Patient Case #6788

Procedure Details

This patient wanted to address a slight dorsal hump and improve the position, rotation, and projection of her nose without undergoing surgery. One syringe of hyaluronic acid filler was injected to improve the shape of her tip in addition to increasing projection and rotation to create the look she wanted. Results are shown immediately following the treatment and show a straighter nose with a subtle scoop (also known as a supratip break) and less of a downturn at the tip.

In order to treat her gummy smile, we simultaneously injected 6 units of Botox (botulinum toxin) to the base of her nose to address the muscles that elevate her lip when she smiles. This treatment will take a minimum of 5-7 days to take effect. In patients with hyperactive lip levators (these muscles are called the depressor septi nasi and levator labii superioris), the lip elevates excessively, creating more gum show on smile. Some patients will also have a slight plunge on smile when the depressor septi nasii is hyperactive. Botox weakens these muscles temporarily, correcting the appearance of a gummy smile and plunging tip.