How to raise my nasion to get a flat nose? (Photos)

Your candidacy for nonsurgical rhinoplastic treatments would be made at a consultation. Filling your radix or nasion may cause your nose to meet your forehead between your eyebrows, which may be too high. If you're deemed a suitable candidate for for fillers, microdroplet Silikon-1000 may be considered for permanent results. In our experience, Silikon-1000 is not associated with blindness or skin necrosis, unlike temporary gel fillers. Consider consulting with several rhinoplasty specialists so you could see what might be best for you. Hope this helps! Dr Joseph

The nasion is the intersection of the frontal bone with the two nasal bones in the midsagittal plane. The radix is the depression at the upper edge of the nasal bridge that we see from the outside. The desired corneal plan to radix distance is usually 1/3 of the distance between the radix and the tip, which is 10 to 11mm in most people. The desired radix level is about the level of the upper eyelid creases. From your posted photos it is impossible to assess your baseline because your eye and corneal plane are blacked out and the views are not true lateral views. Since beauty is in the eye of the beholder there is nothing wrong with varying from the desired proportions but if you vary too much you will get strange looks or comments from passersby. There are many ways to lessen the radix depression including temporary filler injections, cartilage grafts, radix implants, fat graft injections etc. Injections to the area can be complicated by skin loss or blindness due to the underlying anatomy so you have to be very careful. Given your less than ideal posted photos it is impossible to say if any of those are appropriate in your case.

Placing a cartilage graft in the radix or nasion will provide the profile straightening you are looking for. This is most commonly done in males or in augmentation procedures where patients have a shallow profile. In my experience, I always place a soft tissue graft over the radix graft to help conceal the edges. You can use alloderm or temporalis fascia for this. Both work equally well.

You can try a reversible filler like Juvederm in your Radix and later replace it with a permanent cartilage graft. This will give you a larger nose. The other option is a rhinoplasty with hump removal etc. See a very experienced rhinoplasty surgeon who can show you many photos of his work that look natural. 

Hello and thank you for your question. Based on your
photograph, you may benefit from either radix grafting to elevate your radix or a dorsal hump reduction.  Make sure you specifically look at before and after
pictures of real patients who have had this surgery performed by your surgeon
and not just a computer animation system. The most important
aspect is to find a surgeon you are comfortable with. I recommend that you seek
consultation with a qualified board-certified plastic surgeon who can evaluate
you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Thank you for your question!  Yes, there are several options to help correct your concern with the dorsum of your nose.  I would need to see several more views of your nose to give a complete analysis, but it appears that raising the radix (the transition from the forehead to the bridge of the nose) would be a good course of action.  First, placing a small cartilage graft into this area is an excellent way to raise the radix of the nose.  This can be done along with an open rhinoplasty, or through a closed procedure.  The cartilage for this procedure is usually harvested from the septum of the nose.  You are also correct that a small amount of filler can be used for this area.  Be sure to see a qualified, board certified facial plastic or plastic surgeon who has experience with injecting this region of the nose before proceeding with this, however.  I would suggest meeting with a board certified facial plastic or plastic surgeon who specializes in rhinoplasty for a full evalution.  Here you will be able to review your pictures and discuss your goals for surgery. I hope that this helps.  -David Gilpin    

Yes it is possible to augment the area above the hump to make it look straighter. You can do this with fillers (temporary but easy and fast) or surgical (permanent but requires a procedure). The risk of fillers are low and blindness is extremely rare in this area. Both procedures are safe. Best wishes

Fillers of various length of stay can be used. Cost versus length it lasts versus reversibility. Care must be taken when injecting in this area because there are a lot of vessels that can ultimately communicate with your retinal blood flow and cause vision issues. Vascular occlusion is another potential problem which can cause skin lose in the area and even further down the nose. Risks of surgery to place a permanent graft or rasp down the bone and trim some cartilage do not come with those particular complications. It is just more expensive and more invasive.Seek out someone who does a lot of these kind of injections, then ask them about those two complications and see how they respond.

To create that lifting effect that you are doing with your fingers and make your nasal profile straight, you have 2 options, both of which are safe:1) place a temporary injectable filler. This will last approximately 6 months on average and is safe, although it is "off label use" according to the FDA approval.2) perform a targeted rhinoplasty procedure and place a permanent cartilage graft can be done via internal incisions and small pockets under the skin at the root of the nose. This procedure has some more pain and downtime compared to an injection, but is not too bad and you get a permanent result.

The photographs demonstrate  a normal radix with a dorsal  hump which is composed of both bone and cartilage. The two options are to either shave down the dorsal hump, or augment the radix with a cartilage graft. Raising the radix with a cartilage graft will accomplish the start point of the bridge of the nose at the level of the eyebrows, which may be unnatural in appearance. Digital computer imaging would be helpful to understand what can be accomplished with your nose on your facial features.