Mehmet Tapan, MD, FEBOPRAS

That's actually a really great question. There are methods for lowering the radix. The key considerations are where the radix height begins—typically near the glabella—and how prominent it is. This is important because just behind that area lies the frontal sinus, an air-filled cavity. Since we want to avoid disrupting its structure, we have to proceed carefully.

In my own practice, I often use a combination of let-down osteotomy, which is part of the preservation rhinoplasty approach, along with some rasping (filing). This allows me to achieve a smooth, natural slope. In certain cases, the procerus muscle in that area can also be excised to improve the result.

That said, how much the radix can be lowered depends entirely on the patient’s anatomy. It’s not a procedure that can be done without limits, but with proper planning, very satisfying results can be achieved.

Lateral tension abdominoplasty is a technique that helps define the waistline. I would guess that your surgeon may have avoided this approach to prevent creating a more feminine contour. Based on your current anatomy, extending the incisions further toward the back — performing an extended or even a 360-degree abdominoplasty — might be the most appropriate solution.

The FDL (Fleur-de-Lis) tummy tuck is an excellent option for patients who have significant laxity and excess skin above the belly button, particularly after massive weight loss. I frequently and confidently perform this procedure for my post-bariatric patients who say, “I don’t care about the scar — I just want tightness.”

However, in women and younger patients who only have mild to moderate looseness above the belly button, I usually don’t recommend the FDL because the vertical scar may not be worth it aesthetically.

It’s important to know that the scar will initially appear red or brownish. If you're a non-smoker, protect the area from sun exposure, and have lighter skin, the scar is more likely to fade to a pale color over time — but even then, it will still be visible up close in a bikini or similar clothing.

To answer your questions:

A surgeon’s skill with standard tummy tucks doesn’t necessarily translate directly to FDL (Fleur-de-Lis) tummy tucks. While the procedure isn’t overly complex from a technical standpoint, it does have its own nuances — especially when it comes to scar placement and tension management.
The reason you often don’t see FDL results posted is not because surgeons don’t perform the procedure, but because long vertical scars down the center of the abdomen aren’t considered aesthetically appealing on social media or promotional pages. In plastic surgery, success is often judged by how discreet the scars are — and FDL scars are, by nature, more visible.
That said, it’s absolutely not rude to ask if the surgeon has FDL results they can share privately. It's a reasonable and appropriate question, especially if you’re considering the procedure. Most offices will understand and respect your interest in seeing real outcomes before you book a consultation.

Perfection is the enemy of good" is a phrase we take very seriously in plastic surgery.
As an Associate Professor and European Board-certified plastic surgeon, I personally never recommend non-surgical nose filler.

There are three main reasons for this:

Safety risks – The nose is one of the most dangerous areas for filler due to the risk of skin necrosis or even blindness.
Anatomical mismatch – Fillers do not respect the natural structure of the nasal anatomy, especially in the central and tip areas.
Interference with future surgery – If you ever decide to pursue rhinoplasty later, the presence of filler can negatively affect the outcome of your surgery.
For patients who are looking for a subtle improvement specifically at the tip of the nose, tip rhinoplasty can be a very reasonable option. It's a shorter procedure with a faster and more comfortable recovery period without bone reshaping.

From what you describe, the issue seems to be related to the surface shape of the lower lateral cartilages. With careful surgical planning, this can often be corrected by conservative cartilage removal, a few well-placed sutures, and possibly reusing some of the removed cartilage as graft material to refine the contour.