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Nose Botox: Using Botox In Non-Surgical Rhinoplasty


Nose Botox: Non-surgical rhinoplasty (NSR) is an increasingly popular, non-invasive treatment for both men and women wishing to address the effects of ageing on the nose or to modify congenital characteristics. NSR saves on financial cost, possible risks and downtime associated with invasive surgery and also allows for subtle changes that are in keeping with today’s emphasis on achieving facial harmonisation.

Botox (Botulinum Toxin Type A) has been shown to be a safe and effective treatment option for many aesthetic nasal procedures. However, it is of particular importance that your clinician has extensive training and knowledge of both the muscles of the face and their action and interaction, as the muscles in the lower face can interact differently from those in the upper face. They can also be more sensitive to the effects of Botox. Therefore, in most cases, lower doses of Botox for the nose area are usually required.

Doctor A has recently published an article in the Aesthetics Journal, the leading publication in medical aesthetics, on the use of Botox muscle-relaxing injections in non-surgical rhinoplasty cases. 

Nose Botox – The Consultation

In an initial consultation for treatment of the nose with Botox, Dr A will assess your expectations and be clear about what can be achieved. It’s also vital to ensure that you have no contraindications to the use of the toxin (such as pregnancy or lactation) and to be aware of any existing medical conditions or use of medications. Treatment intervals for these procedures should not be more frequent than every three months.

Botox can be used in the nasal area for the following indications:

Nasoglabellar lines – Nose Botox for wrinkles

Nasoglabellar lines, commonly referred to as ‘bunny lines’ are formed by the contraction of the ‘transverse nasalis’. The lines may be accentuated in people who habitually wrinkle the nose – those who wear heavy glasses or have chronic rhinitis, for example – or may simply be a result of ageing.

It is common practice to treat both the glabellar lines at the same time as treating nasoglabellar lines. This is to prevent compensatory contraction of various muscles and causing secondary nasoglabellar lines. Only highly-experienced clinicians should treat the nasoglabellar lines with Botox.

Nasal tip ptosis – Drooping nose

Drooping of the nasal tip can be a result of gravity as well as movement of the nasal tip whilst speaking and creating expression.

Botox will not be effective if you have a genetic downward pointing nasal tip that is not dynamic (caused by expression or speaking). In these cases, other methods can be used such as dermal fillers. To assess whether Botox can be used in your particular case, the doctor will ask you to give a forced smile, to show if the tip is actively rotated as well as assessing the musculature of your facial features in this area.

In a small number of individuals, smiling or the formation of certain sounds can lead to widening of the nasal aperture and rotation of the tip. In some patients, the dynamic action of the ‘depressor septi nasi’ and ‘LLSAN muscles’ can result in the upper lip being pulled upwards as the tip of the nose is pulled downwards, leading to a horizontal upper lip crease when the mouth is animated. This line can be treated by injecting Botox in to the area.

Nasal flare

The voluntary or involuntary contraction of the ‘dilator naris’ muscle can occur naturally with ageing or due to stress. The resulting opening of the nostrils is exaggerated, causing the columella and septum to be revealed. If you experience this condition, small doses of Botox can weaken the dilator nasi, producing an overall narrower nasal aperture that does not interfere with breathing in.

If you can flare your nostrils at will, you will most likely be suitable for this procedure.

Nasal dorsum hyperhidrosis (excess sweating)

Excessive perspiration of the bridge of the nose occurs more rarely than areas such as the underarms, palms and feet, but it is nonetheless a condition which may cause social embarrassment and emotional distress. It is thought to be more common in men than in women and to worsen with age. Using Botox to treat this condition can improve your quality of life and your confidence, considerably. Botox inhibits the release of the neurotransmitter acetylcholine that stimulates the eccrine sweat glands.

Botox for hyperhidrosis can be uncomfortable, as the injection is subdermal (beyond the dermis layer nearer pain sensors and nerve endings), so pain relief is recommended. Dr A uses a topical local anaesthetic for this procedure. Injections are given over the affected area with a space of 1cm between each one. Results last between 4 to 6 months.

Nose Botox Treatment with leading expert, Doctor A

Due to the anatomical complexities of the mid-face, it is vital that your clinician has extensive knowledge and observation of facial anatomy to achieve the safe and effective treatment of aesthetic nasal concerns using Botox.

Assessing the structure and action of the facial muscles in each patient enables the optimal choice of injection points and dose. Precise administration of Botox using minimal volumes is of particular importance in achieving symmetry and avoiding motor disruption to the mouth and eyes.

By applying experience, knowledge and careful judgement when treating the nasal area, Doctor A is able to work with you to achieve the facial harmonisation that treatment with Botox can offer successfully, safely and effectively.

Contact Doctor A today to discover more about nose Botox treatment, or to book a consultation at one of his Cheshire clinics.