My Nose Droops! Can Botox Raise the Tip of My Nose? Or Do I Need Surgery?

Yes, Botox can raise the nip of the nose, especially if your nose droops when you smile.

    

In some patients, their noses droop only dynamically.  This means that their noses don’t point down when their faces are at rest.  Intead, only when they contract their facial muscles (such as when they smile) are their noses pulled downwards.

    

The dynamic droop is caused by a depressor muscle just beneath the nose—in the deep, upper portion of the upper lip.

    

Since Botox is a muscle relaxant, it can be used to paralyze this depressor.  Hence, smiling and other expressions won’t activate the muscle.  The result is that the nose will stay upwards, rather than droopy—even with big smiles.

    

Obviously, some people’s noses droop whether their faces are active or not.  For statically droopy noses, the muscle is not the problem.  So, a muscle relaxant like Botox would not be helpful.

    

However, a rhinoplasty is not necessarily the only solution.  Recently, I have been using injectables (such as Restylane, Juvederm, Elevess, Evolence, and Radiesse) to modify the shapes of noses.  Nevertheless, in many case, surgery remains the most effective option.