Silicon or fillers for low radix?

Hi, I am a Asian female and contemplating augmenting my low radix. My bridge is fine. I find rib too invasive for my liking and my trusted surgeon does not do ear cartilage as he said it tend to reabsorb unevenly over the years. So I have to decide between silicon and injectable fillers. Can someone help me decide ? THANKS.

Doctor Answers 6

Augmenting the radix. Asian rhinoplasty

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ear cartilage does resorb however it doesn't necessarily resorb on evenly.  Diced cartilage and a fascia graft is a good option.  Both are quite reliable.  I do use silicone implants on the dorsum however I only used them in patients who have relatively thick skin.  Patients with thicker skin have a more natural appearance with implants over time.  If you are a thin skin patient he may want to take a closer look at cartilage grafting.  It sounds like you have a very good relationship with your surgeon but you may want to get additional opinions from people who do Asian rhinoplasty frequently.

Chase Lay, MD
Double board-certified facial plastic surgeon
Asian facial plastics specialist

Bay Area Facial Plastic Surgeon
4.9 out of 5 stars 80 reviews

Best technique for radix augmentation

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Fillers can be a nice way to see how your radix would look if augmented, but is a temporary solution.

A small DCF (diced cartilage fascia) tailored for your radix will provide a permanent and natural appearing result with smooth contours.  Cartilage from your septum (inside your nose) or your ear can be finely diced and wrapped with a small piece of fascia from your scalp to create a DCF graft.  Silicone tends to have visible edges at the radix and can appear very unnatural over the years as your skin thins around it.  

Donald B. Yoo, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 64 reviews

Building up a low radix

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Very good questions. The answer depends to a great extent on the VOLUME that will be needed to augment your radix. I use Artefill for relatively small volume augmentation, and I use rib cartilage for large volume augmentation in patient who wish to have their own body material (cartilage) used. However, other options exist and need to be considered such as layered septal cartilage, layered gortex, silastic rubber implant etc. I also use well-carved, layered or diced ear cartilage. Absorption over many years can be seen with ANY cartilage material. 

Jan Zemplenyi, MD
Bellevue Facial Plastic Surgeon
5.0 out of 5 stars 17 reviews

Radix graft

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A graft in the radix can be obtained from several areas. The best choice is always your own cartilage. If you want something less invasive you can opt for Restylane. Silicone is permanent and that means if you do not like the look, you have a permanent problem. With Restylane or Juvederm if you don't like it, it can be removed.

Dr. J

Disclaimer: This answer is not intended to give a medical opinion and does not substitute for medical advice. The information presented in this posting is for patients’ education only. As always, I encourage you to see your personal physician for further evaluation of your individual case.

Tanveer Janjua, MD
Bedminster Facial Plastic Surgeon
5.0 out of 5 stars 126 reviews

Silicone vs Fillers for Low Radix

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My first choice for radix augmentation in patients like you is temporalis fascia because it is easy to harvest, will  not absorb, and provide a smooth contour without risk of sharp irregular edges, and will be permanent. You do not need silicone or fillers.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 43 reviews

Augmentation rhinoplasty

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Consider Augmentation Rhinoplasty with homograft irradiated rib cartilage.

R W Maloney MD

Richard W. Maloney, MD
Naples Facial Plastic Surgeon

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.