Rhinoplasty 6 months ago, can I have Botox in nose bunny lines (sides) and the nasal tip?

Question

I had my nose open rhinoplasty 6 months ago. I had bunny lines done 4 months after rhinoplasty and it caused indentation? I'm due my botox again and was thinking 6 months after if it will be ok ? To have in my tip to give a slight lift and why would I have got indentation last time ? Thank you

Luis Villar, MD, FACS · Answer

After a rhinoplasty, the tissues are fused and stuck down as collagen regeneration proceeds to maturation. Think of the fibers of collagen as spaghetti in a bowl all mixed up in a lump. 24/7 the collagen fibers are reabsorbed and regenerated. As the months go by the new collagen is rearranged in parallel like spaghetti in the box. At this point the fibers can slide back and forth. if you rub a finger over the nose, you will feel the skin glide back and forth, typically at a year or more.  Injecting botox before the skin can glide, can cause unexpected asymmetries.  It would be prudent to wait until you have mobility in the skin before your next injection. Pre-tip edema may take over a year to resolve.  Botox will not lift the tip as a general rule.

Aldo Guerra, MD · Answer

Botox should be safe 6 months after rhinoplasty. Botox cannot cause indentations or make the nasal bone and cartilage go away. I would suggest to you that indents are the results of surgery and swelling. The final results of rhinoplasty occur at 1 year when all the swelling is gone. 
Best wishes, Dr. ALDO

Hardik Soni, MD · Answer

Thank you for your question. Yes, it should be safe 6 months after rhinoplasty surgery to have Botox. However, Botox cannot cause indentations in the nose. The indentations are most likely the result of your surgery and swelling. It can take up to 1 year to see final results after having rhinoplasty as this is when all swelling is resolved. I recommend having a consultation with an expert injector to help determine the best treatment plan for you. Best of Luck!

Christian N. Ford, MD · Answer

Thank you for your question.  You should be able to receive Botox 6 months after rhinoplasty.  Please be sure to see your plastic surgeon for an in-person reevaluation to fully discuss your concerns and your goals and expectations in order to determine the best treatment plan.  Hope this helps and best wishes!

Inessa Fishman, MD · Answer

Botox should be ok 6 months after rhinoplasty.  Keep in mind Botox will not provide a lift to the tip of the nose, as it works by providing muscle relaxation to the muscles where it is injected.  I don't have a good explanation as to why Botox would cause indentation in your nose; this is not a common side-effect of Botox.  Please discuss your concerns with your rhinoplasty surgeon and/ or injecting physician, and best of luck in your recovery.

Rhinoplasty 6 months ago, can I have Botox in nose bunny lines (sides) and the nasal tip?

Answers (5)

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