Nose narrowing with botulinum toxin - gentle correction of wide nostrils without surgery

The shape of the nose significantly characterises the facial profile and can make a decisive contribution to facial harmony. Many people find wide nostrils in particular, which spread outwards even further when smiling or speaking, disturbing. While surgical rhinoplasty involves a surgical procedure with corresponding risks, scarring and several weeks of healing time, the Nasal narrowing with botulinum toxin a gentle, reversible alternative without a scalpel and with immediate social acceptability.

The philosophy of Medical NOVA is based on the conviction that aesthetic medicine should emphasise natural beauty, not cover it up. This holistic approach is also reflected in our approach to nose narrowing. Before each treatment, we carefully analyse your individual facial anatomy and facial expressions, because only through this detailed preliminary analysis can we assess whether this method is suitable for you and what results can realistically be achieved.

Unlike with a surgical rhinoplastywhich permanently changes the bony or cartilaginous structure of the nose, treatment with Botulinum toxin type A (e.g. Botox®) exclusively on muscle activity. This makes it the ideal solution for all those who want to make their nose look smaller without undergoing surgery with its risks and long healing phase.

What is nasal narrowing with botulinum toxin?

The Nasal narrowing with botulinum toxin is a precise, minimally invasive method for visually narrowing wide nostrils. This treatment is based on the targeted relaxation of the nasalis muscle - a paired muscle that runs along the side of the nose and pulls the nostrils outwards when smiling, speaking or inhaling deeply. This muscle activity is particularly pronounced in people with a genetically predisposed broad nose or very active facial expressions.

Precise injections of botulinum toxin reduce the activity of this specific muscle, causing the nostrils to be pulled outwards less strongly. The result is a Natural optical narrowing of the nose, which is particularly visible when smiling. The treatment requires a deep understanding of facial anatomy and years of experience, as the dosage and placement of the injections must be extremely precise.

The method differs fundamentally from surgical rhinoplasty. While surgical procedures remove bone, reshape cartilage or remove tissue, the Botulinum toxin treatment exclusively with the natural musculature. No incisions are made, no structures are permanently altered and no scars are left behind. The result is a gentle, reversible narrowing without visible traces on the face.

At Medical NOVA in Bülach we combine Extensive experience in aesthetic medicine with state-of-the-art treatment techniques. This combination enables us to treat the fine anatomical structures of the nose with particular precision while ensuring the highest safety standards.

Anatomy and mode of action: How does a wide nose develop?

To understand how the treatment works, it is helpful to take a look at the anatomical principles. The shape and width of the nose is determined by various factors: the bony structure of the nasal bone, the cartilaginous parts of the tip of the nose and the nostrils as well as the surrounding musculature. Whilst the bones and cartilage determine the basic static shape, it is the Muscle activitywhich causes dynamic widening when smiling or speaking.

The nasalis muscle consists of two parts: the pars transversa (transverse part) and the pars alaris (part that attaches to the nostril). When smiling or making active facial expressions, this muscle contracts and pulls the nostrils outwards and slightly downwards. This leads to a clearly visible widening of the nasal base and an enlargement of the nostrils.

Many patients report that their nose looks quite satisfactory when they are relaxed and at rest, but appears "pulled apart" when they smile. This phenomenon is particularly noticeable in people with a genetically determined broad nose or very pronounced facial expressions. The nostrils spread outwards, which also makes the nostrils appear larger and the entire nasal area looks more dominant.

This is precisely where treatment with botulinum toxin comes in: The targeted relaxation of the nasalis muscle reduces its pulling effect on the nostrils. The nose retains its basic shape, but the Dynamic widening in facial expressions is significantly reduced. The result is a finer, more harmonious nose shape both at rest and when smiling.

Who is nasal narrowing suitable for?

Nasal narrowing with botulinum toxin is suitable for a specific patient groupThis is a method for which certain anatomical and functional requirements must be met. The individual analysis in the consultation is crucial in order to assess whether this method can achieve the desired results.

• Significant widening of the nostrils when smiling or speaking
• Genetically determined broad nose with strong muscle activity
• Desire for non-surgical rhinoplasty
• Realistic expectations of optical narrowing
• Good skin quality and elasticity
• No pronounced bony or cartilaginous shape deviations

People whose nasal bridge has been widened benefit particularly primarily through muscle activity develops. Botulinum toxin treatment can only have a limited effect on a static broad nose due to wide bone structures or protruding nasal cartilage, as it does not change the basic anatomical structures. In such cases, surgical rhinoplasty is the more effective solution.

Patients with a fine facial structure often look for a way to make the nose appear less dominant when smiling. Especially with narrow faces, a strongly widening nose can disrupt the harmonious overall appearance. The treatment helps to to equalise proportions and make the face look finer overall.

For men, the focus is usually on visually refining the base of the nose without making the nose look too feminine. While a prominent nose is certainly considered attractive, excessively wide nostrils can make the profile appear too coarse-pored. The minimally invasive narrowing creates a masculine, but harmonious Appearance.

The treatment is particularly suitable for people between the ages of 25 and 55 whose skin is still Sufficient elasticity has. The best and most natural results can be achieved in this age range. Younger patients who already suffer from a pronounced widening of the nostrils can also benefit from the method.

Treatment procedure at Medical NOVA

The nasal narrowing treatment at Medical NOVA follows a structured, multi-stage processwhich guarantees the highest quality standards and optimum safety. Our approach is based on years of experience in aesthetic facial medicine, which enables us to achieve particularly precise and gentle results.

Step 1: Detailed consultation and precise analysis

Every treatment begins with a comprehensive consultation, which typically 20 to 30 minutes takes. Dr Tukezban Huseynova and her team not only analyse the shape of your nose at rest, but also observe your facial expressions when you smile and speak. This is the only way to judge how much muscle activity contributes to the widening and what results can realistically be achieved.

During this analysis phase, high-resolution photos are taken from different perspectives to document the initial condition. We discuss possible risks, realistic expectations and aftercare. The injections are carried out with very fine needles and are only minimally noticeable.

Step 2: Professional preparation and hygiene

After the consultation, the face, especially the nose area, is thoroughly cleaned and disinfected. All make-up must be removed in order to avoid Sterile working environment to ensure the best possible results. The injection sites are precisely marked, using the previously prepared treatment plan and the anatomical landmarks as a guide.

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

The actual treatment only takes about 10 to 15 minutes, but requires Maximum concentration and precision. The botulinum toxin is injected into the previously marked points on both sides of the nasalis muscle using a very fine needle. The dosage is customised and takes into account the strength of the muscles and the desired result.

Most patients describe the sensation as a short, light pinprick that passes quickly.

Step 4: Immediate socialising and aftercare

After the treatment you are immediately socially acceptable again and you can continue with your normal daily routine. Slight redness or minimal swelling at the puncture sites usually disappears within 1-2 hours. Make-up can be carefully reapplied after about 2-4 hours.

A follow-up appointment after 10 to 14 days is optionally availableif you want to assess the result or fine-tune it. At this point, the botulinum toxin has taken full effect and any asymmetries can be corrected with small subsequent injections.

Effect & durability - what is realistic?

The effect of the nose narrowing develops gradual and naturalwhich is one of the great advantages of this method. Unlike surgical procedures, where the result is visible immediately after the swelling has subsided, the effect of botulinum toxin unfolds over several days. This gradual change is perceived as pleasant by most patients, as even those around them usually do not perceive the improvement as "done".

The Duration of effect of nasal narrowing is 3 to 6 months on average, although this period depends on various individual factors. People with very active facial expressions or a fast metabolism may notice that the effect wears off sooner. For other patients, the results may still be noticeable after 6 months. Interestingly, with regular treatments, some patients report a Extension of the duration of actionas the muscles become accustomed to the relaxed position.

The results are, with proper application very predictable. Most patients are surprised at how natural the nose looks after the treatment. The facial expression remains completely intact, only the excessive widening of the nostrils when smiling is reduced. Many patients report that they receive compliments about their "more harmonious face" without being asked why.

One important aspect is the Complete reversibility of the treatment. In contrast to surgical procedures, nasal narrowing with botulinum toxin is temporary. If you are not satisfied with the result, which is extremely rare, your original nose shape will return completely after a few months.

The optimum treatment frequency is around 2-3 treatments per yearThe individual rhythm can be better assessed after the first few treatments. Many patients develop a sense of when the effect wears off and can therefore determine the optimum time for a top-up.

Aftercare: do's & don'ts for optimal results

Follow-up care after nasal narrowing is Uncomplicated and suitable for everyday useHowever, it requires some important rules of behaviour in the first hours and days. These measures serve to ensure optimal distribution of the active ingredient and minimise the risk of complications.

First 4-6 hours: Critical initial phase

In the first few hours after treatment Special care is requiredas the botulinum toxin is not yet fully bound to the target muscle and could theoretically still migrate:

• Maintain an upright posture - do not lie down or bend your head forwards too much
• No touching, rubbing or massaging of the nose area
• No exposure to heat (hot water, hairdryer on hot setting)
• Only apply make-up after 4 hours and only carefully
• Do not blow your nose or blow your nose vigorously in the first few hours

First 24-48 hours: Gentle activity

In the first two days after treatment Extended precautionary measures:

• Avoid intensive sport that is associated with heavy sweating
• No sauna, steam bath or solarium
• Avoid facial massages or cosmetic treatments in the nose area
• Minimise alcohol consumption, as this increases blood circulation
• For minor haematomas: gentle cooling with soft compresses
• Avoid sun exposure on the face or use a high sun protection factor

It is particularly important to keep your nose dry for the first 24 hours. not to be manipulated. Blowing your nose vigorously, rubbing or applying pressure could affect the distribution of the botulinum toxin. If you need to cough or sneeze, do so as gently as possible and with your mouth open to minimise the pressure in the nasal area.

After one week: return to normality

After only about a week all normal activities can be absorbed again without restriction. The botulinum toxin is now firmly bound to the target muscle and the first effects of the treatment become visible. Sport, sauna, facial treatments and all other activities are possible again without any problems.

Risks & side effects: Transparency and information

As with any medical treatment, side effects can also occur with nasal narrowing. However, thanks to our many years of experience and precise application technique, these are mostly mild and temporary. We attach great importance to providing full information about all possible risks.

Frequent, harmless side effects

Most of the side effects occur directly after the treatment and disappear on their own within hours to a few days:

• Slight reddening at the puncture sites - usually disappear within 1-2 hours
• Minimal swelling in the injection area, similar to a small insect bite
• Small haematomas (bruises) - occur in about 5-10% of patients and resolve within 3-5 days
• Slight feeling of pressure in the nasal area in the first 24 hours
• Temporary slight asymmetry, which usually evens out by itself

These side effects are completely normal and show that the botulinum toxin is beginning to take effect. They generally do not affect everyday life and can be concealed with light cooling or make-up if necessary.

Rare complications: Prevention and treatment

Should an undesirable effect occur, our team is at your disposal. available at any time. In most cases, small asymmetries can be corrected by targeted subsequent injections. As the treatment is completely reversible, the appearance normalises completely after a few months at the latest.

Contraindications: When is the treatment not suitable?

Nasal narrowing is not for every patient suitable. The following circumstances rule out treatment or require special precautions:

• Pregnancy and breastfeeding - for precautionary reasons, botulinum toxin treatments are not carried out during this time
• Acute inflammation or infection in the nasal area - treatment is postponed until the infection has healed
• Neuromuscular diseases such as myasthenia gravis or Lambert-Eaton syndrome
• Known allergies to botulinum toxin or one of the excipients
• Pronounced bony or cartilaginous shape deviations - surgical correction is more effective here
• Taking certain medications - blood thinners in particular should be discontinued after consulting a doctor prior to treatment

During the consultation, we create a Detailed anamnesis and check all potential contraindications. Your safety is our top priority, which is why we take sufficient time for this important preliminary clarification.

Alternative and complementary treatments

In addition to nasal narrowing with botulinum toxin, aesthetic medicine offers other methods for optimising the shape of the nose. Depending on the individual starting situation and desired result, these procedures can be used independently or in addition to botulinum toxin treatment.

Nose modelling with hyaluronic acid

Whilst botulinum toxin influences muscle activity, it can Hyaluronic acid can be used to compensate for unevenness in the bridge of the nose or to lift a slightly sunken tip of the nose. The Non-surgical rhinoplasty with hyaluronic acid is particularly suitable for the correction of:

• Small bumps on the bridge of the nose
• Asymmetries of the nose shape
• Sunken tip of the nose
• Uneven nose contours

A combination of botulinum toxin and hyaluronic acid can be useful if both the width of the nostrils and the shape of the bridge of the nose are to be optimised. While botulinum toxin optimises the Dynamic widening hyaluronic acid can reduce the static form and ensure a more harmonious profile.

Facial harmonisation: holistic approach

Many patients who are interested in nose narrowing also want to optimise other areas of the face. A holistic approach can achieve particularly harmonious results. Complementary treatments include:

The Botulinum toxin treatment other areas of the face, for example to smooth out Forehead wrinkles, Frown lines or Crow's feetcan make the face look more relaxed and fresher overall. A Eyebrow lift opens up the gaze and makes the entire upper half of the face appear more youthful.

The following are suitable for improving facial contours Cheek augmentation with hyaluronic acid, Chin modelling or the optimisation of the Jawline (Jawline). These treatments can harmonise the proportions of the entire face and better integrate the nose visually.

Skin improvement for an optimal overall result

In addition to shape-changing treatments, methods for improving skin quality can optimise the overall result. The Mesotherapy and especially the Mesotherapy for the face hydrate the skin and improve its structure. The RF microneedling stimulates the body's own collagen production and can sustainably improve skin quality.

For the treatment of pigment spots, vascular changes or for general skin rejuvenation, the Thulium laser. You can find more information on the wide range of options in our article on Thulium laser applications.

Surgical rhinoplasty for pronounced findings

In the case of severe bony or cartilaginous deviations in shape, a pronounced humped nose or a fundamental desire to change the shape, surgical rhinoplasty is the best option. More effective and long-term solution. These surgical procedures offer lasting and more comprehensive results, but also require several weeks of aftercare and involve higher risks.

We advise you honest about itwhether your expectations and findings can be better treated with non-surgical or surgical methods. Sometimes a combination of both approaches is the best way to achieve the desired results.

Cost of nose narrowing: transparency and fairness

The costs for a nose narrowing at Medical NOVA are based on various individual factors and are always discussed transparently during the consultation. We attach great importance to fair pricing and avoid hidden costs or subsequent surprises.

A personal consultation provides you with a Precise and binding cost estimatethat is tailored to your individual needs. At Medical NOVA, you will receive a detailed cost overview during the initial consultation so that you can make an informed decision. All costs are itemised transparently and there are no hidden additional costs.

The investment in a professional nose narrowing should always be considered in the context of the long-term satisfaction and security be considered.

Frequently asked questions (FAQ)

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

How natural does the result of the nose narrowing look?

When properly applied by experienced physicians, the result is extraordinarily natural and discreet. The aim is always to achieve a harmonious narrowing without unnatural-looking changes. Most people around you will simply notice that your nose looks more harmonious or that your face appears more balanced, without recognising the specific reason for this. The facial expression remains completely intact, only the excessive widening of the nostrils is reduced.

Can the treatment be reversed?

Yes, the treatment is Fully reversible. Unlike surgical procedures, no permanent structural changes are made. If the result does not meet your expectations, which is extremely rare, the effect is completely reversed within 3 to 6 months and your original nose shape returns. This reversibility makes the method particularly safe and low-risk.

When will I be able to do sports and resume normal activities?

Light activities and normal everyday life are already the day after the treatment possible. You should pause intensive training with heavy sweating for 24-48 hours, as increased blood pressure and strong blood circulation could theoretically influence the distribution of the botulinum toxin. After this short period of rest, you can resume all your usual activities without any restrictions. Most patients find these minimal restrictions very pleasant compared to surgical procedures with a recovery period of several weeks.

Can nasal narrowing be combined with other treatments?

Yes, the combination is not only possible, but often particularly useful. Combinations with hyaluronic acid fillers for modelling the bridge of the nose or with treatments for other facial areas such as Forehead wrinkles, Frown lines or to the Lip modelling. We will discuss the optimum combination and ideal timing in detail during your individual consultation.

How long does the effect last and how often do I need to be treated?

The duration of action is typically 3 to 6 monthsindividual factors such as metabolic rate, muscle activity and lifestyle play a role. With regular treatments, some patients find that the effect lasts a little longer over time as the muscles become accustomed to the relaxed position. The optimum treatment frequency is usually 2-3 treatments per year, although the individual rhythm can be better assessed after the first few treatments.

What happens if I am unhappy with the result?

At Medical NOVA you have a Optional follow-up appointment after 10-14 days available. If corrections are necessary at this point, they can usually be carried out without any problems. As the treatment is completely reversible, your original appearance will return after a few months at the latest if you are fundamentally dissatisfied with the result - which is extremely rare in our practice. Your satisfaction and well-being are our top priority.

Is the treatment painful?

The injections are carried out with very fine needles and are only felt as a short, light pinprick. Most patients perceive the treatment as well tolerable. The treatment is much more comfortable than surgical procedures and does not cause any long-lasting discomfort.

Are there any age restrictions for the treatment?

A lower age limit is around 18-20 yearsas facial development is not yet complete. There is no strict upper limit.

Does the treatment change my breathing?

No, the treatment affects breathing not negative. The botulinum toxin is injected exclusively into the outer nasal wing muscle (nasalis muscle) and has no effect on the inner nasal structures or respiratory function.

Why Medical NOVA for your nose narrowing?

At Medical NOVA, we attach particular importance to a holistic approach to your aesthetic wishes.

Every treatment begins with a detailed analysis of your individual facial anatomy and facial expressions. We take the time to understand your wishes and expectations and to honestly about the realistic possibilities to enlighten you. Our aim is not to follow trends, but to emphasise your natural radiance and harmonise your individual facial proportions.

Our central location in Bülach makes us ideal for patients from Zurich, Winterthur and the entire region. easily accessible. Each treatment is planned and carried out individually so that you feel completely comfortable in your skin and can go through life with self-confidence.

Conclusion: Gentle rhinoplasty without a scalpel

Nose narrowing with botulinum toxin is particularly suitable if the nose appears significantly wider when smiling or speaking and this widening is primarily caused by muscle activity. The treatment only takes a few minutes, but often results in a Significantly more harmonious facial proportions. In contrast to surgical rhinoplasty, there is no downtime, no incisions, no scars and no permanent changes - making it the ideal solution for anyone who wants to gently and reversibly reduce the size of their nose.

Targeted relaxation of the nasalis muscle reduces the dynamic widening of the nostrils without impairing natural facial expressions or respiratory function. The method is minimally invasive, safe and shows the first visible results after just 3 to 5 days. With a durability of 3 to 6 months, it also offers the Flexibilityto adjust the result if necessary or not to repeat the treatment if expectations are not met.

At Medical NOVA, nasal narrowing is performed exclusively by experienced specialists - precisely, safely and individually tailored to your facial anatomy. We give you honest advice on which method is best suited to your personal wishes and work with you to develop a treatment plan that suits you and emphasises your natural beauty.

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

The Botulinum toxin nasal treatment is a proven, safe and highly effective method for visually narrowing wide nostrils. The treatment is suitable for anyone who wants a natural and gentle correction of their nose shape without having to undergo the risks, scars and months-long healing time of surgery.

At Medical NOVA in Bülach we combine Extensive experience in aesthetic facial medicine with state-of-the-art techniques and a deep understanding of natural beauty. This unique combination of medical expertise and aesthetic flair enables us to develop individual solutions for each patient that are not only effective but also look completely natural.