Botox injections in the nose

Gummy smile

This cosmetic defect is characterized by excessive exposure of the gum line when smiling. A gummy smile is most often found in people with a small distance between the base of the nose and the Cupid's bow, as well as in those with a prominent nose and an underdeveloped chin. Often in these same people one can observe pronounced nasolabial folds. The effect of a gummy smile is the result of the work of the muscles that lift the upper lip and the complex of the upper lip and muscles of the wing of the nose.

In addition, patients with gummy smiles often have an inverted upper lip, making them poor candidates for lip augmentation with fillers. The ideal option for them is a combination of filler injections and botulinum therapy. To match ideal facial proportions, the upper lip should cover the upper third of the central incisors. It is to achieve this effect that botulinum therapy for a gummy smile is aimed.

Injections are made symmetrically on both sides of the nose with the patient's smile as intense as possible. The BTA drug is administered intramuscularly above the periosteum. The first point of BTA injection is the body of the muscle that lifts the upper lip and the wing of the nose at the border of the junction of the nose and cheeks. The second point is approximately 2 cm closer to the bony edge of the orbit, in the muscle that lifts the upper lip (Figure 11).

BTA should not be injected too close to the zygomatic eminence to prevent penetration of the toxin into the zygomatic major muscle. The initial recommended dose for each side of the face is 2 units. Botox® or 5 units. Dysport®. After 15 days, the result is assessed and, if necessary, additional injections are given.

Complications: The most common complications are asymmetry and drooping of the upper lip. Asymmetry is eliminated using 25% of the initial dose of BTA with assessment of the result after a week. A drooping mid-upper lip may be the result of too much toxin exposure and overactivity of the zygomaticus major muscle.

Commentary by a cosmetologist, dermatovenerologist, doctor of medical sciences, professor, head. Department of Dermatovenereology and Cosmetology, State Budgetary Educational Institution of Higher Professional Education "GGMU of the Ministry of Health of Russia" Yutskovskaya Y.A.:

— The goal of correcting a gingival smile is to reduce the contraction of overactive muscles responsible for exposing the gums, and, accordingly, reduce the “breadth” of the smile. Weakening of the muscles leads to a harmonized and aesthetically attractive smile. The injection pattern and technique depends on the presence of deep nasolabial folds. To assess the condition, the patient should be asked to smile as widely as possible. Exposure of the gums without the formation of deep nasolabial folds: a fairly deep injection into the center of maximum activity in the caudal zone of the m.levator labii superioris. If the exposure of the gums is associated with a deepening of the nasolabial fold, the injection is made in the area of ​​the labial part of the m.levator labii superioris alaque nasi into the bulge in the upper section of the nasolabial fold. In this place the muscle is located literally on the surface; the injection depth should not exceed 3 mm. Dose of the drug: 2 units. drug Dysport.

Tip of the nose

The tip of the nose is an important component of its aesthetic appeal. With age, the tip of the nose droops, which emphasizes the convexity of its back. Drooping of the nasal tip in young patients is associated with increased activity of the depressor septum muscle during smiling, which is also often accompanied by shortening of the upper lip. The same phenomenon is observed in those with a prominent nose and an underdeveloped chin.

Before deciding on the introduction of BTA, the length of the patient's upper lip and nasolabial angle is assessed. There are 2 ways to administer injections into the depressing septum nasal muscle: percutaneous and intraoral. The latter method is quite difficult to implement, so we will only consider the method of administering BTA through the skin.

Due to the special sensitivity of the nose to external anesthetics, it is recommended to use ice compresses to reduce pain. BTA insertion points are located on both sides of the nasal septum at the base of the medial crus (Figure 12).

The BTA drug is administered superficially in a dosage of 1-2 units. Botox® or 4-6 units. Dysport® for every point. Dosage may vary depending on the desired degree and duration of correction, facial proportions, observed muscle activity and the work of adjacent muscles.

Complications: In general, complications when correcting a drooping nasal tip with BTA preparations are extremely rare. Among the side effects, patients most often name pain. Too much action of toxins on the depressor septum nasalis muscle can lead to ptosis of the upper lip.

Wrinkles in the perioral area

With age, the lips undergo a number of changes, including shortening of the lateral part, enlargement of the dermal part of the upper lip, thinning of the red border and the appearance of many vertical wrinkles around the mouth. These wrinkles, also called smoker's lines, can be the result of sun exposure, smoking, hereditary factors and overactive orbicularis oris muscle, such as in musicians. There are several ways to eliminate wrinkles on the upper lip, including filler injections and various anti-aging procedures. Botulinum therapy is used to correct age-related changes in the perioral area, especially in the presence of deep static wrinkles.

Treatment of the orbicularis oris muscle with BTA preparations is carried out with extreme caution in order to achieve the effect of reducing wrinkles and not affect the normal functioning of the oral area. In addition, it is unacceptable to administer BTA near the corners of the lips. Otherwise, relaxation of the muscles that raise the corners of the lips under the influence of the toxin will lead to ptosis of the lips and drooling. Injecting BTA above the middle of the upper lip will lead to a smoothing of the cupid's bow, which is an undesirable effect from an aesthetic point of view.

In general, 1-2 injections are made into each quarter of the perioral area. To avoid dysfunction of the oral area, it is recommended to administer BTA preparations in very small doses. When the toxin is injected 5 mm from the border of the red part of the lips, the secondary aesthetic effect of a slight eversion of the lip is achieved (Figure 13).

Complications: An overdose of BTA drugs will lead to lip dysfunctions such as the inability to form a tube, difficulty pronouncing plosive consonants, and difficulty eating and drinking. For this reason, it is recommended to start botulinum therapy in the perioral area with minimal doses and repeat them as necessary.

Comment by cosmetologist, dermatovenereologist Ya. A. Yutskovskaya:

— When performing BTA injections in the perioral area, it should be remembered that the muscles located around the lips are involved in the implementation of important physiological functions. Therefore, correction of this zone must be carried out very carefully. The orbicularis oris muscle is divided into the marginal part (pars marginalis) and the labial part (pars labialis). BTA injections into the labial part allow the lips to be slightly turned out, which creates the effect of increasing their area and volume. Injections into the marginal part of the orbicularis oris muscle are performed in the presence of purse-string wrinkles. Dividing the skin portion of the lip in half and retreating at least 5 mm from the columns of the philtrum and from the corners of the mouth, subcutaneous injections are usually made at 2 points on each side in a dose of 2-5 units. Dysport.

Vertical wrinkles from the corners of the lips to the chin

Deep wrinkles from the corners of the lips to the chin can give the face a dissatisfied, gloomy, and sometimes even disdainful expression. The reason for the formation of such wrinkles lies in the combination of several factors: a reduction in collagen levels, atrophy of adipose tissue, and the presence of excess or sagging skin. All these factors can be corrected with plastic surgery and filler injections. In some cases, the depth of wrinkles from the corners of the lips to the chin may increase due to increased activity of the depressor anguli oris muscles, which, when attached to the skin, can pull the corners of the mouth down. Then, by relaxing these muscles with BTA preparations, it is possible to ensure that the zygomatic major and levator anguli oris muscles return the corners of the mouth to their normal position. In some patients, the increase in the depth of wrinkles from the corners of the lips to the chin is facilitated by the activity of the platysma muscles intertwined with the depressing corners of the mouth. Then the effect of BTA drugs should be directed at both muscle groups. Sometimes the best results can be achieved by combining BTA preparations and dermal fillers, with the former enhancing and prolonging the effect of the latter.

To determine the position and feel the depressing angles of the mouth muscles and platysma, the patient is asked to make a grimace and expose a row of lower teeth. Typically, BTA is administered intramuscularly at 2 points on each side. The first of these is the depressor anguli oris muscle, and the second is the platysma cords attached to the lateral part of the orbicularis oris muscle. Insertion of BTA near the corners of the lips or the middle of the lower lip is not recommended to avoid relaxation of the orbicularis oris and depressor lower lip muscles.

The first point is easy to detect by palpation; it is usually located on the continuation of the nasolabial folds on an imaginary vertical line located at a distance of 1 cm from the corners of the lips. The second point is located slightly closer to the outer border of the lower jaw (Figure 14).

Some authors suggest administering one injection of BTA on each side at a distance of no more than 1 cm above the lower edge of the lower jaw on imaginary parallel lines drawn through the corners of the lips. The recommended starting dose is 2-5 units. Botox® or 10 units. Dysport® at each injection point and is subject to adjustment depending on the patient's muscle mass.

Complications: Taking too much BTA or administering it near the corners of the mouth may cause asymmetry or problems with the oral area, such as drooling or difficulty pronouncing certain sounds.

Comment by cosmetologist, dermatovenereologist Ya. A. Yutskovskaya:

— The depressor anguli oris muscle is the most superficial muscle in the lower third of the face, therefore, in our experience, it is more rational to administer BTA subcutaneously: the needle is inserted into the skin at an acute angle, almost parallel to the surface. Thus, we control the depth of injection and exclude diffusion of the toxin into the underlying muscles - quadratus and depressor lower lip. In our experience, administration is 6-8 units. Dysport is enough to achieve a pronounced effect.

Dimple on the chin

A dimple on the chin is formed as a result of contraction of the mentalis muscle. The BTA drug is injected into one or two symmetrical points located approximately 1 cm from the line dividing the face in half directly above the protrusion of the chin. It is not allowed to insert BTA closer than 1 cm from the lower lip. Since the mentalis muscle is located deeper than the others, intramuscular injection is recommended to the periosteum, below the dimple. This will prevent the toxin from spreading into the orbicularis oris muscle. Some authors argue that, despite the deep location of the mental muscle, good results can be achieved with superficial injections (Figure 15). The recommended total dose is 2.5-8 units. Botox® or 2.5-20 units. Dysport®.

Complications: If the restrictions on the introduction of BTA near the lower lip are observed, this procedure does not entail any complications other than bruises and hematomas.

Platysma bands

Age-related skin changes are associated with excessive laxity of the skin, loss of elasticity, formation of a double chin, lipodystrophy, prolapse of the submandibular glands and bone resorption. The subcutaneous neck muscle may become overactive, lose tone, or disintegrate, all of which leads to the so-called “turkey neck” effect. Platysma bundles located horizontally and vertically become noticeable with increased contraction.

Botulinum therapy in the neck area is aimed at reducing the external manifestations of platysma contraction. In addition, relaxation of the platysma bands has a positive cosmetic effect on the oval line and wrinkles from the corners of the lips to the chin. The best candidates for botulinum toxin therapy in the neck area are patients who demonstrate active contraction of the platysma during conversation.

BTA preparations are administered to the patient in a sitting position with maximum tension of the platysma in the direction of the cords. Depending on the length of the cord, BTA is inserted into 4-8 points located at a distance of 1.5 cm from each other, grasping the cords with the non-dominant hand (Figure 16).

The moderate initial recommended dose is 2 units. Botox® or 5 units. Dysport® for every point. Too deep administration and overdose should be avoided.

Complications: Often, after injections of BTA drugs into the neck area, bruises remain. It is recommended to avoid injecting BTA into the pharynx due to the risk of exposure of the underlying muscles to the toxin, which can lead to difficulty swallowing, weakening of the neck and dysphonia. Botulinum therapy is also not suitable for correcting horizontal wrinkles on the neck. In addition, due to the large number of injection points for BTA drugs, the anti-aging neck correction procedure is quite expensive.

Comment by cosmetologist, dermatovenereologist Ya. A. Yutskovskaya:

— To date, some experience has been accumulated and there are published data on botulinum therapy for horizontal neck wrinkles. Correction of this area, of course, requires a combination of botulinum therapy and injection plastic surgery using the most flexible and easily sculpted fillers. BTA injections as monotherapy are not always effective. The total dose of Dysport for the correction of neck wrinkles is 50-60 units. Botulinum toxin is injected along the wrinkle at points located 5 mm above it, at intervals of approximately 1 cm. As a rule, the drug in standard dilution is additionally diluted 2 times with saline solution.

Combined techniques

BTA preparations are used both separately and in conjunction with other agents, during one or more sequential procedures aimed at treating different layers of the skin and its imperfections. Over the past few years, the principles of facial rejuvenation have undergone significant changes and have moved from a two-dimensional approach to correcting hypodynamic wrinkles to a three-dimensional approach, which also includes the aspect of tissue volume lost with age. This has led to some changes in the clinical use of BTA drugs. Now doctors are trying to correct not one, but several areas at once in order to achieve the most natural result. In addition, BTA preparations are increasingly used in conjunction with other products, including dermal fillers. The combined use of BTA and fillers corresponds to the concept of a three-dimensional approach to rejuvenation and provides more aesthetically attractive and long-lasting results. When administered together with a filler, BTA slows down metabolic processes in the surrounding tissues and thereby prolongs the period of action of the filler.

BTA also enhances the effect of laser rejuvenation, since collagen production in immobilized tissue occurs faster. For example, excellent aesthetic results can be achieved using laser lip rejuvenation with preliminary (1-2 weeks before) administration of BTA. Regular (with an interval of 4-6 weeks) BTA injections after anti-aging procedures prolong their effect.

In addition, BTA preparations are successfully used in conjunction with chemical peels, especially in patients with signs of photoaging.

BTA injections can also be combined with various plastic surgeries, such as eyebrow lifting, blepharoplasty of the lower and upper eyelids and rhytidectomy.

Immunogenicity

Immunological complications during botulinum therapy are reduced to acute allergic reactions to human serum albumin. This phenomenon is possible when too high doses of the toxin are administered, which leads to the formation of IgH antibodies, the number of which increases in direct proportion to the volume of the administered BTA drug. The result of this reaction of the body is inactivation of the toxin. However, in aesthetic medicine, BTA preparations are usually used in very small doses, so the issue of immunogenicity is not a cause for concern.

Conclusion

BTA injections are the most popular facial rejuvenation procedure, 100% effective and safe when the dosage is observed. It is important to remember that BTA preparations are not interchangeable. With the shift in the concept of rejuvenation towards a three-dimensional approach that takes into account the importance of tissue volume loss, BTA preparations are increasingly used in combination with hyaluronic acid fillers and other procedures, which makes it possible to achieve the most harmonious and long-lasting aesthetic result.

Today, many people resort to Botox injections into the nose to correct its shape. Anti-aging injections have gained popularity due to the ease of the procedure. The drug is administered quickly and painlessly. And if the session is carried out correctly, the result pleases the person for a long time. With Botox you can easily correct the shape of your nose. Beauty injections allow you to lift its tip and even remove the hump. Botox in the nose will help get rid of many problems without resorting to surgery.

How does Botox work for nose correction?

Interesting: Botox is a drug based on a special toxin. It has paralytic properties. As a result of the injection of the drug under the skin, certain processes are disrupted. Impulses from nerve endings stop flowing to muscle cells. This leads to relaxation of muscle tissue.

Injections allow you to get rid of congenital and acquired defects in appearance. Injecting Botox into the nose helps eliminate the following problems:

1. Raise or lower the tip of the nose;
2. Adjust the shape of the nostrils;
3. Make the nose symmetrical;
4. Remove small scars and scars;
5. Smooth out wrinkles on the bridge of the nose.

Botox does not affect blood circulation. Its reasonable use does not harm health.

What problems can be solved?

Injections can solve a variety of appearance problems without resorting to plastic surgery.

The places on the nose where Botox is injected and the effectiveness of such injections are indicated in the following table:

The amount of the drug is determined by the doctor based on the individual characteristics of the patient’s body.

In order to lift the tip of the nose with Botox, the drug is injected into the area where it transitions to the upper lip. The injection is administered at 2 symmetrical points. This leads to blockage of the muscles responsible for raising the upper lip and nasal wings.

To lift the tip of the nose with Botox, 8 units of the drug are enough (up to 4 units are injected into each point). The whole procedure takes no more than half an hour. The result is a neat, raised tip of the nose and a raised upper lip. This method of adjustment is the easiest and most accessible.

With Botox you can remove a small wrinkle or deep crease on the bridge of your nose. The drug allows you to get rid of both facial and age wrinkles.

If such problems exist, a Botox injection is injected directly into the bridge of the nose. After administration of the drug, temporary immobilization of the muscles occurs. Blocking muscle activity leads to the rapid smoothing of facial wrinkles in the bridge of the nose.

The smaller the wrinkles, the easier it is to get rid of them. Therefore, when facial wrinkles appear, measures should be taken immediately. This will help prevent the formation of deep age-related folds.

How safe is the procedure?

Only a qualified cosmetologist can carry out rejuvenating sessions using the drug. If you follow all the rules of the procedure, nose correction with Botox is absolutely safe.

Injections must be administered under strict sterile conditions. Before starting the procedure, the doctor must make sure that the patient has no contraindications. The specialist should tell the client about possible side effects and negative consequences.

Important: before starting the procedure with the chosen doctor, you need to make sure of his professionalism. For this purpose, you should ask for the relevant certificates and ensure that you have a license.

How does nose correction with Botox work?

Before starting the operation, the doctor prepares the patient's skin. First, the skin is cleansed. Then the doctor makes appropriate marks in the places where the drug will be administered.

The injection procedure is painless. Therefore, to narrow the nose with Botox, anesthesia is not used. At the request of the patient, the doctor can slightly cool the skin in the area of ​​the future puncture.

After completing the preparatory procedures, the doctor opens the ampoule with the drug. The doctor must certify the patient that the container is intact and familiarize him with the expiration date of the product. After which the specialist begins to administer Botox.

Botox is administered using a special microneedle. The dose of the drug is determined by the doctor depending on what problem needs to be solved.

The process of introducing Botox into the wing of the nose and other areas takes from 10 minutes to half an hour. The duration of the procedure depends on the number of points into which the toxin must be injected and the volume of the injected drug.

After the injection is completed, the doctor monitors the patient’s condition for half an hour. The doctor determines whether the person’s well-being has worsened and whether negative reactions have arisen. If the patient feels well, the doctor gives appropriate recommendations and sends him home.

The effect after the procedure is noticeable almost immediately. A person who decides to lift the tip of his nose with Botox needs to know that certain ailments may occur after administration of the drug.

Some patients after injections note a deterioration in their general health, severe weakness and dizziness. After the procedure, you may experience nausea and headaches.

If you ignore medical recommendations, you may get swelling and hematomas instead of the desired result.

Important: to minimize the likelihood of negative consequences, you must follow your doctor’s recommendations. The day before Botox injection into the nose, you should not drink alcohol, take antibiotics or drugs that affect blood pressure.

After the procedure, you must adhere to the following recommendations:

1. Do not bend over, keep your body only in an upright position for 4 hours;
2. Do not touch the drug injection sites for 2 hours;
3. Limit physical activity for 1-2 days;
4. Do not expose the skin to heat, do not visit the bathhouse or hot sauna for 2 weeks;
5. Stop drinking alcohol for 14 days.

It is also not recommended to take blood thinning medications for 2-3 weeks after administration of the drug.

To learn how nose correction with Botox works, watch the video:

Photos before and after Botox in the nose

You can clearly see the results after Botox injections into the nose to correct the shape by looking at the following photos:

Photos of patients' faces before and after the Botox procedure:

Cosmetologist's answers to questions

One of the most frequently asked questions to cosmetologists is: can everyone get Botox in the nose? Or does the procedure have any contraindications? Many people are also interested in whether negative consequences are possible after injections. A person who has decided to undergo the procedure wants to know how long it can be observed.

Let's consider these issues in more detail.

Not everyone can have their nose reduced with Botox. Shape correction by injections is contraindicated in the following cases:

1. In the presence of acute and chronic diseases;
2. For blood diseases, diabetes;
3. For oncology;
4. During pregnancy and breastfeeding;
5. In the presence of neuromuscular disorders;
6. In case of individual intolerance to the components of the drug.

Women should also avoid Botox injections in the first days of menstruation.

Before performing the procedure, the cosmetologist must make sure that the patient has no contraindications. It is not recommended to administer the drug if you have recently undergone skin resurfacing or peeling that has caused damage to the skin.

If a person does not have the above contraindications, then he can use Botox to correct the shape of the nose without fear.

Negative consequences after nasal tip rhinoplasty using Botox rarely occur. They may appear if the cosmetologist incorrectly calculated the dose of the drug. Side effects are likely if the doctor did not take into account the patient’s contraindications.

Possible negative consequences of the procedure include:

1. Asymmetry of individual parts of the nose;
2. Drooping upper lip;
3. Difficulty breathing and swallowing, impaired blinking;
4. Stomach upset, nausea and vomiting;
5. Dizziness and headaches;
6. Movement of the drug into neighboring muscles, tissues and blood.

In some cases, if the doctor used a smaller amount of the drug, the patient may experience a complete lack of effect.

The effectiveness of the drug depends on its quality. The first changes can be observed within an hour after the injections. 3 days after the injection, the effect of the correction is already clearly visible.

The final result can be observed 1.5-2 weeks after the procedure. The positive effect lasts from 6 months to 1.5 years. The period of effectiveness of injections depends on the volume of the drug used and the individual characteristics of the patient’s body.

Conclusion

Today, Botox is a real salvation for many people who have defects in appearance. When used correctly, the drug is absolutely safe for human health. Its only drawback is the short duration of action. When choosing this method of nose correction, the main thing is to contact a qualified specialist. Then the desired result will be obtained in the shortest possible time, and negative consequences will be avoided.

A naturally perfect nose is a rare occurrence. Most often, people are dissatisfied with the size, width, presence of a hump, or protruding tip. Finances, contraindications or a categorical attitude towards operations do not allow us to correct the situation. Many people do not think that there are less traumatic methods of correction. The injection technique is a good alternative to plastic surgery. Let's figure out what can be done if you inject Botox into the nose: raise the tip, remove the crease on the bridge of the nose, make the nose smaller. Many people are also interested in whether it is possible to shorten or narrow the nose with Botox. Let's figure it out further.

Indications for use

The injection method of nose correction with Botox is used to eliminate congenital and acquired defects, and to correct mistakes made during plastic surgery of the nose. The method successfully copes with problem correction:

1. smoothing out a dimple or fold on the bridge of the nose;
2. raising (lowering) the tip of the nose, eliminating defects;
3. correction of the shape of the nostrils;
4. creating symmetry, a neat, attractive appearance.

Attention! The use of Botox will help to cope with shortcomings, mainly associated with muscle hypertonicity.. It is impossible to achieve a solution to the listed problems of a significant scale, narrowing, reducing the nose with Botox injections.

Popular drugs

When encountering botulinum therapy for the first time, there is no understanding of the process. There seems to be only one drug available for injection. The first option, considered classic to this day, was the American Botox. It is advisable to begin your acquaintance with injection correction with him. The drug is familiar to most doctors, has a mild effect, and medium potency. The results of the toxin are noticeable 4–5 days from the moment of injection. Changes in appearance can occur up to 2 weeks. The result of the correction is visible in about 4 months. The holding power of the muscles gradually weakens.

There are many other developments similar to Botox. The composition and operating principle are similar, but there are differences. Popular options:

1. Botulax (South Korea);
2. Dysport (France);
3. Relatox (Russia);
4. Xeomin (Germany);
5. Lantoks, Prosizhen (China).

The results of Botulax are noticeable within 3 hours after the manipulation, and the full effect is visible on days 3–5. The results last for about 3 months.

Dysport, compared to the classic version, has strong diffusion. When calculating the dosage, one unit of the drug is equivalent to 2.5–3 servings of Botox. Relatox is characterized by increased diffusion and painful administration. Xeomin does not require special storage conditions, is distinguished by its ability to preserve natural facial expressions, and is suitable for use by beginners.

Chinese drugs have a slightly modified composition. They are distinguished by their strong action and long-lasting results.

The cost per unit of the drug is approximately the same. The average price ranges from 120–400 rubles. The Korean, Chinese, and German versions will be cheaper.

Safety of the procedure

Only a licensed cosmetologist has the right to administer drugs based on botulinum toxin. Only a holder of a higher specialized education can take courses and receive a certificate.

The nurse can perform injections technically (under the guidance of a doctor). A cosmetologist is required to prescribe botulinum therapy, mark the nose, and monitor the progress of the process. You need to pay attention to this when visiting salons to correct deficiencies.

For injection therapy, it is advisable to contact licensed clinics. It is not recommended to be seduced by excessively high discounts or unnaturally low prices for procedures. It would be a good idea to avoid visiting cosmetologists at home.

Botox injections are considered a non-traumatic nose correction procedure. The main thing is not to use the services of amateurs. Toxin injections are given by a certified doctor. This must be confirmed by a license. It is a good idea to read such a document before the procedure.

Injection correction should be carried out by a doctor under sterile conditions:

1. separate premises in compliance with medical standards;
2. use of antiseptics, disposable consumables;
3. manipulation with clean hands;
4. absence of strangers at the procedure.

The cosmetologist opens the ampoule with the drug in front of the patient. To be sure of your safety, you can ask your doctor for an examination container. The container must not be damaged; the shelf life of the drug must correspond to the current time frame.

Advice. You should be wary if the cosmetologist is not interested in health, does not warn about possible side effects, negative consequences, or suggests injecting an excessive dose of the toxin.

Carrying out the operation

Botox injections can be conditionally classified as operations. The manipulation of toxin administration does not involve complex actions. In any case, the patient’s skin is first prepared (cleansed). The doctor carefully examines the area of ​​upcoming work and marks out the toxin injection sites.

A cosmetologist must professionally master the technique, have a creative approach to solving a problem, and plan in advance the prospect of the actions being performed. A doctor's formulaic attitude to work will not give decent results.

Anesthesia is rarely used for the procedure. Typically, a cooling method is used: ice is applied to the site of the future puncture. It is permissible to apply EMLA cream an hour before injections: apply an even layer to the areas of intended impact. The prick of a thin needle is comparable to an insect bite. The procedure for nose correction with toxin injections is not considered painful.

The manipulation is carried out using a microneedle. To accurately determine puncture sites, good knowledge of anatomy and experience are required. Some cosmetologists use an electromyographic device.

To eliminate horizontal wrinkles on the bridge of the nose, the doctor asks the patient to frown. Having determined the puncture site, the cosmetologist inserts a syringe with the drug. To correct the problem in this zone, use no more than 10 units of a substance with a toxin. The required dose is determined individually. The cost of nasal manipulation consists of the price of services and units of the drug used for correction. The figure fluctuates in the range of 600–4000 rubles.

Raising the tip of the nose using injections is carried out by administering the drug in an amount of 1-2 units at 2 points: symmetrically on the sides of the septum in the “fleshy” area near the nostrils. Manipulation allows you to weaken the traction of the cartilage and lift the tissue. You will have to pay 600–2000 rubles for the toxin injection procedure.

Injections into the wings of the nose will help narrow the wide nostrils and change their shape. A minor correction is taking place. Injections are carried out at the base of the wings. The point on each side requires 1-2 units of the drug with the toxin. The correction procedure will cost 600–2000 rubles.

Narrowing, reduction of the nose due to injection correction, rhinoplasty with drugs containing toxin are impossible. It will only be possible to slightly change the organ using the methods listed above. Toxin-based drugs act on muscles, the tension of which does not affect the fullness and length of the nose. Non-surgical rhinoplasty can be achieved using fillers and threads.

The injection nose correction procedure lasts 10–30 minutes. After the basic manipulations, the doctor monitors the patient’s body reaction for half an hour. Having made recommendations for recovery, the cosmetologist sends you home.

Photos before and after

Healing period

It is possible to eliminate undesirable consequences by observing the requirements for the healing period. Strict restrictions apply for 3–6 hours after manipulation. It is forbidden:

1. take a horizontal position, lean forward;
2. touch the nose (puncture sites);
3. load the body with physical activity;
4. drink alcohol, drugs that affect blood quality;
5. warm up the skin (massage, exposure to hot water, steam, sun).

After the procedure, you may experience mild discomfort (headache, nausea, muscle weakness). Edema and hematomas are common. You must adhere to the restrictions for at least 2 weeks. You can take a lying position, carefully touch the skin, and wash without steaming.

Different drugs have individual strengths. Effectiveness is noticeable 30 minutes after injection. On average, the result is visible 2–5 days after the injection. Maximum strength develops within 2 weeks. Then the effect gradually weakens. After 3–6 months, complete regression occurs. Age-related changes may remain less noticeable due to improved facial expressions. Anatomical features return to their original shape.

Precautionary measures

You should think about the possibility of correcting your appearance with Botox before the procedure. The strict contraindications are as follows:

1. acute diseases (general, chronic);
2. oncology, diabetes, lung problems;
3. blood diseases;
4. neuromuscular disorders;
5. somatic disorders;
6. pregnancy, lactation;
7. allergy to drugs with toxin.

Important! Botox manipulation cannot be performed after surgery or traumatic cosmetic procedures: peeling, skin resurfacing. Wait at least a month for natural recovery.

Among the negative consequences are:

1. difficulties in the functioning of the gastrointestinal tract (nausea, upset stomach, intestines);
2. difficulty breathing, swallowing;
3. shifts in the sensitivity of the integument (numbness, pain).

If the condition of no contraindications is met, the occurrence of negative consequences is minimal. Before the procedure, the cosmetologist must collect information and draw conclusions about the possibility of Botox injections. Correct dosage calculation is an equally important detail. Exceeding the permissible units will not make the face look younger, but will cause undesirable consequences:

1. asymmetry due to muscle blockade - lowering, raising, curvature of individual parts of the nose, tissues located nearby;
2. violation of important functions - breathing, swallowing, blinking;
3. excessive diffusion of the drug into nearby muscles, tissues, and blood.

With proper dosage calculation, undesirable consequences do not occur or appear on a minimal scale. An experienced cosmetologist uses reduced doses of the toxin. After 2 weeks, you can inject several units of toxin.

Error correction

If undesirable consequences occur or dissatisfaction with the result, it will not be possible to immediately correct the situation. The effect of the toxin is specified in the instructions for the drug; it is difficult to remove the substance ahead of schedule. Maximum strength development is noticeable after 2–4 weeks. Then the muscle fixation gradually weakens. Complete regression usually occurs after 3–6 months. If there is no way to wait for the “old” appearance of the nose to return, then You can speed up the process of removing the toxin. Often used:

1. face massage;
2. physiotherapy;
3. drug treatment.

Correction of the condition is prescribed by the doctor. To do this, you need to evaluate the resulting picture and take into account individual characteristics. At home, steaming is used to remove Botox: water procedures using hot water (bath, shower, sauna). A subsequent massage will help enhance the effect. Taking B vitamins also gives good results.

Advantages and disadvantages

Botox is a popular but controversial procedure. Many people want to get a quick rejuvenation effect without any effort. Injection correction is called a relatively painless way to eliminate wrinkles and defects in the nasal area. Botulinum toxin is not addictive and safe when administered correctly.

The disadvantage of the procedure is the need to regularly maintain the achieved results. Only experienced cosmetologists can work with Botox. Errors often occur in inept hands. Achieving the right result and maintaining the effect requires adherence to strict restrictions.

Opinion of cosmetologists

Doctors professionally use Botox to correct nasal imperfections and are positive. Most cosmetologists turn to Botox drugs to change their appearance, and advise the method to clients. Doctors call the toxin safe for health and appearance. The attention of cosmetologists is drawn to the acquisition of quality products. Cosmetologists see a threat to the reputation of botulinum therapy in beginners, self-taught people who often make mistakes when injecting the toxin.

Patient reviews

Opinions about correcting appearance with Botox vary. Patients evaluate the result positively or neutrally. Only if clearly negative consequences are obtained, injections are refused. Most patients, despite neutral reviews, use the services of cosmetologists to correct various defects constantly.

The complexity and high price of surgical rhinoplasty scares patients away; Botox injections are a good alternative.

The limitations of problem solving do not allow anyone who wants to fix a defect to turn to the method.

Many people evaluate the effect positively: fast, inexpensive, effective.

There are negative assessments due to complications that have developed.

Useful videos

Correction of the shape of the nose, contouring, correction without surgery.