How can a protruding radix graft be fixed or concealed? (photo)

Question

I was left with a radix ball between my eyes after my first closed rhinoplasty. It revealed itself within 6 mo as I have thin skin. I had a Revision with different Dr to address an open roof, irregularities on bridge and a collapse on left side. At 6mo radix showed and my surgeon tried to go in with a cannula and file it directly without going through nose. It worked for about 9 mo then became prominent a year later. What are my options to fix this or conceal it? Can it be done closed?

Toby Mayer, MD · Answer

Revision rhinoplasty for obvious radix graft. This can be removed with a closed approach. See several very experienced revision rhinoplasty surgeons for opinions and cost.

William Portuese, MD · Answer

A closed rhinoplasty approach can accomplish removal of the graft and give your nasal bridge line back to a normal contour. All the incisions placed on the inside of the nose, there's also no painful packing required

Richard W. Fleming, MD (retired) · Answer

The radix graft is probably cartilage which sometimes can be seen in patients with thin skin. This is why I prefer fascia grafts which are soft avoiding the visible sharp edges of cartilage. This can be done using the closed technique.

Michael Elam, MD (retired) · Answer

Dear Sophia, Your protruding radix graft can be removed with a closed approach revision rhinoplasty. Seek some secondary opinions with experts in the field and discuss your options. Best regards, Michael V. Elam, M.D.

How can a protruding radix graft be fixed or concealed? (photo)

Answers (4)