Does Radix Reduction Require a Very Specialized Surgeon? (photo)

I've seen cases that use cartilage to build up the nose bridge, but I have not yet found cases reducing the radix, only the dorsal region. I have a Grecian/Roman type nose without much of a 'dip' at the forehead line. I've tried searching for nasal bridge reduction, but have yet to see cases where the highest point of the nose is augmented. If I just want my radix flattened a few mms, does that require a very specialized complex surgery? Can a surgeon who regularly performs rhinoplasties?

Doctor Answers 12

Radix reduction rhinoplasty.

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This can be done by a very experienced rhinoplasty surgeon. The reason you see few of these is there are few Grecian noses with a full radix.  Be carefully since the revisions I do for this is where the surgeon took too much off. 

Beverly Hills Facial Plastic Surgeon
4.8 out of 5 stars 38 reviews

Does Radix Reduction Require a Very Specialized Surgeon?

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 Reducing the Radix to the proper aesthetic naso-frontal angle of 135 to 140 degrees is certainly within the ability of an experienced Rhinoplasty Surgeon who understands and follows the proper aesthetics of facial (and nasal) beauty for the creation of a naturally more attractive nose and face.  This often requires removal (reduction) of nasal bone as well as some Procerus muscle.  Hope this helps. 

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.7 out of 5 stars 28 reviews

Rhinoplasty radix deepening

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Any surgeon that competently performs rhinoplasty should be able to do this. There is a curved rasp commonly used to do just that, file down the radix. The desired radix should be at the level of the upper eyelid crease and the deepest part should usually be 10 to 12mm from the plane of the outer surface of the cornea on a side view.

My response to your question/post does not represent formal medical advice or constitute a doctor patient relationship. You need to consult with i.e. personally see a board certified plastic surgeon in order to receive a formal evaluation and develop a doctor patient relationship.

Aaron Stone, MD
Los Angeles Plastic Surgeon

Radix reduction is just part of rhinoplasty.

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You need special chisels and rasps, and of course experience, but it is not a particularly difficult step in doing a rhinoplasty.

George J. Beraka, MD (retired)
Manhattan Plastic Surgeon

Radix reduction

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Most of what you need to know has been well said here by others. It's possible technically, and not all that difficult, to reduce a radix.

But you need a careful and expert consultation. In rhinoplasty, every part of the nose you change has a secondary appearance effect on another part of the nose.

If your radix were reduced in the profile view, which you want, it will make the base of your nose look wider on the front view. So despite your being happy with the rest of the nose, it may be necessary to narrow the dorsal width as well to maintain nasal harmony.

In summary:  You can achieve your goal, keep an open mind and see the local experts for an evaluation.


Good luck.

Reduction of radix ( upper part of the nasal bridge

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It is not very common to have a request for reduction of the subglabellar are ( the highest point of nasal bone) without reduction of the radix and/or " hump removal ". This could be performed by an experienced plastic surgeon who does good number of rhinoplasties. The procedure is done through closed technic usind a roud rasp " glabellar rasp ".

Radix Reduction

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Lowering the radix involves removal or filing of bone and/or often some muscle.  I use a diamond drill to smooth the area if needed. Any rhinoplastic surgeon should be able to do this. 

Stuart H. Bentkover, MD
Boston Facial Plastic Surgeon

Radix reduction during rhinoplasty

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Radix reduction, the portion of the hump right up between the eyes, is actually not that uncommon, just not discussed very often. There is no particular difficulty in planning a hump or dorsal reduction which begins up at the radix. Make sure you goals are discussed and part of the planning, and computer simulation can help make the goals clear.

Peter E. Johnson, MD
Chicago Plastic Surgeon
4.0 out of 5 stars 44 reviews

Lowering the radix

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You have an interesting  but reasonable request. Your surgeon will need to use a power burr with protection of the overlying skin. Good luck.

This should not be too complicated.

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Radix reduction should be a fairly standard procedure. This is sometimes facilitated by special power instruments which will remove the excess bone in that region very easily. Even without power instrumentation that should be something that the surgeon can do with hand tools such as osteotome and rasps. You are correct that this will improve the appearance of your nose considerably.

Rodney A. Green, MD
Cleveland Plastic Surgeon
4.8 out of 5 stars 24 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.