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.