Botox

Midface

For the little nose-scrunch wrinkles

Bunny lines Botox in Hale, Altrincham

Bunny lines Botox softens the small wrinkles across the upper sides of your nose, helping the skin crease less when you smile or scrunch it.

You might know exactly which lines bother you without ever having heard their name. Bunny lines are the little wrinkles that appear beside the bridge of your nose when you laugh, squint or scrunch your face. A cute name doesn't necessarily make you want to keep them.

Botox can reduce the movement that creates those folds, giving a smoother appearance in that small area. At SONÜ, Dr Alex will watch how the lines form and discuss the change you'd like, then explain whether treating them is likely to be worth it for you.

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Dr Alex teaches medical professionals how to use botulinum toxin and is an international key opinion leader for Evolus, the company behind Nuceiva.

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Treatment costs
£200
Main benefit
Softer nose-scrunch lines
Results develop
Over days and weeks
Recovery
Usually minimal downtime

Those small creases beside your nose

A little detail you've started to notice

This can be a very specific concern. You don't have to want a whole-face treatment to ask about one small area.

The nose scrunch in photographs

You notice diagonal creases beside your nose when you're laughing or squinting. They may be quite faint with your face relaxed, but you'd like them to look softer in movement.

One side creases more than the other

The folds may be stronger on one side or follow a slightly different pattern. Dr Alex can look at the movement behind each one rather than assuming both sides need an identical approach.

You notice them beside smoother areas

After treating other expression lines, these little creases may catch your attention more. Bring details of any recent treatment so Dr Alex can assess the whole pattern before recommending anything further.

The practical details

Bunny-line treatment at a glance

The goal is a small, focused improvement. The plan depends on how your nose and nearby facial muscles move.

Treatment costs
£200
For the bunny-line service. Consultation is £75.
Main benefit
Softer nose-scrunch lines
Treatment reduces the movement contributing to the wrinkles; it does not reshape the nose.
Results develop
Over days and weeks
The effect is gradual. Dr Alex will advise when to assess your response.
Recovery
Usually minimal downtime
Small bumps, redness or bruising can follow the injections.
Repeat treatment
Based on your response
The effect is temporary. Further treatment can be discussed as movement returns.

The change to look for

Less creasing when you scrunch your nose

Bunny-line treatment is about softening a small fold, rather than changing the overall shape of your nose.

When the muscles involved pull less strongly, the skin can look smoother during the expression that normally brings out the lines. The amount of change depends on the pattern of movement and how established the wrinkle has become.

A line that only appears with a scrunch is different from a groove that stays when your face is relaxed. Treatment may soften the movement without fully removing a fixed mark in the skin.

The effect is localised, aiming to soften the creases at the sides of your nose. It won't remove a nasal hump, narrow the bridge or create the result of nose filler or surgery. If you're pleased with your nose and simply want fewer little wrinkles beside it, that can be the whole reason for the appointment.

✓

✓

Softer wrinkles at the upper sides of the nose

✓

Less obvious folding during a nose scrunch

✓

A small change focused on the lines you notice

✓

Temporary reduction in the movement behind the creases

Is this the right target?

Show Dr Alex the expression that makes the lines

A relaxed photograph can miss bunny lines entirely. Seeing how they form helps distinguish them from nearby frown or skin creases.

Wrinkles appear when you scrunch
If the lines become stronger with a particular expression, muscle activity may be contributing to them. Dr Alex can assess whether reducing it is likely to give enough improvement.
You want to treat this area alone
You can ask about bunny lines without planning treatment elsewhere. The likely size of the change and the cost both matter when deciding whether it is worthwhile for you.
The pattern has changed after other treatment
Tell Dr Alex where, when and with which product you've recently been treated. He'll look at the remaining movement before deciding whether to treat, wait or leave the area alone.

Lines or nose shape?

They call for different treatments

If you're hoping to change the shape of your nose, treating bunny lines won't achieve that. If the concern is a crease that remains at rest, Dr Alex will assess the skin as well as the movement. Pointing out the exact change you want helps avoid a treatment that misses it.

What creates a bunny line?

Several small muscles can contribute to the fold

Muscle movement around the upper nose pulls on the skin as you smile, squint or scrunch. The visible crease doesn't tell the whole story of what is moving beneath and beside it.

Botulinum toxin temporarily reduces activity in the muscles selected for treatment. With less pull, the skin folds less strongly.

The nearby muscles also contribute to your smile and upper-lip movement. Dr Alex therefore looks at those expressions as well as the nose wrinkle before planning the injections. It is a small treatment area, but it still needs an assessment of the surrounding face.

Your appointment

A small area, with time to talk it through

You'll be asked to smile and scrunch your nose so Dr Alex can see the lines you mean. There is no need to practise a particularly impressive scrunch beforehand.

Consultation

Point out the crease

Show the expression that brings it out and explain the change you'd like. Dr Alex will check your medical history and ask about previous toxin, filler or nose procedures.
Assessment

Look at the nose and smile together

He'll examine the movement on each side, including the upper lip, and discuss the likely benefit. You can decide whether that amount of change is worth having before agreeing to treatment.
Treatment

Brief injections into the planned areas

After cleaning the skin, Dr Alex gives small injections with a fine needle. The nose can be sensitive, so expect a brief sting and tell him if you need a pause.
Follow-up

See how the movement settles

You'll receive aftercare instructions and advice on when to assess the result. Contact the clinic if you notice an unexpected change in your smile or have concerns while the effect develops.

Experience with botulinum toxin

Why choose Dr Alex for this small area?

Dr Alex trains doctors, dentists and nurses in botulinum toxin treatments. He is an international key opinion leader and advocate for Evolus and has delivered toxin-related education at events including BCAM and Aesthetic Medicine North.

The decision here is quite specific: whether reducing the nose-scrunch movement will give you a change you actually want. He assesses the surrounding smile and upper-lip movement, along with any recent treatments, before recommending a plan.

You don't need to add other areas simply because you're already in the clinic. If the likely improvement is too small for what you have in mind, he'll explain that before you commit.

GMC-registered doctor · 7072776

Full Member of BCAM

International toxin trainer

Aesthetics Awards winner 2021

Side effects

What should you know about treating this area?

You may have brief redness, small bumps, tenderness or bruising where the injections are given. A headache can also occur after toxin treatment.

Possible side effects

An uneven result or an unwanted effect on nearby muscles can change upper-lip movement or make the smile look different. This is one reason the assessment includes more than the visible nose wrinkle.

The effects of treatment are temporary, but an unwanted movement change may take time to wear off. Allergic reactions and wider muscle weakness are also possible. Dr Alex will explain the relevant risks and answer your questions before treatment.

If something does not feel right

Contact the clinic if you notice a new uneven smile, difficulty moving the upper lip, increasing pain or other unexpected symptoms. Seek urgent medical care for difficulty swallowing or speaking or widespread weakness. Call 999 for breathing difficulty or a severe allergic reaction.

When treatment may not be suitable

Pregnancy, breastfeeding, an active infection at the treatment site, certain nerve or muscle conditions and previous reactions can affect suitability. Tell Dr Alex about all medicines, recent toxin injections and any nose surgery or other treatment.

You can decide against treatment after discussing the likely change.

Treatment costs

What does bunny-line treatment cost?

Bunny-line treatment counts as one area and costs £200. Two areas cost £280, three £350 and four £430. Dr Alex will confirm your plan before treatment.

1 area
£200per agreed appointment
2 areas
£280per agreed appointment
3 areas
£350per agreed appointment
4 areas
£430per agreed appointment
Dr Alex will confirm which areas are included before treatment. Forehead and frown lines count as two areas when treated together.
A consultation with Dr Alex costs £75. If you choose to have treatment within 3 months of your consultation, you can put this fee towards it, including at a later appointment. It cannot be used towards skincare products. If you decide not to have treatment, the fee covers your consultation.
Book a consultation
Consultation is £75. The clinic will explain the appointment charges and follow-up arrangements before treatment.

Bunny lines explained

Questions about Botox for nose wrinkles

A few distinctions help: where the line sits, when it appears and whether you want to change a wrinkle or the shape of your nose.

What exactly are bunny lines?
They are small wrinkles around the upper sides of the nose, often diagonal, that become more obvious when you scrunch, smile or squint. The term describes an appearance rather than one identical muscle pattern in everyone.
Are bunny lines the same as frown lines?
No. Frown lines are mainly between the eyebrows; bunny lines sit lower, around the upper sides of the nose. A horizontal crease at the root of the nose can be different again. Dr Alex will look at the expression and location to work out what is contributing.
Will this make my nose smaller or change its shape?
No. The aim is to reduce the movement that creates the small wrinkles. It doesn't remove a hump, narrow the bridge or reshape cartilage. If nose shape is your concern, say so at the consultation so you can discuss the relevant options.
Could it change my smile?
It can affect the smile if nearby muscles are weakened unintentionally. Those muscles help move the upper lip as well as the nose. Dr Alex assesses both areas and plans treatment with that relationship in mind, but an unwanted change remains a possible complication.
Why have I noticed bunny lines after other Botox?
They may simply stand out more beside areas that are now smoother. The pattern of movement can also change after treatment. That doesn't by itself tell us what needs treating next. Bring the details of your recent injections so Dr Alex can assess the overall response.
Can I have bunny lines treated on their own?
Yes, if treatment is appropriate. You don't have to book other areas. Dr Alex will explain the likely degree of improvement so you can decide whether this small change is enough to justify the treatment for you.
Will it work on a line that is always there?
It may reduce the movement contributing to the crease, but a fixed line in the skin can remain. The consultation helps distinguish those two parts of the concern. A persistent skin mark may need a different approach rather than simply more toxin.
How soon will I see a change?
The effect develops over the days and weeks after treatment rather than immediately. Dr Alex will explain when to judge your response and arrange a review if needed. Avoid deciding that it has failed, or that you need more, based on the first few days.
How long does it last, and do I have to keep having it?
The effect is temporary, and movement gradually returns. How long the improvement lasts depends on the treatment and your response; Dr Alex will discuss that with you. You can choose whether to repeat it after seeing whether the change was worthwhile.
Can I get back to my day afterwards?
Usually. Small marks or a bruise can still be visible, so avoid relying on an entirely mark-free face for an event straight afterwards. Follow the clinic's advice on exercise, touching the area and your normal skincare routine.

Ask about the small detail

See whether softening those lines is worth it for you

Show Dr Alex the nose-scrunch lines you notice at a consultation in Hale, Altrincham. He'll assess how they form, explain the likely change and help you decide whether a focused treatment is the right next step.

Book a consultation Contact the clinic
SONÜ Medical Aesthetics

34 Hale Road, Hale, Altrincham, WA14 2EX

Doctor-led treatment in a relaxed, private clinic

Close to Hale station and easy to reach from Altrincham, Manchester and Cheshire