Shereene IdrissBoard Certified Derm, Founder and Chief Nerd

Derm Reacts — Can you fake a Nose Job with Botox?

8 Jul 2026 · 2 min

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1:39

In this short segment, a presenter claims they can achieve a nose‑job‑like reduction in five minutes using Botox. Dr. Shereene Idriss immediately refutes the claim, explaining that Botox takes 10–14 days to reach full effect, regardless of injection site. She clarifies that Botox cannot physically reshape the nasal cartilage or alter the bone structure. However, she notes that Botox can create an optical illusion of a smaller, lifted nose by targeting specific muscles: injecting over the nasal tip to prevent tip droop during facial movement, and relaxing the nasalis muscles to reduce flaring when speaking. This illusion only manifests after the full onset period and only in suitable candidates whose dynamic facial expressions reveal the subtle changes.

Chapters

I'm about to do nose Botox. I'm going to show you how it's going to make me look like I get a nose job in 5 minutes. My nose is small, but this will make it even smaller. And just like that, my nose is small.
Before we get into the science of how Botox works on your nose, I just want to cut the bullshit right off the bat. It does not work in 5 minutes. That is an impossibility of sorts, and I do not care if you're a Michelangelo as an injector or not. And whether or not you're injecting your scalp, your nose, the palms of your hands, your pits, your boobs, your feet, your face, it takes 10 to 14 days to have full effect. That is science. That's just a fact. Number 2, can Botox change the shape of your nose? Physically, anatomically, hard no. You're not changing your cartilage, you're not changing your structure. It's not going to work that way. As an optical illusion, yes. And this is how it works. When you inject the muscle right over here, you can lift the tip of your nose So when you are speaking, your nose doesn't pull down. When you are speaking being the key part, it's when you're being dynamic, your nose will look slightly more lifted and it will not look like it's being pulled down. The second way Botox can help the shape or the look of your nose in an optical illusion sense is by attacking the muscles right over here, your nasalis muscles, so that you do not flare as much when you speak. And therefore the overall look of your nose looks narrower and smaller and lifted. It is an optical illusion, and it only really happens after 10 to 14 days in the right candidate who has those changes when they are emoting, talking, living life, being dynamic.