Non-surgical rhinoplasty (NSR) is an increasingly popular non-invasive option for men and women who wish to address the effects of ageing on the nose or to modify congenital characteristics.1,2 Not only does NSR save on cost and recovery time associated with surgery, but it also allows for subtle changes that are in keeping with today’s emphasis on achieving facial harmonisation.1,2
Although many are familiar with the use of dermal fillers to achieve NSR, botulinum toxin type A (BoNT-A) has been shown to be a safe and effective treatment option for several aesthetic nasal procedures.3-5 However, because the use of BoNT-A in the mid-face, including the nose, is off-label, it is of particular importance that the treating clinician has a detailed knowledge of both the muscles of the face and their action and interaction.
Injecting into the correct plane and limiting spread and diffusion of the toxin is, in my experience, crucial in the mid and lower face where muscles often interdigitate.6 Furthermore, the muscles in…
