The nasofrontal angle is formed between the lower forehead/eyebrow and the nasal bridge (dorsum). In the case of the so-called 'Roman nose', when the angle is closer to 180 degrees, removal of bone would be required to make this more acute. This is possible, but is more difficult and requires more skill than the opposite. In that case, the angle would be considered too acute and could be blunted by adding tissue to this area. This is called a 'radix graft', and a number of different implants, both artificial or autologous (from you) can be used. The key here is to camouflage it appropriately such that it is not visible over time. I have personally removed or revised several of these during revision rhinoplasty, which is a large part of my practice.
Easy to make more obtuse, hard to make more acute
Sam P. Most, MD answers: Is it possible to change the Rhinoplasty nasofrontal angle?
Changing it from obtuse to acute? My nose looks big from the front view, bigger from the side view and smallest from the profile view. If so, is it hard to change the nasofrontal angle? What techniques are used?
17 days ago
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