Which procedure would correct the appearance of horizontal creases caused by my deep radix? (Photos)

Question

I have a deep radix, which causes horizontal creases to form between my eyes when I'm resting my face. Which procedure do I need to get rid of this?

Gary M. Horndeski, MD · Answer

It appears your eyebrows are low, below the orbital rim. You would benefit from a browlift. This will decrease the height of the forehead, lower the hairline and raise the eyebrows to the level of the orbital rim.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Eric M. Joseph, MD · Answer

If you have not considered injectable fillers, the other option is rhinoplasty surgery to lower your dorsal hump. Injectable fillers may be considered for raising the radix, however, depending on your examination, profile the projection may be a better option. I hope this is helpful. Sincerely, Dr. Joseph

Jeffrey H. Spiegel, MD · Answer

It looks like you have a deep radix, but you may have a prominent forehead.  We adjust both, when necessary, to improve the appearance there.  Watch our videos to learn more!

Zoran Potparic, MD · Answer

It is the anatomical alignment of your forehead and nasal bones that creates sharp angle and causes dimpling of soft tissue on top. Correction can be achieved initially with fillers, just to have an idea how it looks and how much volume is needed for permanent correction. Permanently correction can be achieved with rolled fascia, crushed/diced cartilage grafts or combination of these. Good luck.

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your photographs, you may benefit from a a radix graft consisting of crushed cartilage wrapped in fascia during your rhinoplasty. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Mats Hagstrom, MD (license on probation) · Answer

A deep radix can be treated using fillers, which are easy, safe and straightforward. A more permanent solution could include a bone or cartilage graft, use of bone cement, or a custom implant. 
You can also weaken the procerus muscle using Botox, which will help the constriction of this muscle, which tends to form a horizontal fold in the area.
I suggest having a few in person consultations with plastic surgeons in your community.
Best,
Mats Hagström MD

Which procedure would correct the appearance of horizontal creases caused by my deep radix? (Photos)

Answers (6)

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