nose rhinoplasty tools
What New Tools Are Doctors Now Using for Radix Reductions?
Doctor Answers (10)
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.
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.
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
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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.
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.
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.
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.
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.