Back to list
Sio's Story

[Arrow Nose Botox] For those whose noses look longer when they smile, arrow nose correction botox

June 27, 2026shioclinic
[Arrow Nose Botox] For those whose noses look longer when they smile, arrow nose correction botox

Arrow nose botox,

Why is it said to be ineffective?

Sio Clinic, right in front of Ttukseom Station Exit 1

Hello. This is Sio Clinic.

​

When consulting about nose shape concerns in the examination room,

I got arrow nose botox,

but it didn't work at all.

I often meet people who express disappointment, saying.

​

In fact, when searching for online reviews, the evaluations for arrow nose botox tend to be sharply divided.

​

Why do some people see results, while others say it doesn't work?

​

To get straight to the point,

it's because the procedure was performed without accurately distinguishing between 'noses correctable by botox' and 'noses not correctable by botox'.

​

Today, we will concisely explain the true mechanism of arrow nose botox and for whom it is effective.

​

1. Botox is not a procedure that 'pulls the nose upward'.

​

There is a question that patients ask most often during consultations for arrow nose botox.

"Doctor, does this injection make the tip of my nose go up?"

​

As I always say,

you must first understand the fundamental principle of botox.

Botox is not a procedure that physically pulls up the skin or cartilage (Lifting).

​

It is a procedure that temporarily paralyzes the movement of overactive muscles, thereby releasing that tension.

​

It 'blocks the force of the muscle that strongly pulls the nose tip downward, preventing the nose from being pulled down further'.

​

If you understand this subtle but important difference, your satisfaction with arrow nose botox treatment may change.

2. Who truly needs arrow nose botox [Accurate Indications]

​

So, in which cases does arrow nose botox show dramatic results?

​

The key lies in 'changes when making facial expressions'.

​

- Those whose nose shape is fine when at rest (no expression)

- Those whose nose tip droops and looks longer specifically when taking photos or smiling broadly-

- Those who feel their philtrum becomes noticeably shorter and their upper lip curls upward when smiling

​

These symptoms occur because a muscle called the Depressor septi nasi (DSN) in our face contracts excessively.

​

When this muscle contracts, it pulls the nose tip down,

shortens the philtrum, and pulls the upper lip upward.

​

Therefore, for those whose noses become arrow-shaped when smiling, injecting botox into this DSN muscle to relax it allows the nose tip to maintain its neat original shape without drooping downward even when smiling broadly.

3. Cases where no effect is seen (Non-indications)

​

On the other hand, there are cases where it is difficult to expect improvement with botox alone.

​

This is the case of 'structural arrow nose', where the nose tip is already drooping downward even when at rest.

​

​

The nose shape at rest is not related to muscle tension, but is an anatomical structural problem of the nose itself, such as bones and cartilage.

​

Since the nose tip was not pulled down by muscles in the first place, even if the muscle tension is released with botox, the already drooping nose tip will not rise back into place. In such cases, surgical approaches that reposition the nasal tip cartilage should be considered instead of botox.

Arrow nose correction is not a simple procedure

that involves just one injection

under the nose tip.

​

Around our nose, in addition to the main target, the Depressor septi nasi (DSN), there are 4-5 complex muscles involved in facial expressions, such as moving the nostrils or lifting the upper lip, densely packed.

​

While controlling the movement of the DSN is most important, the surrounding muscles must also be considered delicately in the design to achieve natural results without awkward facial expressions.

This is why

we spend a significant amount of time

on medical history taking

in the Sio Clinic examination room.

​

We check the nose line when you are at rest, and carefully observe whether the nose spreads sideways or droops downward when you smile brightly, and what changes occur in the philtrum and lips. Only through this process can we accurately determine whether your concern falls under the 'indications correctable by botox'.

​

Arrow nose botox is a very valuable (?) procedure that can restore a bright and confident expression without the burden of surgery, if approached with an accurate diagnosis of your nose condition and muscle usage.

​

Rather than simply deciding based on reviews from others, we hope you will consult thoroughly to determine if your nose is a type that can be corrected with botox before undergoing the procedure!!~~

​

* Sio Clinic is located right in front of Ttukseom Station Exit 1.

​

This article is adapted from SHIO Clinic's official Naver blog.

Have questions about your skin?

Book a consultation and let SHIO Clinic's diagnosis guide you to the right treatment.