Is it possible to have a glabella reduction?

 This area poses a challenge for many rhinoplasty surgeons. There are two reasons that one has the Roman nose. Number one is that the radix or the starting point of the nose is disproportionately higher than normal. Number two is that there's actually a prominence to the frontal bone the area that would correlate with the glabella. Either case there has to be reduction of either the nasal bones or the glabellar bone. I do recommend getting a CAT scan to ascertain the proper information.  Please make sure to see a double board-certified facial plastic and reconstructive surgeon for this particular surgery. This is very complicated rhinoplasty surgery and Warrants a specialist. 

The area that you are referring to his call the radix. The deepest set point his call the
nasion. The average distance from the
eye to the nasion is 11 mm and the normal range is 7-15 mm. The causes of a more “Roman nose” relate to
excess tissue, excess bone, or a combination of the two. If the majority of the fullness is caused by
tissue, or is a combination of the two, then tissue reduction with conservative
bone reduction is performed. If it
appears that the majority of the fullness is related to bone a CT image would
need to be performed to determine the amount of allowable bone removal. In either circumstance though there is
something that can be done for you. Good
luck to you.

Be healthy and be well,

James M. Ridgway, MD, FACS

 A full self photographs are required to make any determination about what can and cannot be accomplished with a rhinoplasty procedure. When patients have a high glabella, this is just a extension of the dorsal hump which is shaved down during the rhinoplasty procedure. Osteotomies of the nasal bones are also performed at the same time. Computer imaging can be performed in the office setting or on our website below. For more information and many examples of rhinoplasty, please see the link and the video below

You are very astute and perceptive.  The shape of the forehead whether sloping or more vertical does effect the nasal bones and the start of the nose ( radix), the area you are referring to.  It is advantageous to have a higher start to the nose, because if the nose if too large, it can be reduced, but without seeing your photos I could not tell you more, it depends on the facial balance.

The forehead contour can be improved with a conservative reduction of the glabella or orbital bony contouring. In many patients with a "Roman" nose it is very helpful to lower the radix, the most superior part of your bridge. I don't know if this applies to you, but pictures would be helpful.