Can a radix graft be used to make the bone between the eyes wider? (photo)

Question

Like in the picture. But what if I don't have septal cartilage? How often is this performed ?

Howard Webster, MBBS (Hons), FRACS · Answer

Hi there,From your question, you've already had rhinoplasty surgery. Whether you have or not, if your aim is to have a wider radix, its very likely that this can be accomplished with hyaluronic acid filler - i.e. by injection only, and not through surgery. We use juvederm ultra or voluma for this purpose, and it is effective, simple, has no recovery time and lasts for years. It's inexpensive compared to surgery.  It does need to be repeated every few years if you like it - another short office visit only.Its worth you visiting a Board Certified experienced rhinoplasty surgeon in your area for a discussion about it.All the very best.

Adam Bryce Weinfeld, MD · Answer

The appearance of the eyes is changes with rhinoplasty frequently. Fortunately these changes are almost always positive.  Narrowing the radix will make the eyes appear closer and widening the radix/upper vault will make the eyes appear farther apart.  This is frequently done and cartilage can be used.

Eugene Kim, MD · Answer

I often use tissue from a patient's scalp called temporal fascia for radix grafts because it is soft and provides a natural augmentation to the bridge.  If you're looking to make your nose wider at the base, you may be better off out-fracturing the nasal bones if they're too narrow.  I recommend seeing a plastic surgeon to discuss options to improve the area you're concerned about.

William Portuese, MD · Answer

A radix graft is commonly used to give height to the radix and glabella, not width. Ear cartilage can be used for radix graft. Digital computer imaging would be helpful to understand what can be accomplished with the procedure.  For many examples, see the link below  to our rhinoplasty Photo Gallery

Andrew S. Frankel, MD · Answer

A radix graft will not actually make the nasal bones wider but if you have a deep nasofrontal angle then raising it with a graft might make the area between your eyes appear further apart. Similarly, so would lowering the height of your nasal bones (dorsum).  Radix grafts can be tricky as they sit on a narrow perch and due to the position it's possible that the edges can become visible. I employ various technical fine points when using them to ensure that they are innocuous. When necessary, radix grafts can be extremely helpful in rhinoplasty.

Can a radix graft be used to make the bone between the eyes wider? (photo)

Answers (5)

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