Details of the Treatment
Her nostrils flared when she smiled and her nose tip dropped when she spoke. She wanted both softened without surgery.
On assessment, both sides showed flaring of the nostrils on smile and the nasal tip pulled downward on speech. At rest, the nose looked unchanged. The complaint was movement-only, not at rest. The pattern was the kind of dynamic muscle activity that often shows up with age in the muscles at the base of the nose. A small-volume approach suited this presentation because the muscles at the base of the nose are small and the effect spreads over short distances.
Botox was placed in tiny amounts at the base of the nose, both at the center column and on each side at the base of the nostrils. Doses were small — the muscles here are small and the effect spreads in short distances. In the after image, the flaring has reduced, the tip is no longer dropping on speech, and the dynamic profile reads more balanced. The nose at rest is unchanged because the nose at rest was never the complaint. Treat the function when the issue shows only on movement.
Individual results vary. The outcome shown reflects this patient's specific anatomy, health history, and treatment plan. Results shown are not guaranteed and are not necessarily typical. Photos used with patient consent.
Ask Sabeen Munib, MD directly
Consultations are 30 minutes and carry no obligation to treat. Bring your questions and any prior treatment history.
