Is radix augmentation necessary for dorsal hump removal if you have a low radix?

I haven't augmented a radix in a looong time. I agree. Even if it doesn't give an Avatar look or a Roman statue look, it makes the nose look longer, because the top of the nose is now not at the bottom of the radix, but at the lower part of the eyebrows, if that makes sense to you. Also, When the bump is lowered, the deep radix tends to look less deep. And as you point out, it is a feminizing look.


It's possible to get this all figured out with morphs before surgery -- lower the bump, make other changes like raising the tip and deprojecting the nose if necessary, and *see* whether you think it looks natural. I'd love for you to see some excellent professionally-designed morphs of what could possibly be done with your nose. Morphs could also help you identify better just what's bothering you, and help you set a goal for the rhinoplasty that's accurate for your tastes. Profile and three-quarter views would be particularly important in morphing your nose. (Side note: in my opinion, morphs should really be done by the surgeon, or he should direct an assistant as she makes the morphs. Morphs should be made with a constant eye to what actually *can* be done in surgery, for that particular nose, and the surgeon has that information and judgment best.)

Finally, remember that rhinoplasty is an exquisitely difficult operation to get right, and you should only have surgery if you are able to make yourself very confident in your surgeon's skills. The operation requires techniques and skill that most plastic surgeons don't possess with expertise. For most noses, it's much better to not have surgery than to have inexpertly-performed surgery. Read my essay on how to stay out of trouble while selecting a rhinoplasty surgeon. And it also discusses how to take photos that are best for online evaluations.

I don’t care for radix grafts at all. They often don’t blend in very well. Often they are visible or just look weird