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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.
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
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.
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.
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.
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.
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.
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.
Dear strategeryThanks for the question. It’s very rare to see removed hump comeback but for some cases still it’s possible to see %10-12 remove hump growing back but 3 weeks is too early to make a comment about results. My advice is to consult your doctor. I wish you all the best.
Rhinoplasty is an effective and reliable way to correct the deviation or crookedness of your nose. The extent of surgery will depend on the severity of the deviation. The nose is made of bone, and cartilage. Sometimes it is one or the other that is causing the crookedness, but usually it is...
The columellar strut is one of the most overused and unnecessary things in rhinoplasty. It truly serves no purpose and many surgeons put one in fir no real good reason. Beyond that many columellar struts feel hard and are uncomfortable to the patient and are best off being removed