Is It Possible to Change the Rhinoplasty Nasofrontal Angle?

Question

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?

Paul S. Nassif, MD · Answer

Hello,
It is possible to change the angle with the use of cartilage from the ear or rib. You may also use cartilage from the septum to build up the radix which is the same as the angle. Soft tissue may be used as well. I prefer these over implants as they look more natural and will be better recognized by your body. Thank you for the message.
Dr. Nassif

Eric M. Joseph, MD · Answer

If the angle where your nose meets your forehead is shallow, it can be deepened by rasping (filing) it down. It's a bit of a challenge that may require a curved instrument, but it's certainly possible.
Feel free to email me a full facial frontal and profile photo and I'll be happy to share my thoughts.
I hope this helps, and best regards.

Toby Mayer, MD · Answer

It is possible to change the nasofrontal angle. There are many ways to do this and you should see an experienced rhinoplasty surgeon and let him evaluate your nose and give you the pros and cons of doing this by different methods.

William Portuese, MD · Answer

It is possible to change the nasofrontal angle of the nose during a rhinoplasty. The technique used is an osteotomy to remove bone in that area, and then a gentle filing of the nasal bridge. This will also require narrowing of the nasal bones through both medial and lateral osteotomies afterwards.

Sam P. Most, MD · Answer

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.

Peter A. Aldea, MD · Answer

Yes.
The nasofrontal angle (nose to forehead) can be modified. It can be made more acute (such as in correction of a "Grecian" nose) with a curved rasp or mechanical burr. It can be obliterated or filled in with a variety of implants or grafts.
Either way, you should see an experienced rhinoplasty surgeon.
Good Luck.

William B. Rosenblatt, MD · Answer

But a skilled rhinoplastic surgeon will explain to you during the consultation what can and what can not be done. You need to be seen and evlauated in person.

Richard W. Fleming, MD (retired) · Answer

The nasofrontal angle can be changed with rhinoplasty surgery. If reduction is necessary, this can be achieved by removing some underlying bone. Grafts, usually cartilage, are placed if augmentation is indicated.

George J. Beraka, MD (retired) · Answer

Hi.
The nasofrontal angle can be made more acute during rhinoplasty, and it is not particularly hard.  There are specially designed curved rasps that work well to achieve this.

Is It Possible to Change the Rhinoplasty Nasofrontal Angle?

Answers (9)

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