Can grafts be removed where my Nasion or Radix is? Can Botox help? There's no dip, my nose just slides off my forehead.

Question

Thank you to all the sweet Doctors for answering my last question

Clark Schierle, MD, PhD, FACS · Answer

Revision rhinoplasty to address the size and shape of your nose should help you address your concerns. You have to understand that there is no such thing as the “perfect” nose. As rhinoplasty surgeons, we are able to improve the structure and function of the nose to address specific issues you have with how your nose looks and and how well you can breathe. Perfect symmetry does not exist in nature. Attempts to improve the symmetry of your nose should be aimed at achieving an improvement in your asymmetry to the point where it is no longer very noticeable. If you look carefully enough, you will always be able to find imperfections. The goal is a normal looking nose that is in harmony with the rest of your anatomy.

William Portuese, MD · Answer

Remember, the nose is a three-dimensional structure, so  deepening the radix will require narrowing of the nasal bones with osteotomies to prevent a flat top open roof nasal bridge line. Probably best to leave well enough alone

Darryl J. Blinski, MD · Answer

Based upon your 2 postings with excellent photos I fear you have unrealistic expectations as to the appearance of your nose.

Richard W. Fleming, MD (retired) · Answer

The raid can be reduced by either demoing previously placed grafts or the removal or the removal of excess bone. An examination and review of your previous operative report will be necessary to determine the best approach.

Can grafts be removed where my Nasion or Radix is? Can Botox help? There's no dip, my nose just slides off my forehead.

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