Glabella/Radix and Philtrum Augmentation

Question

How can this procedure of Glabella/radix and philtrum augmentation be done? Better with done with grafts or fillers?

William Portuese, MD · Answer

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.

Houtan Chaboki, MD · Answer

Hi Anon6086,

	As other rhinoplasty specialists have already stated, both cartilage grafts or injectable fillers are options to augment the glabella / radix and philtrum / upper lip areas. Cartilage grafts are permanent, while fillers are temporary lasting several months to a year. One other potential option is to move the upper jaw & midface bone forward with plastic surgery. Only after a comprehensive evaluation can a plastic surgeon to help determine appropriate options for you. Best of luck.

	Dr. Chaboki

Otto Joseph Placik, MD · Answer

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.

Robert W. Kessler, MD, FACS · Answer

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.

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

Toby Mayer, MD · Answer

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

Michael A. Persky, MD · Answer

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

Steven Wallach, MD · Answer

Fillers may do the trick as a temporary treatment to see if you like the results.  Radix grafts are not always the best because they may show irregularities.

Darryl J. Blinski, MD · Answer

Thanks for the posted photos!!! It really helps discuss. I would first try fillers to these areas to see if the appearance is what you want. If not than these fillers will metabolize away in a few months. But if you like the result than some form of grafting either cartilage of bony can be done. Best of luck.

Steven Schuster, MD, FACS · Answer

I would certainly try the fillers first. These will last 6 months to a year if you use restylane or juvaderm and can easily be dissolved with hyaluronidase if you really hate it. The philtral columns are best treated with hyaluronic acid. If you are having surgery then I would also use grafts for glabellar and radix augmentation.

Richard W. Fleming, MD (retired) · Answer

The radix can be augmented with  fillers , but if you want a more permanent solution use grafts. Fillers are best for the glabella (the area in the forehead between the eyebrows) and the philtrum.

Glabella/Radix and Philtrum Augmentation

Answers (11)

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