Do I need a radix reduction? (Photo)

Hi, rhinoplasty can enhance nasal profile including bridge,tip of the nose.It is better for you to consult with a facial plastic surgeon who can examine you and discuss the surgical procedure and the post op recovery
process.

Hi!
The radix generally refers to the upper part of the nose and includes the junction of where the nose and forehead/glabella meet. This junction is called the nasofrontal angle and corresponds with the upper starting point of the bridge of the nose. In your case, this angle is at the level of your pupil or slightly lower than that. There are classic aesthetic ideals that state that the angle should sit at the level of the upper eyelid margin or between the lid margin and upper eyelid crease, so in your case I would not recommend lowering it further as this may cause your nose to look quite short. hope that helps and please let me know if you have any further questions.

Hi! A modest radix reduction can refine the angle, giving your nose a vertically shorter appearance, which I would recommend in your case. Paired with a hump reduction and tip plasty, this approach can yield a nose that harmonizes with your facial structure and appears absolutely natural. Hope this helps, best of luck to you!

You could probably afford to have some deepening of the radix although I wouldn't get carried away. It will not have any impact on the droopy tip so I'm not sure why that would matter. Generally a deeper radix is more masculinizing so I would just be cautious how much is done.

Yes, your radix could be lowered a bit in a revision. But especially with you mentioning the droopy tip, the main task of the rhinoplasty would be to elevate the tip and then lower the bridge and radix to match the new position of the tip.

How *much* to elevate the tip, or lower the bridge and radix, or make other changes? We figure that out with morphs, well before surgery. I'd love for you to see some excellent professionally-designed morphs of what could possibly be done with your nose. Morphs could also help you identify better just what's bothering you, and help you set a goal for the rhinoplasty that's accurate for your tastes. Profile and three-quarter views would be particularly important in morphing your nose. (Side note: in my opinion, morphs should really be done by the surgeon, or he should direct an assistant as she makes the morphs. Morphs should be made with a constant eye to what actually *can* be done in surgery, for that particular nose, and the surgeon has that information and judgment best.)

Finally, remember that rhinoplasty is an exquisitely difficult operation to get right, and you should only have surgery if you are able to make yourself very confident in your surgeon's skills. The changes that your nose needs require advanced techniques, and skill that most plastic surgeons don't possess with expertise. For most noses, it's much better to not have surgery than to have inexpertly-performed surgery. Read my essay on how to stay out of trouble while selecting a rhinoplasty surgeon. And it also discusses how to take photos that are best for online evaluations.

And for those who have had previous surgery, it also discusses how to tell whether your first surgeon should be performing your revision.

It is very likely, based on these photos, that reduction of the dorsum of the nose and tip support and refinement would be priorities. I am not sure that radix should be changed. Good luck.

Radix position and the deepness of the radix looks not bad. If we bring the your radix down your nose look like too short and in the front angle you look like angry a bit. My solution is bringing the midvault of nose down a bit makes your profile angles better. At same time we can burr the radix area (just a bit) or release the radix muscle would be great for us, not much more.
Best.

You may not need a radix reduction. You are better off with grafts on your cartilage to give the tip more projection.

Best Wishes,

Gary Horndeski, M.D.

Based on your photos, you appear to have a dorsal hump and a droopy nasal tip appearance. The Radix of the nose is where the nasal bones meet the forehead. This bone tends to be on the thick side at the root of the nose, so Radix lowering is usually minimal. Please consider meeting with several reputable rhinoplasty specialists who offer computer Imaging so you could see what to expect after surgery. I hope this helps! Sincerely, Dr Joseph

Would radix reduction be part of your rhinoplasty? in addition to refining and slightly elevating the tip. You do appear to have a dorsal hump and a relatively high radix. Reduction of the dorsal hump and reduction of the radix would give a more pleasing aesthetic appearance and a more feminine look.