Non-Surgical Nose Job (Nose Tox) in Newport Beach
The nose is one of the most requested areas for non-surgical refinement — and one of the highest-risk areas for filler complications. At Plump, nose concerns are treated exclusively with neurotoxin. No nose filler. No exceptions.
Nose Tox uses botulinum toxin to address two of the most common non-surgical nose concerns: a drooping nasal tip that descends when smiling, and a tip that appears wide or poorly defined due to the action of the depressor septi nasi muscle. By relaxing this muscle, the nasal tip lifts slightly, the tip appears more refined, and the overall nose profile improves — without any injected volume and without the vascular risks that come with nasal filler.
At Plump Medical Spa in Newport Beach, Dr. Amir Mortazavi, MD assesses each patient’s nasal anatomy and movement patterns before recommending treatment. The approach is targeted and conservative — neurotoxin only, precisely placed, with a clear understanding of what this treatment can and cannot achieve.
Dr. Mortazavi does not perform nasal filler. The nose sits in a high-risk vascular territory — the angular and dorsal nasal arteries supply the tip and bridge, and filler placed in this region carries a meaningful risk of vascular occlusion, skin necrosis, and in rare cases vision loss. These are not theoretical risks. They are documented complications of nasal filler performed even by experienced injectors. For nose refinement that can be achieved with neurotoxin, Nose Tox is a safe and effective option. For structural reshaping that requires volume, rhinoplasty is the appropriate path. Patient safety is not negotiable.
What Nose Tox can address
Drooping nasal tip
The depressor septi nasi muscle pulls the nasal tip downward — particularly when smiling, which causes the tip to drop and the nose to appear longer or more hooked during expression. Botulinum toxin injected into this muscle relaxes the downward pull, allowing the tip to remain in a more elevated, refined position both at rest and when smiling.
Nasal tip refinement
In some patients, muscle activity contributes to a wider or less defined nasal tip appearance. Targeted neurotoxin placement relaxes the muscles contributing to this — subtly refining the tip’s appearance without altering the structural anatomy of the nose. The result is a more defined tip that looks like a natural feature of the face.
Nose Tox has a specific scope. It is most effective for patients whose primary concern is a dynamically drooping tip — one that drops noticeably when they smile or speak. For patients concerned about the bridge, width of the bony structure, or significant deviation, neurotoxin cannot address these concerns and surgical consultation is the honest recommendation.
What to expect
Consultation
Dr. Mortazavi evaluates the nasal tip at rest and during smiling to assess the degree of dynamic drooping, the contribution of the depressor septi nasi, and whether neurotoxin alone will achieve a meaningful result for that patient. He will give you an honest assessment of what Nose Tox can and cannot do for your specific anatomy — including a direct recommendation toward rhinoplasty if that is the more appropriate option.
Treatment
One to two small injections placed precisely at the base of the columella — the central strip of tissue between the nostrils — targeting the depressor septi nasi. The treatment takes under 5 minutes. Most patients find it very tolerable. No numbing is typically required.
Onset and duration
Results begin to appear within 3 to 5 days as the muscle relaxes. Full effect is visible at 2 weeks. The improvement in tip position is most noticeable during expression — smiling, speaking, or laughing — where the tip previously dropped. Duration is typically 3 to 4 months. Patients who treat this regularly often find it integrates seamlessly into their broader neurotoxin maintenance schedule.
What the result looks like
The nose looks more refined and the tip more elevated — particularly when animated. The result is subtle and natural. Patients who have been self-conscious about their nose dropping when they smile typically find this one of the more personally meaningful treatments in their routine, despite its simplicity.
Dr. Mortazavi does not perform nasal filler. This is a deliberate clinical decision based on the vascular anatomy of the nose and the documented risk profile of nasal filler — not a limitation of expertise. For nose concerns that fall within the scope of neurotoxin, Nose Tox is a safe, effective option. For concerns that require structural change, he will tell you honestly. All injections performed personally.
Frequently asked questions
What is Nose Tox?
Nose Tox is botulinum toxin injected into the depressor septi nasi muscle at the base of the nose to lift a drooping nasal tip and refine tip appearance. It is a non-surgical, non-filler approach to nose refinement that works by relaxing the muscle responsible for pulling the tip downward — particularly during smiling and expression.
Why doesn’t Plump offer nose filler?
Dr. Mortazavi does not perform nasal filler due to its risk profile. The nose sits in a high-risk vascular territory — filler injected in this region can compress or enter the angular or dorsal nasal arteries, causing vascular occlusion, skin necrosis, and in rare but documented cases, vision loss or blindness. These are real complications that have occurred even in experienced hands. For concerns that can be addressed with neurotoxin, Nose Tox is offered. For structural changes requiring volume, rhinoplasty is the appropriate recommendation. Patient safety is the priority.
What is the depressor septi nasi muscle?
The depressor septi nasi is a small muscle at the base of the nose, between the nostrils, that pulls the nasal tip downward. In some patients this muscle is particularly active — causing the tip to drop noticeably during smiling or speaking. Relaxing it with botulinum toxin allows the tip to maintain a more elevated position during expression.
Am I a good candidate for Nose Tox?
The ideal candidate is someone whose nasal tip drops noticeably when they smile or speak, and who is satisfied with their nose in a neutral expression. If your primary concern is the shape of the nose at rest — the bridge, width, or bony structure — neurotoxin cannot address these and Dr. Mortazavi will tell you so directly at consultation.
Will Nose Tox change how my nose looks at rest?
Subtly, yes — particularly in patients with a tip that droops even at rest due to a persistently active depressor. For most patients, the most noticeable improvement is during expression, where the tip previously dropped when smiling. The resting position may improve slightly depending on how active the muscle is at baseline.
How long does Nose Tox last?
Typically 3 to 4 months, consistent with other small facial neurotoxin areas. Patients commonly add it to their regular Botox appointments as part of their routine facial maintenance.
How much does Nose Tox cost at Plump?
Nose Tox at Plump Medical Spa in Newport Beach is $299, whether performed as a standalone treatment or combined with other areas in the same appointment.
Related treatments
Nose Tox is often combined with these treatments as part of a complete facial neurotoxin appointment.
Schedule a consultation
Nose Tox is available at Plump Medical Spa in Newport Beach, serving patients throughout Orange County and Southern California.
4667 MacArthur Blvd, Suite 310 — Newport Beach, CA 92660
(949) 568-7544 — info@plumpmedicalspa.com
Tuesday – Saturday, 10am – 6pm — By Appointment Only