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Dr's BLOG / Teacher's blog list

2025-10-05

For witch nose, nasal septum hyaluronic acid + Botox

Hello, I'm Ryutaro Natsume, an impression designer/cosmetic surgeon.

A witch nose is a nose with a droopy tip, giving the impression of being mean and wanting to say something.

There are two main causes of witch nose.

① The nasal bone and nasal septum cartilage protrude, causing the nasal bridge to rise

② The tip of the nose drops. The ideal nasolabial angle is about 90-100°.

    

Treatment options include surgery and injection therapy.

This time, we will talk about the improvement achieved by hyaluronic acid injections.

First, hyaluronic acid is injected into the nasal septum to lift the tip of the nose and improve point ②. Then, it is injected into the step of the nasal dorsum to fill in the protrusion of point ①.

However, if the protrusion of ① is too strong, making it less noticeable will result in a nose that is too large and looks strange, so it is important to decide how much to leave.

In that case, surgery will be required to remove it completely.

 

This patient's nose is not quite witch's nose, but the cause is ②.

Immediately after using nasal hyaluronic acid to lift the tip of my nose, my face became more defined (it was also injected into my chin)!

The cause of a drooping nose tip is the influence of the depressor septum nasalis muscle. Since this muscle is responsible for lowering the tip of the nose, suppressing it with Botox can have the effect of making the tip of the nose higher.

 

-What injection preparation do you recommend?
We recommend Restylane Lift and NEAUVIA.
The details of the reason"After getting hyaluronic acid, did you experience swelling due to poor health? Did you get a lump? Explaining the cause and how to deal with it!"Please read
This is because the formulation contains a low concentration of the cross-linking agent BDDE, which can cause allergies, or does not use it at all.
In particular, NEAUVIA is very hard and durable, making it easy to create a crisp, beautiful nose.
The injection itself is hard and can be difficult to handle, but our clinic was one of the first in Japan to introduce it and has plenty of experience using it, so don't worry!

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*There are various ways of thinking about cosmetic medicine, and opinions and policies may differ depending on the doctor. Please read the content of this message only as a reference and we hope that you will choose the medical treatment that suits you best.

We also apologize if we have unintentionally included inaccurate information or misleading expressions. In that case, we will make appropriate corrections and additions.

 

【profile】

Cosmetic surgeon Dr. Ryutaro Natsume

https://biancaclinic.jp/doctor/natsume/

He has performed numerous surgeries in the field of plastic surgery, particularly on the eyes and facial bones.

When it comes to eye treatment, he believes that not only aesthetic beauty but also ophthalmic function is extremely important, and he is currently continuing his studies as an ophthalmologist in order to provide safer and more reliable treatment.

In addition to scalpel treatments, we also actively incorporate non-invasive treatments such as hyaluronic acid injections.

From a multifaceted professional perspective, including cosmetic surgery, cosmetic dermatology, plastic surgery, and ophthalmology

We provide the latest cosmetic medical treatments at BIANCA CLINIC, one of Japan's leading cosmetic, health and regenerative medical clinics.

[Career]

Graduated from Tokyo Medical University in 2020. Tokyo Saiseikai Central Hospital

2022 Department of Plastic Surgery, The Jikei University School of Medicine

2023 Department of Plastic Surgery, Kashiwa Hospital, The Jikei University School of Medicine

2024 BIANCA CLINIC

[Affiliated academic societies/qualifications]

Japanese Society of Aesthetic Surgery (JSAS)

Regular member of the Japanese Society of Plastic Surgery

Regular member of the Japanese Society of Cranio-Maxillofacial Surgery

Regular member of the Japanese Ophthalmological Society

Regular member of the Japanese Society of Aesthetic Internal Medicine

[SNS]

Instagram account 

 https://www.instagram.com/dr.natsume?igsh=OHBvd3VtajV1bmY1&utm_source=qr

 

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