this way, but it is just as likely that the tenderness is only coincidental to the recent treatment.  The tenderness needs to be assessed by a facial plastic surgeon.  It is sometimes possible to clear a low grade cellulitis with antibiotics.  However, erosion with implant exposure and recurrent infections require removal of the implant.  There are various alternatives for this implant should this prove necessary.  You need to find a nasal surgeon with extensive revisional experience.  A plastic surgeon who just performs primary cosmetic rhinoplasty is unlikely to be the right surgeon if replacement is necessary.

After 7 years, Botox should not cause any shifting in the implant position.  Silicone implants can become infected and extrude many years after surgery - so if your pain continues, especially if there is any redness or discharge, you will need to see a surgeon