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The most prominent facial feature is ....

Updated: Jan 1

Liquid nose job

Nose reshaping was the third most popular surgical cosmetic procedure.

A nonsurgical rhinoplasty is a minimally invasive procedure that involves injecting fillers or botulinum toxin into the nose to alter its shape, the nostrils or bridge height.

Nasal area filler injection has the highest risk of vascular complication such as blindness or skin necrosis, so in this article, we will talk about nose reshaping by botulinum toxin, which has been used since 1987 without any reported severe or permanent side effect.

Botulinum toxin popularity has increased in the past years, proving to be the most popular aesthetic procedure in the world, mainly due to its safety and predictable results.

Seven types of botulinum toxin have been identified, known as A, B, C, D, E, F, and G. They all produce denervation and atrophy of muscles. The most powerful is toxin A. Type B is also available for medical use; it has a faster but shorter effect (Myobloc ®).

When will I see the result of nose botox?

The clinical effect of the toxin starts between the second and the fourth day, and regularly lasts for four or five months.

Will nose botox fix my botched nose job?

In patients who have received previous rhinoplasty, Botulinum toxin clinical effect is less evident, probably due to anatomic changes and muscular scar provoked by surgery.

Liquid nose job, what can botox do ?

  1. Correct bunny line. There are two significant causes of horizontal wrinkle lines on the nose. - the effects of transverse nasalis hypertrophy, which are frequent in people that gesture a lot, users of heavy glasses, chronic rhinitis, and those with clear eyes that try to close the lids in response to sun or light. - from muscle compensation after incomplete block or botox around the glabella area.

  2. Lifting nasal tip: Nasal tip downward create appearance turns senile, evil, and witch-like. There are two factors of nasal tip ptosis which are aging and hyper-kinetic action of the depressor septi nasi muscle over the caudal portion of the nasal septum. Botulinum toxin application does not replace surgery in patients with static nasal tip ptosis, but it is useful in dynamic ptosis and other defects caused by a hypertrophic or hyperactive of muscle, and with patients that do not desire a rhinoplasty. Besides, botulinum toxin can be used temporarily in patients that are evaluating a surgical procedure. The first days after the injection, the patient can experience pain in the nasal tip.

  3. Nasal flaring Correction: Some people, naturally or under stress (emotional or physical), present wide movements of nasal flaring that enlarge the nostrils. This nasal flutter can be very embarrassing. Generally, people with short and flat nasal bridge with wide nasal ala present more active nasal muscles, which allow them to voluntarily move the nasal ala. The nasal flutter is the result of involuntary and repeated contraction of the inferior portion of the alar nasalis muscle, also known as dilator naris posterior. The injection of 5–10 UL, bilaterally, in the area of greater contraction of the dilator naris posterior (over the nasal ala), has diminished the nasal flutter for 3–4 months. We have not experienced secondary effects after the use of toxin in this area.

Is it safe to have nose botox?

There are no long-term effects described with the toxin. Generally, the limit per application per session of botulinum injection is 400 UL, doses that are only used for spastic paralysis. In the nasal region, doses never exceed 20 UL. In patients with neuromuscular diseases such as myasthenia gravis, it is relatively contraindicated. Application should be avoided during pregnancy and lactation.

Most secondary effects are due to toxin diffusion to neighboring muscles. This is preventable using correct doses and injection planes. There are no long-term effects described with the toxin. With repeated application the effect can diminish, probably due to antitoxin antibodies.

by Dr. Chontirot Srikasedsarakul

Dr. Chontirot Srikasedsarakul is a specialist in Genomics, Dermatology and Aesthetics.  She has received qualifications from numerous educational institutions like Stanford University, U.S.A.; the University of Queensland, Australia; Chulalongkorn University, Thailand and the American Board of Anti-Aging Medicine.


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