Changing nose radix (nasion) height and width?

Question

Ok so the Radix on my nose is quite narrow, this makes my eyes look closer set than they really are. It is also medium set, but I would like it higher as to me this is a more handsome and masculine (I'm male) appearance both from the front and the side profile. So my question is, can the radix be raised and widened to a noticeable degree, and does this require an implant, a graft, or is there a permanent filler that can achieve this? Thank you.

Catherine Winslow, MD · Answer

Hello!Radix grafts with cartilage are typically used to increase radix height. Depending on your nose (without photos everything is general of course) septal cartilage or rib may be needed. Permanent fillers are NOT used in the nose and fillers in that region in general have a higher risk of causing blindness and necrosis than elsewhere in the face. Good luck and stay safe!

Suleyman Tas, MD, FEBOPRAS · Answer

Hello,
Thank you for your question. Radix is the starting point of the nose which has a determining role in a male rhinoplasty. Theoretically speaking radix augmentation is possible with the septal cartilage if not enough with the rib cartilage grafts. I don't recommend inorganic implants due to allergic issues. Fillers can be helpful temporarily please note that fillers may dissolve up to 4 years on the radix. For detailed examination need to consult a plastic surgeon experienced in male rhinoplasty. To find out more before and after pictures of male cases click on the attached link. 
Best Regards

Michael A. Epstein, MD, FACS · Answer

You seem fairly astute when it comes to your nasal anatomy, aesthetics, and possible treatment methods.  Augmenting various parts of a nose, including the radix, can often easily be done with injectable fillers.  I would recommend something that is known to be fairly short term, temporary, and reversible (ie. an HA like Juvederm or Restylane) at first.  This would give you the opportunity to see if you like what you see.  If so, you could then continue with injections or step it up to a surgical procedure.  While an implant can be used, my favorite procedure to augment the radix and or dorsum is to use autogenous (your own) cartilage, dice it, and place it in rolled deep temporal fascia.  If you choose the surgical route make sure you find an experienced rhinoplasty plastic surgeon.

Zoran Potparic, MD · Answer

It is very difficult to comment on your question without in person evaluation. In general, experienced plastic surgeons would use your own tissue (cartilage, crushed cartilage, fascia) to achieve contour corrections which are not produced with standard rhinoplasty. Selection of the graft material and particular technique should be decided on the basis of thorough evaluation and discussion about patient's goals. Good luck.

Tanveer Janjua, MD · Answer

Radix implant can improve the profile and frontal view as well. However to make sure it looks good you can first try a reversible filler like hyaluronic acid. If you do like that look then go for a permanent implant.RegardsDr. Janjua

Ronald J. Edelson, MD · Answer

The radix can be raised will fillers. Even though it is temporary you can get a good idea as to what placing a graft might look like. Radix grafts are commonly performed with good results.

Michael Dobryansky, MD, FACS · Answer

Thank you for your question. A picture would be very helpful. In general, dorsal augmentation can be done with filler injections. Obviously, the results are temporary, but this can give you a great idea of what is possible surgically. A great surgical option for radix and dorsal augmentation would be an onlay graft.

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. It would be helpful to view pictures of your nose. Radix augmentation can be performed with diced cartilage wrapped in fascia (DCF). 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. You should be able to view numerous pictures of actual patients with noses similar to yours performed by your surgeon. If you cannot find enough real before and after pictures, then consider continuing your search for a surgeon. Best wishes and good luck.

Richard G. Reish, M.D. FACS

Harvard-trained plastic surgeon

Richard G. Reish, M.D. FACS

Harvard-trained plastic surgeon

Barry L. Eppley, MD, DMD · Answer

In the long term raising the height and width of the radix can only be done with a cartilage graft or an implant. But in the short run you should first do a temporary filler to ensure that you have confidence that the change that has been created is a favorable one once you 'wear it'.

William Portuese, MD · Answer

Much more information is needed, such as a full set of facial photographs, especially the side profile to make a determination about how best to proceed. Digital computer imagingfFrom the side profile will also be helpful to understand what can be accomplished with a rhinoplasty procedure.

Changing nose radix (nasion) height and width?

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