Treat nose wrinkles: Hyaluron and Botox for a harmonious face

Nasal wrinkles are far more than just a cosmetic concern - they can affect the overall appearance of the face and lead to a tired or tense expression. In modern aesthetic medicine, we have precise methods at our disposal to treat different types of nasal wrinkles in a targeted and gentle manner. The correct diagnosis is crucial: while mimic nasal wrinkles (so-called bunny lines) require botulinum treatment, structural irregularities of the nose are treated with Hyaluronic acid corrected.

The philosophy of Medical NOVA is based on a holistic understanding of facial aesthetics. Each treatment begins with a detailed examination of individual facial expressions and anatomy in order to develop the optimum treatment strategy. This detailed approach sets us apart from standardised treatment approaches and leads to natural, harmonious results.

In recent years, the treatment of nasal wrinkles has become one of the most most popular aesthetic applications developed. People who work a lot at a computer or who frequently look intently develop characteristic wrinkles in the nose area. Our scientifically based treatment methods offer an elegant solution to these challenges without losing natural facial expressions or radiance.

What are nose wrinkles and how do they develop?

Nasal wrinkles manifest themselves in various forms and have different causes, which require precise diagnosis and customised treatment. The most common are the so-called "Bunny Lines" - fine wrinkles to pronounced lines that appear when laughing, wrinkling the nose or focussing the gaze. These mimic wrinkles are caused by the activity of specific muscles of the facial musculature, in particular the nasalis muscle and parts of the levator labii superioris alaeque nasi muscle. An experienced doctor can precisely analyse these fine wrinkles and develop the optimal treatment strategy.

Over time, these wrinkles, which are initially only visible when facial expressions are made, can persist even when the skin is relaxed, as the skin loses its elasticity and "remembers" the repeated movement patterns. This process is influenced by various factors: genetic predisposition, sun exposure, general skin ageing and individual facial expression habits all play a decisive role. The development of Nasolabial folds follows similar mechanisms in which the muscles contribute to wrinkle formation through repeated activity.

In addition to mimic nasal folds, structural irregularities of the nose can also affect the harmonious appearance. These include nasal humps, asymmetries, a sunken nasal tip or an uneven nasal bridge. Such anatomical features are usually congenital or the result of injuries and require a completely different treatment strategy to mimic wrinkles. Nasal wrinkles are primarily the result of muscle activity, which is why a qualified doctor must use different approaches to injections.

Important distinction: Nose wrinkles vs. nose profile correction

Correctly differentiating between different nasal treatments is crucial for successful treatment and patient satisfaction. Nose wrinkles (bunny lines) are mimic wrinkleswhich are caused by muscle contractions and therefore require neuromuscular treatment with botulinum. These should not be confused with a nasal profile correction, in which structural changes to the nose are made with hyaluronic acid injections. An experienced doctor will recognise these differences immediately and choose the appropriate treatment.

This distinction is not only academically relevant, but also has practical consequences for treatment planning, the choice of active ingredient and the expected results. Incorrect categorisation can lead to unsatisfactory results and patient dissatisfaction, as the chosen method does not correspond to the actual problem.

This systematic approach enables us to find the right solution for each patient. Optimal treatment strategy and to communicate realistic expectations. Patients often require a combination of different methods to achieve the desired overall result.

Botulinum treatment for mimic nose wrinkles - precision is crucial

The treatment of mimic nose wrinkles with botulinum toxin requires an in-depth understanding of the complex muscles of the facial musculature and years of experience in precise injection techniques. Different muscle groups run in close proximity to each other in the nose area, and even minimal deviations in placement or dosage can have a significant impact on the treatment result. An experienced doctor must understand the exact anatomy of these muscles in order to treat the fine lines in a targeted manner.

The active ingredient specifically relaxes the muscles responsible for the formation of wrinkles without impairing natural facial expressions. This selective muscle relaxation requires not only anatomical knowledge, but also an aesthetic understanding of natural facial proportions and movements.

Detailed treatment procedure for botulinum therapy

The actual treatment is carried out with ultra-fine needles and is Almost painless. Most patients describe the sensation as a slight pinprick that lasts only a few seconds. The entire treatment typically takes 15-20 minutes, with most of this time spent on precise analysis and planning. An experienced doctor can determine the optimal injection points for the various muscles and thus treat even the finest wrinkles in a targeted manner.

A decisive aspect of our treatment philosophy is the Conservative dosage in the initial treatment. We prefer to start with a slightly smaller amount and optimise at the follow-up appointment rather than risk over-treatment. This approach ensures natural results and high patient satisfaction.

Hyaluronic rhinoplasty: harmonising the profile without surgery

Hyaluronic rhinoplasty represents one of the most elegant methods of modern aesthetic medicine to harmonise the nasal profile without surgical intervention. This technique requires not only the precise injection skills of an experienced doctor, but also a strong aesthetic understanding of facial proportions and an in-depth knowledge of the complex anatomy of the nasal region.

In this treatment, highly cross-linked hyaluronic gel is strategically injected into specific areas of the nose to even out structural irregularities. Unlike mimic wrinkles, where the muscles are relaxed, here we work with volumetric correctionswhich mould and shape the fabric.

Treatment options with hyaluronic acid

The possibilities of hyaluronic rhinoplasty are diverse, but not unlimited. It is important to communicate realistic expectations and honestly discuss the limitations of non-surgical methods:

• Optical smoothing of nasal humps by levelling the transitions
• Straightening of an irregular bridge of the nose
• Gentle lifting of a slightly sunken nose tip
• Compensation of minor asymmetries after injuries
• Harmonisation of the proportions of ethnic nose shapes
• Post-correction after surgical procedures (after healing)
• Improvement of the profile with a functionally intact nose

It is important to understand that a hyaluronic rhinoplasty is a "Body correction" is. This means that we can add structure and smooth out transitions, but not reduce or remove tissue. A pronounced nasal hump is not "removed", but optically concealed by skilfully placing hyaluronic acid to harmonise the transitions.

Who benefits from a hyaluronic rhinoplasty?

Hyaluronic rhinoplasty is suitable for a Carefully selected patient groupwhere the desired improvements match the possibilities of the method. The ideal candidates are people with mild to moderate structural irregularities who want improvement without the risks and downtime of surgery.

The treatment is particularly suitable for patients between the ages of 25 and 55 whose skin is still Sufficient elasticity and whose anatomical features allow for non-surgical correction. We are often visited by patients who are unsure whether they want surgery and would first like to explore the possibilities of reversible injections.

The method is not suitable for pronounced structural problems, very large noses, severe functional impairments or if a significant reduction in size is desired. In such cases, surgical rhinoplasty is the only effective solution and we provide honest advice on the limitations of our methods.

Comprehensive treatment details and professional aftercare

The treatment of nasal wrinkles at Medical NOVA follows a scientifically sound and standardised protocolwhich has been developed and refined over many years. Every step is designed to ensure maximum safety, precision and patient comfort while achieving the best possible aesthetic results.

Precise dosing and material selection

For rhinoplasty, we typically use 0.3-1.0 ml highly cross-linked hyaluronic geldepending on the desired result, the initial anatomy and the specific indication. The hyaluronic acid product is selected individually: we use low-viscosity gels for fine corrections, while structural changes require firmer, highly cross-linked products.

The treatment takes 20-30 minutes, with a significant proportion of this time being spent on careful preparation and aftercare. This time invested in precision and care makes the difference between a good and an excellent result.

Special features of the duration of action in the nasal region

The Shelf life of 12-18 months in the nasal region is significantly longer than in other areas of the face, which is due to the specific anatomical conditions. The nose moves comparatively little and the blood flow is less than in the lip region, for example. This leads to a slower breakdown of the hyaluronic gel and makes the treatment particularly cost-effective.

In addition, the nasal region benefits from the relatively thick skin and stable anatomical structure, which leads to predictable and stable results. Many patients are surprised at how long the result lasts and how natural it still looks months after treatment.

Professional aftercare for optimum results

Aftercare following nasal treatment requires Special attentionas the region is highly exposed and various external factors can influence the outcome. Our detailed aftercare instructions are the result of years of experience and scientific knowledge:

Critical first 48-72 hours:

• 24-48 hours: Avoid sport, sauna, intense heat or excessive sweating
• 48-72 hours: Be careful with glasses or other objects that exert pressure on the bridge of the nose
• Make-up: After 12-24 hours at the earliest and only with gentle, non-comedogenic products
• Cleaning: Only use gentle, pH-neutral products and avoid vigorous rubbing
• Sleeping position: Elevated head position during the first few nights to minimise swelling

Slight swelling or reddening are completely normal and typically disappear within 2-5 days. Occasionally, small haematomas may occur, which can be easily covered with high-quality concealer products and usually disappear within a week.

The decisive control phase after 10-14 days:

The Follow-up appointment after 10-14 days is an integral part of our treatment. At this point, the hyaluronic acid has fully set, any swelling has subsided and we can assess the final result together. If necessary, we can make fine adjustments at this stage to ensure a perfectly symmetrical and natural appearance.

Many patients are surprised at how natural the result looks after this healing phase. The initial concern that the change might look "artificial" usually gives way to a pleasant surprise at the harmony and naturalness of the result.

Risk management and safety protocol

Treatment of the nasal region requires Highest safety standards and comprehensive anatomical knowledge. In this region, important blood vessels run in close proximity to the injection areas, and the complex anatomical structure requires a particularly careful and experienced approach.

Preventive safety measures at Medical NOVA

Our safety protocol comprises several levels of risk minimisation. Even before treatment, we take a detailed medical history and check all potential risk factors. During treatment, we use special injection techniques that minimise the risk of vascular injury and always have hyaluronidase on hand to react immediately in the unlikely event of complications.

Frequent, harmless side effects

Most of the side effects are Mild and temporary and show that the body reacts normally to the treatment:

• Slight swelling at the injection sites - normal and desirable as a sign of the tissue reaction
• Temporary redness, which usually subsides within a few hours
• Sensitivity to pressure for 2-5 days, especially when touching the treated area
• Occasional small haematomas that can be easily covered with make-up
• Feeling of tension or fullness that normalises after a few days

Rare complications and professional treatment

In the unlikely event of vascular compression, we have Immediate treatment optionsHyaluronidase (Hylase) can be injected within minutes to dissolve the hyaluronan and restore blood flow.

Innovative combination therapies for optimal results

A major advantage of modern aesthetic medicine lies in the possibility of strategically combining different treatment methods and thus synergistic effects to achieve. At Medical NOVA, we have spent years developing protocols that allow us to treat multiple areas of the face in a harmonised way, achieving natural, balanced results.

Strategic facial harmonisation

The nose is directly related to other areas of the face, and we often achieve the best results through a Holistic view of the facial proportions. Combinations with have proved particularly successful:

• Hyaluronic acid lips for a harmonious relationship between nose and mouth
• Cheek augmentation with hyaluronic acid to improve the centre facial structures
• Chin augmentation with hyaluron for a balanced profile
• Hyaluronic acid Jawline to define the lower facial contour

Skin quality as the basis for optimum results

For deep wrinkles on the face or for general skin improvement, we also offer innovative treatments such as Mesotherapy for the face or Microneedling against wrinkles on. These procedures can Basis for better injection results by improving skin quality, elasticity and blood circulation.

Particularly for patients with chronically damaged skin or pronounced wrinkle patterns, preparation with Thulium lasertreatments improve the skin's ability to absorb fillers and lead to longer-lasting results.

Transparent cost structure and treatment packages

The costs for the treatment of nose wrinkles at Medical NOVA are Customised and transparent based on the specific treatment planning and the materials used. We attach great importance to providing you with a detailed and binding cost overview during the initial consultation so that you can make an informed decision.

Pricing factors

The Treatment costs vary depending on various factors, which we communicate honestly and transparently:

• Type of treatment (botulinum vs. hyaluronic acid vs. combination therapy)
• Required material quantity and product quality
• Complexity of the anatomical conditions
• Time required for analysis, treatment and aftercare
• Emergency standby and security services (Hylase availability)

Comprehensive FAQ: Answers to patient questions

Based on our many years of experience, we have developed the Frequently asked questions and concerns of our patients. These detailed answers should help you to make an informed decision and clarify any uncertainties.

How natural are the results after treatment?

When carried out professionally by experienced specialists, the results are Extremely natural and harmonious. Our treatment approach aims to enhance your individual beauty, not change it.

Can different types of nose wrinkles be treated at the same time?

Yes, it is often even medically sensible and more efficientto treat various problem areas in one session. For example, mimic nose wrinkles can be relaxed with botulinum while structural corrections are made with hyaluronic acid at the same time. However, this combination treatment requires special expertise and careful planning.

Treating several areas in one session also offers logistical advantages: you save time, only have to follow the aftercare instructions once and can benefit from package prices.

How quickly are the results visible and how do they develop?

The visibility of the results depends on the chosen treatment method from:

• Hyaluron corrections: Result visible immediately, final result after swelling has subsided in 3-7 days
• Botulinum treatments: First effects after 3-5 days, maximum effect after 10-14 days
• Combination treatments: Hyaluronic effect immediately, botulinum effect develops gradually

These different time courses are completely normal and allow us to optimally assess both treatment components at the follow-up appointment after 10-14 days and fine-tune them if necessary.

What role does age play in treatment planning?

Age is an important, but not the only decisive factor in treatment planning. Much more important are the individual skin quality, the initial situation and the realistic treatment goals:

• 20-35 years: Often preventive treatments or corrections of congenital asymmetries
• 35-50 years: Classic age for first aesthetic corrections with optimal results
• 50-65 years: Combination treatments often useful, realistic expectations important
• Over 65 years: Individual assessment, sometimes surgical methods are more effective

The decisive factor is always the Individual counselling and examination. Some 60-year-old patients are excellent candidates for non-surgical treatments, while others would achieve better results with surgical methods at the age of 45.

What happens if I am not satisfied with the result?

Patient satisfaction has top priority at Medical NOVA top priority. If you are not completely satisfied with the result, we have various solutions:

1. Follow-up appointment after 10-14 days: Included as standard, fine tuning possible
2. Hyaluronic treatments: Fully reversible with hyaluronidase
3. Botulinum treatments: Effect wears off by itself after 3-6 months
4. Open communication: We discuss alternative treatment approaches together

What is important to us Open communication even before the treatment. Realistic expectations and a detailed explanation of the possibilities and limitations prevent disappointment and lead to a high level of patient satisfaction.

How do I best prepare myself for the treatment?

Optimum preparation contributes significantly to Treatment success and your well-being with:

One week before the treatment:

• Reduce blood-thinning medication after consultation with the prescribing doctor
• Avoid alcohol and anti-inflammatory medication (aspirin, ibuprofen)
• Sufficient sleep and a healthy diet for optimal healing
• No other aesthetic treatments in the facial area

On the day of treatment:

• Appear for treatment without make-up or have make-up removed on site
• Wear loose, comfortable clothing
• Allow sufficient time (treatment and follow-up)
• Organise a companion for the journey home (if desired)

Can allergies or intolerances occur?

Allergic reactions to modern hyaluronic acid preparations are Extremely rareas these are bioidentical substances that also occur naturally in the human body. Nevertheless, we clarify all known allergies in the medical history and carry out allergy tests if necessary.

Allergic reactions are also very rare with botulinum preparations. More important are neuromuscular diseases or the intake of certain medications that can influence the effect. A detailed medication history is therefore essential.

Dr Tukezban Huseynova, MD
Medical Director Medical NOVA GmbH
Specialist in ophthalmology and optometry | ophthalmic surgeon | specialist in aesthetic medicine
Over 15 years of international experience | 10,000+ successful eye operations
Further information about the author | Our team | About Medical NOVA

Conclusion: Treat nose wrinkles professionally and safely

The treatment of nasal wrinkles has become one of the most proven and safest methods of modern aesthetic medicine. By making a precise distinction between mimic wrinkles and structural corrections, we can develop the optimum treatment strategy for each patient and achieve natural, harmonious results.

Our central location in the Zurich Unterland makes us easily accessible for patients from Zurich, Winterthur and the entire region. We attach great importance to Personal, trusting support and take sufficient time for detailed consultations and individual treatment planning.

The decision in favour of an aesthetic treatment should always be well thought out and based on sound information. We would be happy to invite you to a consultation in which we can discuss your individual wishes and options in detail. You will receive an assessment of the treatment options and a transparent explanation of the costs, risks and expected results.