How do I fix the area between my nose and forehead? Large depression between my nose and glabella. (Photo)

Question

There is a large depression in between my nose and glabella that I would like to fix. Would surgery or a filler be the best option?

Scott Trimas, MD · Answer

The area that you are describing is the radix of the nose. That area can be corrected with a filler that is temporary of a cartilage graft from your nose which is more permanent. An in person consultation with a facial plastic surgeon would help in your area.

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Surgical rhinoplasty can improve your deep set radix.  Based on your
photograph, you may benefit from a radix graft consisting of diced cartilage wrapped in fascia.  Make sure you specifically look at
before and after pictures of real patients who have had this surgery performed
by your surgeon and not just a computer animation system.
The most important aspect is to find a surgeon you are comfortable with. I
recommend that you seek consultation with a qualified board-certified plastic
surgeon who can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D. FACS
Harvard-trained plastic surgeon

Thomas J. Walker, MD, FACS · Answer

You should see a rhinoplasty expert who is board certified either in plastic or facial plastic surgery. Make sure that the surgeon you see performs both procedures, namely rhinoplasty surgeries and facial fillers. Only then can you know that the recommended treatment is the best option for you specifically. Each option has its advantages and disadvantages, which are best discussed in person. With that said, building up the radix (deepest area of nose between the eyes) can be done surgically (longer lasting) and non-surgically (temporary). Filler injections in that area come with the risk of blood vessel occlusion and possible complications from that, hence the need for a board-certified nose expert. Best wishes!

William Portuese, MD · Answer

The deep radix is best treated with a cartilage graft performed during a surgical rhinoplasty procedure. Fillers placed in that area do not work very well, are only temporary, and are  not FDA approved for that application.

Joshua A. Halpern, MD, PA · Answer

One opinion is to use a filler. If your happy with the results you may consider to continue with the filler. Very important that the person performing the injections does not inject blood vessels that are present in the area since this can have serious consequences. I hope you find this information useful.

Richard Sadove, MD · Answer

Dear Savage KatThis is not an easy answer, based upon one partial lateral view.I suggest that you have more detailed photos(angles) and then computer morphing. Altering the appearance on the computer will give you a great understanding of the consequences any change would make upon your face as a whole.Good luck

Harry V. Wright, MD · Answer

The deepest part of the transition from your nose to your forehead is what we call the radix. Yours just happens to be particularly deep. A deep radix can be made less deep with a surgical rhinoplasty, or with dermal fillers (i.e. the "non-surgical rhinoplasty"). Seek out a consultation with a reputable rhinoplasty surgeon to get a better idea of what your options are.Best wishes! Harry V. Wright MD, Sarasota, Florida

How do I fix the area between my nose and forehead? Large depression between my nose and glabella. (Photo)

Answers (7)

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