Principle of Botox ® :

Botox ®, by decreasing the muscle contraction signal, corrects the state of muscle hypercontraction responsible for wrinkles. The effect takes between 5 and 10 days to take effect.

By injecting and weakening the depressor muscle of the nose, we can raise the tip of the nose by 5 to 10°. We can also correct the lowering of the tip of the nose when smiling.


Only doctors, with a practice authorization, can inject Botox ® in Switzerland. Laboratories selling Botox ® are only authorized to sell it to doctors with a license. There are many counterfeits that can endanger your body.


Selective injection of botox in the depressor nasi muscle


Time to final results: 15 days
Longevity of results: 3-9 months (rather 3 months for patients who have already had more than 10 times botox, it is often interesting in this case to try Bocouture ® or Azzalure ® which can give a more prolonged effect)

Before the injection:

Inform Dr. Lucas of any anticoagulant medication (Sintrom, Coumadin, Eliquis, etc..) or Aspirin, special care will be taken during the injections to avoid small vessels and prevent hematoma
Take Arnica capsules 5 times a day for 5 days before surgery to prevent hematoma if taking anticoagulants or Aspirin
Contraindications: myasthenia, neuromuscular diseases, pregnancy, breastfeeding


Pain: no, with an experienced injector
Duration of procedure: 15 minutes
Anesthesia: no
Location: office
Outpatient (without hospitalization)

After the procedure:

Post-injection pain: no
Social eviction: no
Return to work: immediate
Return to sports: 48h

Avoid sauna, hammam, hot shower and massage of the injection areas for 48 hours
Stop smoking to prolong the effect of Botox
Check-up by Dr Lucas 2 weeks

Complications common to all injections :

– Infection, hematoma, asymmetry, under-correction
– Diffusion into adjacent muscles: diplopia, eyelid ptosis, lowering of the labial commissure

Alternatives and operations that can be combined:

This technique can be combined with medical rhinoplasty in order to harmonize the whole nose.
The depressor nasi can also be surgically removed under local anesthesia.