Rhinoplasty + Radix Cartilage Graft Absorption (photo)

February 24, 2025
Asked By:duarte2 in Kilsby, England, United Kingdom

I previously had a very thin radix and nasal bone which needed thinning. I underwent a rhinoplasty in which my surgeon decided to use septal cartilage, layering it so that no visible edges are seen from the outside, to fill in the area. He filled it in assuming all would stay, and didn’t overfill. I have to say it looked great when first taking off the cast, having the edges align with my nasal bone even when my eyebrows were raised. Unfortunately, it looks like a lot was absorbed and I am now looking for a non-migrating, permanent, alternative. What are my options? I understand that I have to wait a year or so before the swelling of the nose heals before an open revision surgery, during which I was thinking to add hyaluronic acid to this area temporarily but then to dissolve and go for the permanent fix once the swelling goes down. Would this be fine to do? Given that there was some cartilage in there, and maybe some still left. Could the hyaluronic acid end up migrating and causing issues in the meantime? Would this interfere with the eventual solution? I had some surgeons suggesting a fat transfer and some strongly advising against it. Fascia was mentioned a lot. Please let me know your thoughts on this.

4 photos

Answers (2)

From board-certified doctors and trusted medical professionals
MOST RECENT
March 3, 2025

Answer: A permanent non-surgical nose job to widen the Radix.

Eric M. Joseph, MDBoard Certified Facial Plastic Surgeon
MOST RECENT
March 3, 2025

Answer: A permanent non-surgical nose job to widen the Radix.

Eric M. Joseph, MDBoard Certified Facial Plastic Surgeon
March 3, 2025

Answer: Radix graft

Hong Ryul Jin, MDOtolaryngologist
March 3, 2025

Answer: Radix graft

Hong Ryul Jin, MDOtolaryngologist

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