I love my Nose when I don't smile but once I do it flares at the nostril and gets pointy at the tip. I would like to stay away from a nose job of possible wondering if there may be any other options to fix this problem ! Thanks
February 5, 2016
Answer: Nostril Flare when Smiling Because the nostrils insert into the cheeks, widening of the alar base will happen to all of us, in some more than others. Surgically, an alar base reduction could be considered BUT if you like your nose on repose, I would advocate against such a surgical procedure. Botox injections, as suggested, would not improve the flaring.
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February 5, 2016
Answer: Nostril Flare when Smiling Because the nostrils insert into the cheeks, widening of the alar base will happen to all of us, in some more than others. Surgically, an alar base reduction could be considered BUT if you like your nose on repose, I would advocate against such a surgical procedure. Botox injections, as suggested, would not improve the flaring.
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February 4, 2016
Answer: Non surgical treatment of tip droop with smile Thank you for your question. Sometimes Botox to the depressor septi nasi muscle can prevent the tip from drooping with smiling. It helps a little, but is less effective for the nostril flare. The depressor septi can also be lysed with a small surgical procedure under local. Often times though to prevent the nostril flare with smiling, the tip needs more stabilization and in my experience this can only be accomplished with rhinoplasty. Some doctors may tell you that you could Botox the muscles that pull the cheeks and therefore the nostrils when you smile, but this can be very tricky and you would have to be prepared to have your smile tinkered with. I generally recommend against this.
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February 4, 2016
Answer: Non surgical treatment of tip droop with smile Thank you for your question. Sometimes Botox to the depressor septi nasi muscle can prevent the tip from drooping with smiling. It helps a little, but is less effective for the nostril flare. The depressor septi can also be lysed with a small surgical procedure under local. Often times though to prevent the nostril flare with smiling, the tip needs more stabilization and in my experience this can only be accomplished with rhinoplasty. Some doctors may tell you that you could Botox the muscles that pull the cheeks and therefore the nostrils when you smile, but this can be very tricky and you would have to be prepared to have your smile tinkered with. I generally recommend against this.
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