How to Fix Gap Between Upper Nose and Forehead? (photo)

Question

I am not sure whether I need a rhinoplasty to fix the gap between my nose and the forehead.The line which I feel above my nose has no bone support and I just feel only the skin.Will fillers or cartilage fill be a better option to fix it ? Also my nose looks broader and bigger relative to my face.Please help me out with your suggestions.

Aaron Stone, MD · Answer

I think your best bet is to inject the gap with local anesthetic or saline which temporarily fill the gap and see if you like how it looks. If you like it then decide whether you want an injectable filler, implant or cartilage graft. Each approach has its own specific pros and cons. If filling the gap does not look good than you will have to remove some soft tissue or bone to get the desired result.
	
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Steve Laverson, MD, FACS · Answer

There are several possible approaches to this problem including nasal root (radix) augmentation with or without rhinoplasty (prefabricated porous polyethylene graft is available and works very well), hairline open browlift (even if crease is effaced by graft, brows appear heavy and low, browlift would "open up" and lighten your expression, and more temporary solutions such as Radiesse injection.  Direct excision with grafting is certainly a possibility, but would be last on my list.  Although inexpensive and permanent, the resulting scar, although most likely obscure, would be permanent, and this approach would not lift your brows at all.

Kenneth Hughes, MD · Answer

If this is a skin laxity issue, excision of this area or a modified brow lift may work well.  Fillers can be used but may not work as well depending upon the depth of the crease.  If fillers are used, this should be done with a blunt cannula.  If this is a muscle mass issue, Botox may be able to improve the area.  A physical exam in animation will be best in your situation.  Find a plastic surgeon with ELITE credentials who performs hundreds of rhinoplasties and rhinoplasty revisions each year.  Then look at the plastic surgeon's website before and after photo galleries to get a sense of who can deliver the results.  Kenneth Hughes, MD Los Angeles, CA

Toby Mayer, MD · Answer

If the gap is filled temporarily with lidocaine u can see if u like it. You may be happier with refinement of the tip and hump removal.

William Portuese, MD · Answer

A brow lift with softening of the procerus muscle,  corrugator muscle, and elevation of the eyebrow complex will help open up this area at the junction between the nose and the forehead. A rhinoplasty to reduce the nasal bump and addition to a cartilage graft into the glabella will also help fill out this area for an aesthetic improvement. Please see the link below for examples of brow lifting and rhinoplasty in our practice

How to Fix Gap Between Upper Nose and Forehead? (photo)

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Answer: Rhinoplasty vs filler for radix.

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How to Fix Gap Between Upper Nose and Forehead? (photo)

Answers (6)

Answer: Rhinoplasty vs filler for radix.

Answer: Rhinoplasty vs filler for radix.

Answer: Browlift rhinoplasty to fix deep glabella

Answer: Browlift rhinoplasty to fix deep glabella

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Recommended reading

Everything you need to know about Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.