Glabella/Radix and Philtrum Augmentation

There are a variety of fillers avaialble with Restylane or Juvederm being some of the most popular for the lips. The glabellar area is more challenging due to rare reports of vascular occlusion with tissue necrosis. This is probably less likely with fat grafting.

All three can be done with filler but only the glabellar and radix can be grafted. The advantages of fillers are that they are reversible. You can try it to see if you like the new look. If you do and want a more permanent solution than a surgical procedure with grafts would be your answer.

Seek out a board certified plastic surgeon to help you make this important decision. I hope this was helpful. 

Philtrum is better augmented with fillers. The same is true of the radix, unless you are having a rhinoplasty--then grafts are more advantages.

Hi,

The augmentation of your glabella/radix and philtrum can be accomplished with either grafts or fillers.  Using grafts is a more permanent fix.  Best to choose your surgeon most carefully and consult with him/her regarding the pros and cons of each.  Good luck and be well.

Dr. P

Natural cartilage harvested from the septum is the most common type of graft used to fill out the bridge and the radix. Elevating the tip and opening up the nasolabial angle is usually done by trimming the cartilaginous caudal septum. We do not recommend any fillers be placed inside of the nose because of disastrous complications due to them.