13 Neurotoxin Injection for Nasal Tip Lift

10.1055/b-0038-165974

13 Neurotoxin Injection for Nasal Tip Lift

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Indications

Neurotoxin can be injected into the base of the nasal columella to produce a subtle elevation of the nasal tip (increase in tip rotation). This is indicated in patients with a mild drooping of the nasal tip. It will not improve a severely ptotic nose with thick, sebaceous skin: consider surgical treatment for severely ptotic noses. This procedure is a mild “finesse” technique.

Anatomic Considerations

The depressor septi nasi muscle is an extension of the orbicularis oris muscle and inserts onto the medial crural foot-plates. It pulls the nasal tip down with smiling. Weakening of this muscle will result in elevation of the tip or widening of the nasolabial angle. The nasolabial angle should be approximately 90 degrees in men, and more obtuse in women.

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