These lines appear on the sides of the nose when the patient smiles and are deepened due to increased muscle tone and hypertrophy. Some patients find these lines on the side of the nose unacceptable, but this is not a universal dislike. Injections can be used to soften this area.
Botox is injected into the nasal columella to achieve a nasal tip lift. This treatment is for patients who want to raise the rotation of the nasal tip. Mild tip drooping patients are candidates for this treatment, whereas a severely ptotic nose cannot be treated and requires surgery. The depressor septi nasi muscle, which is responsible for pulling the nasal tip downward when the patient smiles, is inhibited by Botox injections, causing the nasal tip angle to rotate and resulting in a tip lift.
Some patients flare their nose when talking, and they don't realize it. The lower muscle of the nasalis, called the dilator naris muscle, induces the flaring of the nose. By blocking this activity, nasal flaring does not occur, which enables patients to alleviate their discomfort about the widening of their nose due to sustained flaring.
