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Dr Alex trains doctors, dentists and nurses in medical aesthetics and has presented on their use at UK medical aesthetics conferences.
What you have noticed
Does your nose tip dip with your smile?
The movement can be more noticeable than the shape of your nose at rest.
At a glance
A few practical details
This is a treatment for muscle-related drooping of the nose tip.
The result
A smile with less of a downward dip
The aim is for your nose tip to look a little less hooked or droopy when your face is animated.
Botox relaxes the pull on the tip rather than changing the nose's structure. Where that pull is responsible, the improvement is usually easiest to see when you compare a full smile before and after treatment.
A permanently low tip may need a different approach. Dr Alex will explain where he expects the change to show on your face, rather than treating movement and fixed shape as the same problem.
✓
Could it suit you?
It depends on what pulls the tip down
The starting point is the difference between your nose at rest and in movement.
What it can change
A little lift, rather than a new shape
Botox won't remove a hump, narrow the bridge or make the nose smaller. If the tip stays low because of its cartilage and support, relaxing a muscle may make little difference. Structural changes need a separate assessment.
How it works
Relaxing the muscle that pulls the tip down
A small muscle beneath the nose can draw the tip down when you smile.
It is called the depressor septi nasi. Botox temporarily reduces its activity, allowing less downward movement of the tip.
The upper lip moves nearby, so the treatment needs to account for your smile as a whole. There is no filler involved and no change to the underlying bone or cartilage.
Your appointment
Show Dr Alex what happens when you smile
A photograph can help explain what you've noticed, but seeing the movement in person helps establish whether Botox is suitable.

Why Dr Alex
Experience with the treatment and the face around it
Dr Alex trains doctors, dentists and nurses in medical aesthetics. He has presented clinical education on toxin at events including the British College of Aesthetic Medicine conference and Aesthetic Medicine North.
He is also an international Key Opinion Leader and Advocate for Evolus, a company supplying botulinum toxin treatments.
For a nose tip lift, the assessment includes the upper lip and smile as well as the nose. The aim is to soften the unwanted dip while respecting how the rest of your expression works.
GMC-registered doctor · 7072776
Full Member of BCAM
International toxin trainer
Aesthetics Awards winner 2021
Safety
What should you know before treatment?
The main area-specific consideration is the effect on nearby upper-lip movement.
Possible side effects
You may have temporary redness, tenderness or bruising at the injection site. If nearby muscles are affected, the upper lip or smile can move differently or look uneven. These effects usually improve as the toxin wears off, but can take time.
Tell Dr Alex about previous treatment or surgery around your nose and any existing difficulties with lip movement.
When to seek urgent help
Seek urgent medical help for difficulty swallowing or speaking, widespread weakness, or signs of a serious allergic reaction. Call 999 for breathing difficulty or swelling of the tongue or throat.
When treatment may not be suitable
Treatment is generally deferred during pregnancy or breastfeeding, or with an infection at the injection site. A previous serious reaction to botulinum toxin, certain nerve or muscle conditions and some medicines can affect suitability. Dr Alex will review your medical history.
You can ask questions and take time to decide.
Treatment pricing
Nose tip treatment costs
Nose tip Botox counts as one area and costs £200. Two areas cost £280, three £350 and four £430. Dr Alex will confirm your plan before treatment.
Your questions
Questions about nose tip Botox
From how much it can lift to how it differs from nose filler.
Your next step
Bring your smile to the consultation
Show Dr Alex what happens to your nose when you smile and what you'd like to change. At SONÜ in Hale, Altrincham, you can find out whether a small reduction in that downward pull would give you the result you're after.

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