Is it possible to have the Glabella/Radix (area directly between my eyes) reduced? It seems this is a unusual area for reduction. It feels as though I have a lot of fatty tissue in the area, I would like to have more of a indentation. What are the options for treatment? Any kind of injectable treatment to avoid surgery? Thank you
Doctor Answers 5
Improving facial aesthetics
The questions should be how deep is normal and how far from normal is your current condition. The normal depth is considered to be 1cm from the plane of the cornea (front of the eyeball which is best visualized on a side view). Without a photo or face to face examination it is impossible to say how far from the norm you are.
If the radix is shallow because of bone overgrowth it can be filed or rasped down via an incision inside the nose. There is even a special instrument called a glabellar rasp to do this.
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The glabella and radix reduction can be performed through rhinoplasty techniques by rasping the nasal bones down. If the bridge has been brought down a significant amount, osteotomies will then have to be performed at the time of the rhinoplasty procedure. There are not injectables that can be used in this area. In addition, the procerus muscle can be transected at the level of the glabella to effectively give a start point to the bridge of the nose and give a small depression in that area.
Reducing Area in between the eyebrows
Many options exist for reducing the tissue between the eyebrows. If it is due to overactive muscle, then Botox may be an option. If excess fat, then you may consider steroid injection. Lastly, if it is due to bone, then rhinoplasty surgery with bone reduction would be required. Only after a comprehensive evaluation can a surgeon help determine appropriate options for you. Best of luck.
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Reducing the glabella/radix region between the eyebrows can be done during a rhinoplasty but a formal surgical consultation is need to be sure that this is the correct procedure for you. Often, other areas of the nose can be augmented to make the radix appear smaller.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.