Nose tip correction with botulinum toxin - lifting the tip of the nose without surgery

A lowered or uneven nasal tip can significantly affect the overall harmony of the face and disrupt the natural proportions. A drooping nasal tip or a lowered nose bridge is often perceived as disturbing, particularly during facial expressions such as smiling or speaking. While many people initially think of a complex surgical rhinoplasty with a general anaesthetic, prolonged swelling and possible risks, modern aesthetic medicine now offers an elegant alternative: minimally invasive nasal tip correction with botulinum toxin.

The philosophy of Medical NOVA is based on the conviction that true beauty is created through harmony and balance. This holistic approach is also reflected in our approach to rhinoplasty. We understand that every nose is unique and therefore carefully analyse your individual facial anatomy and facial expressions before each treatment. Only through this detailed preliminary analysis can we create a customised treatment plan that leads to harmonious and natural results - without the risks of surgery, without scars and without the stressful downtime.

In our Beauty clinic in Bülach, we have specialised in aesthetic treatments that enable natural results without surgical intervention. In recent years, non-surgical nasal tip correction has become one of the most popular aesthetic treatments. most popular minimally invasive treatments when it comes to discreetly harmonising facial proportions. The nasal tip correction method offers a scientifically proven solution for lowering the tip of the nose due to muscular causes without losing its natural radiance.

What is nasal tip correction with botulinum toxin?

The Nose tip correction with botulinum toxin is a highly precise, minimally invasive method for lifting a lowered nasal tip without surgery. This innovative treatment is based on the targeted relaxation of the depressor septi nasi muscle - a small but effective muscle that attaches to the bridge of the nose and pulls the tip of the nose downwards with every facial expression. This natural muscle movement varies from person to person and can lead to a significant visual lengthening of the nose if the muscles are particularly active.

Through precise injections of Botulinum toxin this specific muscle is temporarily relaxed and inhibited, while the surrounding muscles retain their full functionality. This creates a natural muscular balance that leads to a gentle but visible lifting of the tip of the nose by 1-2 mm. This subtle change may appear minimal at first glance, but has a remarkable effect on overall facial harmony and is often perceived by patients as refreshing and rejuvenating.

The method differs fundamentally from a surgical nose operation or rhinoplasty. While surgical procedures alter cartilage and bone, are often performed under general anaesthetic and are associated with considerable swelling and a healing time of several weeks, botulinum toxin treatment works exclusively on a muscular level. The result is a gentle, reversible lifting of the tip of the nose without visible traces on the face, without scars on the nose or face and without the typical post-operative risks. In addition, the stressful downtime is completely eliminated - a decisive advantage for working people who cannot plan for a longer recovery period.

Anatomy and causes: Why does the tip of the nose drop?

In order to fully understand how nasal tip correction works, it is helpful to take a look at the underlying anatomy. The position and shape of the tip of the nose is significantly influenced by a complex interplay of different muscle groups, cartilage structures and connective tissue. The depressor septi nasi muscle is the main player when it comes to lowering the tip of the nose.

This small muscle originates from the upper jaw bone and attaches directly to the bridge of the nose and the tip of the nose. With every facial expression - be it when smiling, speaking or concentrating - this muscle pulls the tip of the nose downwards. This natural movement is evolutionary and part of our normal facial expressions. However, it becomes problematic when this muscle activity is particularly pronounced or is intensified by the natural ageing process.

With increasing age, the nasal cartilage loses stability and elasticity, while at the same time the muscle strength of the depressor septi nasi remains the same or even increases. This imbalance leads to the tip of the nose being pulled downwards more and more, making the entire nose appear longer, wider or heavier. Genetic factors also play an important role - some people are born with very active muscles in this area.

Other factors that can lead to a lowered nasal tip include repeated facial expressions over the years, sagging skin in the nasal area or structural changes following previous injuries or operations on the nose. In all these cases, targeted relaxation of the responsible muscle can lead to a clearly visible improvement without the need for invasive surgical measures on cartilage or bone.

For whom is non-surgical nasal tip correction suitable?

The treatment is suitable for a wide range of patients, whereby the individual analysis in the detailed consultation is crucial. The ideal candidates are people who suffer from a muscular sagging of the tip of the nose, but who shy away from the risks, costs and long healing time of surgery. Patients between the ages of 30 and 55 who want a natural improvement in their profile without having to undergo a surgical procedure involving a general anaesthetic visit us particularly frequently.

• Tip of the nose that clearly moves downwards when smiling or speaking and disturbs the facial profile
• Drooping nose bridge with active facial expressions, which visually lengthens the nose
• Muscular sagging without structural problems such as a humped nose or crooked nasal septum
• Desire for non-surgical harmonisation of facial proportions
• First signs of ageing in the nose area without pronounced sagging of the skin
• Genetically caused overactive nasal muscles from a young age
• Dissatisfaction with the shape of the nose with certain facial expressions
• Desire to "test" the result of a rhinoplasty before deciding in favour of permanent surgery

People who smile a lot, talk a lot or have very lively facial expressions often notice an increased lowering of the tip of the nose during these movements. Nose tip correction can not only bring about aesthetic improvements here, but also contribute to a more harmonious facial expression that emphasises the natural charisma. Many patients report that they feel more self-confident after the treatment and are finally happy with their reflection in the mirror.

The treatment is particularly effective in patients whose nasal cartilage still has sufficient stability and elasticity. In this case, muscle relaxation can have an optimal effect and lead to clearly visible improvements. However, older patients can also benefit from the treatment, especially in combination with other procedures such as hyaluronic fillers, which can also optimise structure and shape.

In addition, nasal tip correction is also suitable as a preventive measure for younger patients who wish to prevent progressive sagging. This prophylactic application can help to prevent structural changes to the nasal cartilage from manifesting in the first place and ensure that the nose retains its youthful shape for longer.

Detailed procedure for nose tip correction at Medical NOVA

Nose tip correction treatment at Medical NOVA follows a structured, multi-stage process that guarantees the highest quality standards and optimum patient safety. The procedure is tailored to your needs.

Step 1: Detailed consultation and precise medical analysis

Every nose tip correction treatment begins with a comprehensive consultation, which typically lasts 30 to 45 minutes. The doctor not only analyses the current position of the tip of your nose, but also your individual facial expressions, facial proportions in profile and from the front, as well as your personal aesthetic wishes and expectations. High-resolution photos are taken from various angles to document the initial state and determine the optimal injection points with millimetre precision.

During this analysis phase, we also discuss possible risks, realistic expectations of the result and the recommended aftercare in detail. An important part of the consultation is also an honest assessment of whether the botulinum toxin method is the best solution for your specific situation or whether alternative procedures such as Hyaluronic acid for rhinoplasty or in some cases a surgical rhinoplasty would be more appropriate.

Step 2: Professional preparation under sterile conditions

After the consultation and the joint decision for the treatment, the face, especially the nasal area, is thoroughly cleaned and disinfected. All make-up must be removed to ensure a sterile working environment and minimise the risk of infection. The injection sites are precisely marked, following the individualised treatment plan drawn up in advance. This careful preparation is crucial for the precision of the subsequent treatment and contributes significantly to its success.

Step 3: Precise treatment with state-of-the-art injection technology

The actual treatment only takes about 10 to 15 minutes. Using a very fine needle, the Botulinum toxin type A (e.g. Botox®) is injected at the precisely marked points on the bridge of the nose. The dosage is customised and is typically 2-4 units - a decisive factor for natural-looking results without overcorrection. Most patients describe the sensation as a light, short pinprick that passes quickly and is much more pleasant than they feared.

Step 4: Immediate socialising and professional aftercare

After the treatment, you are immediately fit for socialising again and can continue your normal daily routine without any restrictions. Slight swelling or minimal redness at the puncture sites usually disappears within 1-2 hours. Make-up can be carefully reapplied after around 2-4 hours, although you should initially avoid rubbing the nose area vigorously.

After 10 to 14 days, we offer a follow-up appointment to check that the botulinum toxin has taken full effect. We can assess the result together and, if necessary, make fine corrections or re-treat asymmetrical areas to ensure a perfectly symmetrical and harmonious appearance.

Impact, result & realistic expectations

The effect of nasal tip correction develops gradually and naturally, which is one of the great advantages of this method. In contrast to surgical procedures, where the result is suddenly visible once the swelling has subsided, the effect of botulinum toxin unfolds over several days, resulting in a very natural and gentle transition. Most patients find this gradual change particularly pleasant, as friends and family usually do not perceive the improvement as "done".

The average duration of effect of nasal tip correction is 3 to 6 months, although this period depends on various individual factors. People with very active facial expressions, who smile or speak a lot, or who have a fast metabolism may notice the effect wearing off sooner, while other patients may still notice significant effects after 6 months. It is interesting to note that regular treatments often extend the duration of the effect, as the muscles become "accustomed" to the relaxed position.

The result is very predictable and reproducible when applied correctly. The tip of the nose is visibly raised by around 1-2 mm, which may not sound like much, but has a remarkable effect on the overall facial harmony. The bridge of the nose appears shorter, the nose is more elegant overall and the profile is more balanced. Most patients are surprised at how natural the appearance remains - the look in the mirror shows a refined, but not "made" version of themselves.

Another important aspect is the complete reversibility of the treatment. In contrast to surgical procedures with permanent changes to cartilage and bone, botulinum toxin treatment is completely reversible. If you are not satisfied with the result - which is extremely rare in our practice - the effect will wear off completely after a few months and your original nose shape will return. This reassurance gives many patients the peace of mind they need to try the treatment without any major concerns.

Aftercare: behaviour after treatment for optimal results

Aftercare following rhinoplasty is uncomplicated and requires only a few easily realisable restrictions. Nevertheless, there are some important rules of conduct to follow to ensure optimal results and to further minimise the already low risk of complications. Our patients receive detailed written aftercare instructions, which we explain in detail below.

First 24-48 hours: The critical initial phase

Particular caution is required in the first two days after treatment, as the botulinum toxin is not yet fully and firmly bound to the target muscles and could theoretically still "migrate" to neighbouring areas. For this reason, there are some important rules of behaviour that you should follow during this sensitive phase:

• No rubbing, massaging or strong pressure on the nose or nasal area
• Avoid intensive sport, sauna, steam bath, solarium or hot baths
• For minor haematomas: gentle cooling with soft, clean compresses
• Upright posture for at least 2-4 hours after treatment
• Avoid alcohol and blood-thinning medication

After one week: return to full normality

All normal activities can be resumed without restriction after around 5-7 days. The botulinum toxin is now firmly bound to the target muscles and the first visible effects of the treatment become recognisable. If you are not completely satisfied with the interim result at this point, this is completely normal - the full effect only develops in the second week and reaches its maximum after around 10-14 days.

Risks & side effects: Complete transparency and honest information

As with any medical treatment, side effects can also occur with nasal tip correction.

Common, harmless side effects (10-30% of cases)

Most side effects occur immediately after treatment and disappear completely and without a trace within a few hours to a few days at most:

• Slight swelling at the puncture sites - usually disappear within 2-4 hours and can be easily covered with make-up
• Temporary reddening of the skin in the treatment area, similar to a mild insect bite
• Small haematomas (punctiform haematomas) - occur in about 10-15% of patients and are usually completely resolved within 5-7 days
• Slight feeling of tension in the nose for 1-3 days, which usually feels like a slight tension
• Minimal pressure pain when touching the injection site for 24-48 hours

These side effects are completely normal, medically harmless and merely show that the botulinum toxin is beginning to take effect. They do not usually affect everyday life and do not require any special treatment.

Contraindications: When should the treatment not be carried out?

Nasal tip correction is not suitable for every patient. The following circumstances rule out treatment temporarily or permanently or require special precautions and an individual risk assessment:

• Pregnancy and breastfeeding - For purely precautionary reasons, no botulinum toxin treatments are carried out during this sensitive period
• Acute infections at the injection site, on the face or systemic infections - treatment is postponed until the infection has completely subsided
• Neuromuscular diseases such as myasthenia gravis, Lambert-Eaton syndrome or other disorders of muscle-nerve transmission
• Known allergies against botulinum toxin or one of the excipients in the preparations used
• Structural nasal problems such as a pronounced humped nose or curved nasal septum that require surgery
• Unrealistic expectations - if the desired results cannot be achieved with this minimally invasive method
• Taking certain medications - Strong blood thinners in particular should be discontinued before treatment after consulting a doctor if possible

During the in-depth consultation, we take a detailed medical history and carefully check all potential contraindications. Your safety and health are our absolute priority, which is why we take enough time for this important and thorough preliminary clarification. We would rather cancel a treatment than take unnecessary risks.

Comparison of methods: Botulinum toxin vs. hyaluronic acid vs. surgery

Depending on the individual starting situation, the desired result and personal priorities, there are various options for correcting the shape of the nose. To make your decision easier and enable you to make an informed choice, we have compared the three most common methods in detail:

Botulinum toxin to correct the tip of the nose: the muscular solution

Nose tip correction with botulinum toxin is an excellent treatment for nasal tip drooping caused primarily by muscles. This is the method of choice when the nose moves downwards, particularly when smiling, speaking or making other facial expressions. The effect is subtle, natural and harmonious without permanently changing the basic structure of the nose. The complete reversibility provides security, and the lack of downtime makes the treatment particularly attractive for working people.

Hyaluronic acid for rhinoplasty: the structural alternative

In the case of a primarily structural sagging, pronounced humps, strong asymmetries or the desire for more volume in the bridge of the nose Hyaluronic acid can be used in a targeted manner to optimise and model the shape. The hyaluronic acid is placed so precisely that it visually corrects, harmonises and creates the desired shape. This method is also suitable for the simultaneous treatment of Nasolabial folds in the middle third of the face. A combination of botulinum toxin and hyaluronic acid is often used to achieve optimum results.

Surgical rhinoplasty: the permanent surgical solution

A surgical nose operation is necessary and useful if major structural changes are desired, if functional problems such as a curved nasal septum or breathing difficulties are present, or if the shape of the nose is to be fundamentally changed. During surgery, the nostrils can also be reduced in size or made more symmetrical. The procedure is performed under general anaesthetic, requires a lengthy healing phase with pronounced swelling over several weeks and involves the usual surgical risks such as infection, bleeding or anaesthetic complications. However, the result is permanent and enables extensive changes to cartilage, bone and even the nostrils that would not be achievable with non-surgical methods.

Possible combinations: Utilising synergy effects for optimum results

Nose tip correction can be perfectly combined with other aesthetic treatments to achieve even more comprehensive, harmonious and long-lasting results. At Medical NOVA, we have extensive experience with such intelligent combination treatments and can offer you customised treatment plans that optimally support your personal aesthetic goals.

Facial contouring for harmonious overall proportions

The combination with other contouring treatments on the face is particularly effective. A harmonious balance is often only achieved when several areas are optimally harmonised:

• Cheek augmentation with hyaluronic acid for defined, youthful cheekbones that lift the face
• Chin augmentation with hyaluron for a balanced profile and better proportions
• Jawline contouring with hyaluronic acid for a clear, defined chin line
• Lip injections for harmonious proportions in the lower third of the face

Anti-ageing treatments for a fresh overall look

The combination with other botulinum toxin treatments on the face enables an all-round rejuvenated, fresh appearance without individual "treated" areas:

• Botulinum toxin for forehead wrinkles for a smooth, relaxed forehead
• Treatment of crow's feet for a younger, more alert eye smile
• Frown lines treatment for a friendlier, more relaxed look
• Injection of dark circles with hyaluronic acid for a rested look
• Treatment of marionette lines for a lifted lower third of the face
• Treatment of the strawberry chin for a smooth chin area

Cost of nose tip correction: transparency, fairness and fair pricing

The costs for a nose tip correction with botulinum toxin at Medical NOVA are based on various individual factors and are always discussed transparently and in detail during a personal consultation. We attach great importance to fair, comprehensible pricing and avoid any hidden costs or unpleasant surprises afterwards.

At Medical NOVA, you will receive a detailed, binding cost overview that is tailored to your individual needs during the first in-depth consultation. All costs are itemised transparently so that you can make an informed decision.

Investing in professional rhinoplasty should always be considered in the context of long-term satisfaction, medical safety and treatment quality. While supposedly cheaper providers may seem tempting, improper applications can lead to unsightly or even medically problematic results, the correction of which is often significantly more expensive and time-consuming than a professional, expertly performed treatment from the outset.

Frequently asked questions (FAQ) about nasal tip correction

Based on our many years of experience, we have compiled the most frequently asked questions from our patients. These should help you to make an informed decision and dispel any uncertainties or concerns you may have.

How natural is the result of a nose tip correction with botulinum toxin?

When properly applied by experienced specialists, the result is extremely discreet, natural and harmonious. The aim is always to gently lift the tip of the nose without any artificial-looking overcorrection or the unnatural "snub nose effect" that is unfortunately sometimes seen with inappropriate treatments or excessive surgical procedures.

Is the treatment painful or unpleasant?

The vast majority of our patients find the treatment virtually painless or at most slightly uncomfortable. The needle used is extremely fine (much thinner than a vaccination needle) and the injection is only made very superficially into the muscles. Many people describe the sensation as a brief prick or slight sting, comparable to a mosquito bite, which is gone after a few seconds. Compared to many other aesthetic treatments, nasal tip correction is exceptionally comfortable.

When will I see the result and how will it develop?

The effect develops gradually and naturally over several days. The development of the effect is very predictable: The first subtle changes become visible after 3-5 days, when the botulinum toxin begins to relax the muscle. The maximum effect is seen after around 10-14 days, when the preparation has developed its full effect and the tip of the nose has reached its optimum position. The tip of the nose lifts discreetly but is clearly visible - the improvement is particularly noticeable when smiling or speaking. This gradual development has the great advantage that those around you also perceive the change as natural and not suddenly "made".

Can I combine the treatment with other procedures?

Yes, nasal tip correction can be excellently and very effectively combined with other aesthetic treatments to achieve more harmonious overall results. Combinations with Hyaluronic acid treatments for rhinoplastyif, in addition to lifting the tip, the shape also needs to be optimised or a hump concealed. The simultaneous treatment of other facial areas such as Forehead wrinkles, Crow's feet or a Eyebrow lift is very popular and useful. We will discuss the optimal combination, the ideal sequence of treatments and possible synergy effects in detail during your individual consultation.

How long does the effect last and how often do I need to have treatment?

The duration of effect is typically 3-6 months, whereby individual factors such as your metabolism, the intensity of your facial expressions, your lifestyle and your muscle activity play an important role. People who smile a lot, talk a lot or generally have lively facial expressions may notice a slightly earlier wearing off after about 3-4 months. Patients with calmer facial expressions often report effects lasting up to 6 months. Interestingly, with regular treatments we often observe that the effect lasts longer over time, as the muscles "get used" to the relaxed position and the movement patterns change. The optimum treatment frequency is usually 2-3 treatments per year.

What happens if I am unhappy with the result?

Firstly, dissatisfaction with the results of our treatments is extremely rare, as we usually achieve exactly the results that were discussed thanks to the detailed prior consultation and precise application technique. However, if the result does not meet your expectations, in most cases we can easily make corrections at the standard follow-up appointment after 10-14 days. As the treatment is completely reversible, your original appearance will return after a few months at the latest if you are fundamentally dissatisfied.

Are there alternatives to botulinum toxin treatment of the tip of the nose?

Yes, depending on your specific initial situation and your goals, other methods may also be useful or even more suitable. For primarily structural problems such as a nasal hump, asymmetries, nostrils that are too wide or the desire for more volume, the following methods are suitable Hyaluronic acid for rhinoplasty better, as it can specifically model the shape and contour. For permanent and more extensive changes, for functional problems such as a curved nasal septum, reduction of the nostrils or very pronounced changes in shape, a surgical rhinoplasty is necessary.

Who is not allowed to undergo the treatment?

The treatment is not suitable for pregnant or breastfeeding women, for acute infections in the treatment area or on the face, for certain neuromuscular diseases such as myasthenia gravis or for known allergies to botulinum toxin or its excipients. Even if you have unrealistic expectations or the desired results cannot be achieved with this method, we will advise against treatment and show you honest alternatives. If you are taking strong blood thinners, we will discuss on an individual basis whether and when treatment can be carried out safely. We will carefully clarify all relevant risk factors in a detailed anamnesis discussion. We always prioritise your health and safety over commercial interests.

At what age does a nose tip correction make sense?

The lower age limit is around 25 years, as there are usually no mimic changes to the tip of the nose that require treatment before then and facial development is not yet complete. There is no strict upper age limit - patients over the age of 60 or 70 can also benefit from the treatment.

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: Lifting the tip of the nose without surgery - a convincing alternative to surgery

The Nose tip correction with botulinum toxin offers a safe, effective and minimally invasive alternative to surgical rhinoplasty with all its risks, general anaesthesia and long healing time. This innovative method of nasal tip correction can achieve convincing and natural-looking results that make the entire facial profile appear more harmonious, particularly in cases where the tip of the nose is lowered primarily due to muscular causes when smiling, speaking or making other facial expressions.

The minimally invasive procedure only takes 10-15 minutes, requires no general anaesthetic, causes no scars and no stressful downtime. The risks are minimal compared to surgery and the result is natural, subtle and harmonious. Although the effect only lasts for 3-6 months and needs to be refreshed regularly, the treatment is completely reversible and can be individually adjusted or optimised at any time. This flexibility gives many patients the confidence they need to try the treatment.

Whether it's a drooping tip of the nose when smiling, a lowered nose bridge when making facial expressions or the desire to subtly harmonise the shape of the nose - minimally invasive treatment with botulinum toxin enables a visible improvement without the stress of surgery. In combination with other procedures such as Hyaluronic acid treatments, Mesotherapy for the face or targeted anti-ageing treatments, even more harmonious and comprehensive overall results can be achieved.

Our central location in the Zurich Unterland makes us easily accessible for patients from Zurich, Winterthur and the entire region of northern Switzerland. Each treatment is planned individually, carried out precisely and followed up professionally so that you feel completely comfortable in your skin and can go through life with renewed self-confidence.