Can a rhinoplasty fix/alter my radix/glabellar area? (Photos)

Question

I believe I have a low radix. In addition, there really isn't any transition from the radix to the forehead (due to the heavy frontal bone). Is there any way that rhinoplasty (maybe in combination with brow bone reduction) can obtain the desired looks I have attached.

Nima Shemirani, MD · Answer

Hi @mdijan! Thank you for sending your photos. Your desired looked can be achieved by placing a cartilage graft to the radix increasing the height giving you a straighter and taller profile. Best wishes!

Oakley Smith, MD, FRCSC · Answer

Thank you for your question and photos. Your radix appears low secondary to the prominent glabellar region and vector of your forehead. There is a very clear transition from the radix to the forehead in your photo and the other photos demonstrate less of a transition from the root of the nose to the forehead. A graft to the radix, to increase the height, would make the transition from the root of the nose to the forehead less noticeable and would decrease the visibility of the slight midvault dorsal convexity, providing you with an overall straighter and taller profile. Realistically, a rhinoplasty addressing the height of the radix would improve your overall appearance on profile, but would not provide you with the same look as the other photos you provided, due to the differences in the shape and vector of the forehead, midface, and chin, which would not be altered by a rhinoplasty alone.

Luis A. Mejia, MD · Answer

hello thank you for your question and provided information as well.. based in your question and the picture you showed you are a good candidate for rhinoplasty with technique open with refined the tip. and elevate the tip.

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your
photograph, you appear to have a low set radix.  Radix augmentation can be performed with diced cartilage wrapped in fascia.  Based on your goal pictures you also may want to consider tip refinement and dorsal convexity 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.  You should be able to
view numerous pictures of actual patients with noses similar to yours performed
by your surgeon.  
Best wishes and good luck.
Richard G. Reish, M.D. FACS
Harvard-trained plastic surgeon

Andre Panossian, MD · Answer

A good rhinoplasty plan will take into account your concerns, including the depression in the radix (called a low radix) and use a variety of techniques to augment that area. This can be done easily through a closed rhinoplasty and a cartilage graft.

William Portuese, MD · Answer

A  closed rhinoplasty procedure can accomplish adding a cartilage graft to the radix,  in addition to decreasing the overall projection of the nose and refining the nasal tip and bridge line with all the incisions placed on the inside of it. No external incisions are required. Consider placement of a chin implant for the weak and recessive  chin profile, which will help with better facial balance and proportions. For many examples, please see the link and the video below

Jeffrey C. Hamm, MD - Account Suspended · Answer

Hi and welcome to our forum!
From the photos you have presented, it appears that you are exhibiting frontal bossing, a prominent lower forehead associated with a heavy brow ridge. This is usually a variant of normal, but also may be associated with certain nutritional, metabolic, hormonal, and hematologic disorders. A general medical examination by your primary care may be in order.
There are surgical options to treat this condition. I recommend evaluation by a craniofacial plastic surgeon who will be able to present you with options of treatment after complete examination.
Best wishes...

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