Will Botox work to reduce the drop and nostril size or is a tip plasty/alarplasty needed? (Photos)

The least invasive procedure for you would be to form a closed rhinoplasty procedure with all incisions placed on the inside of the nose. This procedure can accomplish shaving down the dorsal hump, rotating the nasal tip cartilages upward, reducing the hanging columella, and narrowingof the nasal tip cartilages from the front view. To prevent the tip of the nose from drooping down dynamically when smiling requires releasing of the depressor septi ligament. All of the incisions are placed on the inside of the nose, and there's no painful packing placed inside the nose either. Digital computer imaging would be helpful to understand what can be accomplished with the your nose upon your facial features. The procedure is performed under general anesthesia, and a cast is applied across the nose for one week.