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What New Tools Are Doctors Now Using for Radix Reductions?

nose rhinoplasty tools

Doctor Answers 10

Radix reduction

If your question is a technical one, at this time I primarily use a powered burr or sander type of tool to precisely lower this area. It still remains a challenging step as I have seen many patients develop soft tissue thickening in this area which limits the result even when a lot of bone is lowered.

West Palm Beach Facial Plastic Surgeon
5.0 out of 5 stars 8 reviews

1515 North Flagler Dr.
West Palm Beach, FL 33401

Reducing the radix in rhinoplasty can be essential!

Excellent question! I often recommend radix reduction to my patients. This allows for a smooth transition between the forehead and root of the nose. It also brings the eyes into focus and beautiful harmony along with the rhinoplasty. When the radix is shallow or too full, and it is not addressed , you can end up with a very "typical" nosejob look where the forehead and nose just look like one structure. The best tool is simply "experience"! The actual tools are either a specifically designed rasp that curves , or a high speed burr (sanding type tool). Both in the right hands and when indicated can create a smooth look while deepening the radix. Below is a video  example of a patient who had radix and bridge reduction along with major tip repositioning and reshaping.


Ashkan Ghavami, MD
Beverly Hills Plastic Surgeon
4.0 out of 5 stars 80 reviews

433 N. Camden Drive
Beverly Hills, CA 90210

Bring down a high bridge

Shaving down a high radix correctly takes a lot of artistic skill and experience.  We use osteotomes and rasps and to take down the bone and cartilage to shape the new nose

William Portuese, MD
Seattle Facial Plastic Surgeon
5.0 out of 5 stars 70 reviews

1101 Madison St
Seattle, WA 98104

How to reduce the radix

There are no "new" techniques to reduce the radix. Basically, the bone in the area con be brought down using either an osteotome (to cut the bone) or a rasp to sand it down. There are hand rasps and powered rasps. In addition, the soft tissue in the area can also be worked on. The procerus muscle can be removed during surgery. Steroid injections can also be used to bring swelling down after surgery.

Andres Bustillo, MD, FACS
Miami Facial Plastic Surgeon
5.0 out of 5 stars 60 reviews

6705 Red Road
Coral Gables, FL 33143

Methods For Radix Reduction In Rhinoplasty

There are specially designed rasps and osteotomes as well as guarded powered burring techniques. None of these are new and both can work well based on the experience of the surgeon.  I have used both but find that rasps and a percutaneous small osteotome technique works very well and I find no advantage for the powered burring method.

Barry L. Eppley, MD, DMD
Indianapolis Plastic Surgeon
4.5 out of 5 stars 53 reviews

Indiana University Health North Hospital
Carmel, IN 46032

New tool to reduce radix

Many thanks for a good question. The safe instrument that I use for past quite some time is a specially designed reversed cutting rasp that you can imagine like a small cylinder at the tip of  instrument that you continue to file until on palpation you feel happy with the shape. Those who use power burr or drill must be very brave or highly experience to do so.

Ashok Govila, FRCS, MCh, MS
Dubai Plastic Surgeon
5.0 out of 5 stars 64 reviews

Villa 898
Umm Suqeim 1, Dubai 04

Radix reduction

It is not uncommon to lower the radix at the time of rhinoplasty. There s a special file with a reverse curve in it are specifically for this purpose. I see no need to use a power tool to accomplish it.

Ronald J. Edelson, MD
San Diego Plastic Surgeon
5.0 out of 5 stars 17 reviews

9339 Genesse Avenue
San Diego, CA 92121-2119

Treatment of the radix area

When ever I perform modifications of the bony portion of the nose I like to use a power drill with an oval burr.  This allows for precision in this area.  It also leads to a smooth result.  

Jeffrey Zwiren, MD
Atlanta Plastic Surgeon
4.5 out of 5 stars 13 reviews

3096 Peachtree Industrial Blvd
Duluth, GA 30097

Radix reduction is actually uncommon

There are a few who have a high radix (nasal bones between the eyes), but radix reduction is actually uncommon. When this step is required, the rhinoplasty is more challenging in order to keep the bridge smooth and reduce scar in this soft area. There are 'tools' such as burrs to shape the radix, and of course special osteotomes and rasps, nothing particularly new however. For most though, the radix is best left alone.

Peter E. Johnson, MD
Chicago Plastic Surgeon
4.0 out of 5 stars 36 reviews

8901 West Golf Road
Des Plaines, IL 60016

Tools for radix reduction.

You should not be concerned with how a surgeon does what he does but rather the results he has achieved over a long experience. In 35 years of doing this the tools are not different. Also if the radix is reduced too much the rest of the nose will look too big.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 24 reviews

416 N Bedford Dr
Beverly Hills, CA 90210

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.