I had a nose job 15 years ago and am generally happy with my nose at repose. However, the surgery didn't do much to prevent my nose from changing and looking terrible when I smile. Upon close consideration, my tip does not droop when smiling, but rather the nostrils spread and the alar seems to pull up and gives the illusion that my tip is lowered when it is in fact not. I would hate to undergo a revision rhinoplasty. Can't botox be injected into this area to stop the nose from spreading so much?
Answers (4)
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January 25, 2017
Answer: Changes to nose while smiling
John Tang, MDPhysician, Board Certified in Physical Medicine and Rehabilitation
No, if placed correctly, this won't cause your eyebrows to droop. It can take 1-2 weeks for your final results with Botox. If there is some drooping, results can be softened with venus legacy treatments. See an expert. Best, Dr. Emer
If someone has too much Botox injected, the forehead can feel heavy, a sensation which usually resolves after 2-3 weeks. With appropriate dosing, there is momentary discomfort at the time the Botox is injected from the needle, but absolutely no further discomfort or abnormal sensation after that.
That is a very difficult question to answer without doing a face to face consultation. There are patients that may require as little as 20 units and others that need over 60 units. So, it just depends on each individual person. They really need to be evaluated by a trained injector to...
