Botox Injected Under Septum Gave Did Not Give Intended Result

Two days is insufficient time to judge the effects of Botulinum Toxin (Dysport or Botox). Allow at least 2 weeks and preferably 4 before assessing the long term results.

Hi Caddy,

It is too early to judge the effect of your Botox injections.  Having said that, it appears that you may have some facial asymmetry, with less nasal support on your right nasal base.  You should consult with a rhinoplasty surgeon for an examination and diagnosis of what is causing your asymmetry.  Usually a properly placed cartilage graft at, in your case, the right lateral nasal base will  correct the deformity.  Good luck and be well.

Dr. P 

I wonder from your text, if the photograph was taken using a mirror because the raised nostril seems to be longer on the right which is opposite from what you stated. Regardless, Botox injected below the nostril might weaken the depressor septi nasi muscle which can help lift the nostril IF the muscle tends to pull the nose down when active, such as with speech in some individuals.  You should be seen by an expert in Botox so that a physical exam can evaluate your muscular activity at rest and with animation to decide if there can be an adjustment made. Certainly, in four to five months you will go back to baseline, so don't worry that it is permanent.