Is it possible to lower radix with a closed approach? (photos)

Based on your photos, you appear to have an over projected nasal profile appearance and a droopy tip that is exacerbated with smiling. I think the bridge lowering effect in your computer imaging is pleasing. Personally, I would prefer a bit more tip projection and rotation. Since you require tip work, we would only utilize an external approach for rhinoplasty. I hope this is helpful. Sincerely, Dr. Joseph

You need a rhinoplasty to cover several different areas. A closed approach would be too limited for what you are trying to achieve. I strongly recommend an open approach.

Best Wishes,

Gary Horndeski, M.D.

Your "before" photos show a very strong radix, and it doesn't seem to have been changed in your operation. Lowering the radix should certainly be possible, but you are also correct that the surgeon must understand what needs to be done, and be able to show you a morph that addresses the radix specifically. When many surgeons "work" on the radix, they rasp it a bit, but in your case, you need a significant lowering of that piece of bone, and you don't want a half-hearted attempt. Be careful in selecting your surgeon.

Why do you need it done closed? I personally wouldn't be able to do it closed. The surgeon need excellent access to the area, and that's just very difficult to accomplish from a closed approach.

Yes, it is possible to lower the radix of the nose with closed approach. However, if your surgeon insists on doing it with an open approach because of better visibility and control, yous should accept it. Good luck.

Hello and thank you for your question. Based on your photographs, it is possible to lower your radix, which will be very beneficial for you. You also need nasal tip deprojection to shorten your tip, which is better done through an open approach in my opinion. Without nasal tip deprojection, if a surgeon reduces your dorsal hump it will look like an overdone ski slope. With good surgical technique, you could have an outstanding result. 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

Your expectations are realistic and definitely can be achieved with. A closed rhinoplasty . You just have to find the right surgeon and in New York there are plenty of good surgeons

Anything that can be done open can be done closed. Period.
I would suggest not getting bogged down in the details of the surgical maneuvers. You should continue to look for a surgeon who can provide morphed photos you like.
However...
If there's 1 thing that gives rhinoplasty surgeons cold feet it's patients who are too particular about the morphed images. At some point you have to trust the surgeon's judgement. Make sure your expectations are not too high. Find a surgeon who you like who has good before and afters and go for it!

Lowering a high radix: you do accurately describe your nose as having a high radix. There is of course also a dorsal hump, and the nose is long with a plunging tip. All of these issues would be addressed during a routine rhinoplasty. The radix can be reduced during a closed rhinoplasty in the same way as it would be reduced with an open Rhinoplasty, Namely, by rasping it down. The morphed picture you show still has a high radix, with a lack of indentation below the forehead where the nose begins. A sufficiently deep radix is an important part of a nice profile, particularly in a female. When the radix is high, it is a very masculine looking, like a Greek or Roman statue.

It is certainly possible to lower the radix with a closed rhinoplasty, but you probably are best off seeking out a surgeon that specializes in closed rhinoplasty. With closed rhinoplasty in our practice, there are no external incisions, and no painful packing is required. All of the incisions are placed on the inside of the nose, and it is certainly possible to shave down the dorsal hump all the way up into the radix, refine the nasal tip, and prevent the tip of the nose from drooping down dynamically when smiling. The only perform close rhinoplasty in Power practice

All aspects of rhinoplasty surgery can be done with a closed rhinoplasty.
Some providers prefer to do it as open rhinoplasty surgery and some prefer to do it as closed.
Some providers sometimes do open and sometimes do closed.
Reducing the radix can be an important part of rhinoplasty surgery.
If you lower your radix, then what happens to the subsequent high dorsum of your nose?
If you haven’t done, so already, I suggest scheduling multiple in person consultations with plastic surgeons in your community.
Look for plastic surgeons who focus exclusively on rhinoplasty surgery, or those who have a strong emphasis on this procedure.
I generally recommend people avoid virtual consultations, and generally recommend having multiple consultations before selecting a provider.
Resist the temptation of making your own surgical decisions. decisions regarding what procedure to have. These decisions should be done in conjunction with your provider.
Best,
Mats Hagstrom, MD.