Can a Radix Graft Be Reduced in Closed Approach?

Hi, i had a revision rhinoplasty about 2 1/2 weeks ago and i am worried the radix graft my surgeon put is too big. Would i be able to have it shaved/reduced with a closed approach? Or would it more likely have to be open? I am scared of having another open op as this one has been very traumatic to the skin. Thank you in advance for any help you can provide on this issue.

Doctor Answers 8

Radix Graft 2 weeks Post - op

It's very early post-op to determine whether the radix graft is too high or  too big. I would wait 4 to 6 months for the swelling to resolve. Of course a picture would help with the evaluation.

New York Facial Plastic Surgeon
4.8 out of 5 stars 272 reviews

Closed Revision Rhinoplasty

A radix graft is very easily and quickly approached through a closed approach without any additional trauma to the skin.  However, unless there is obvious shifting of the graft, then I would wait until more of the swelling has come down.

John Bitner, MD
Salt Lake City Facial Plastic Surgeon
4.9 out of 5 stars 87 reviews

Revision of Radix Graft

At 2-3 weeks out from surgery, you are much too early to consider a revision. That being said, a radix graft can often times be modified with a closed or limited approach once the healing process has stabilized. Wishing you the best.

John M. Hilinski, MD
San Diego Facial Plastic Surgeon
4.7 out of 5 stars 40 reviews

Can a Radix Graft Be Reduced in Closed Approach?

 Yes, but you should allow at least several months for the swelling to subside before worrying about the final results.  A closed Revision would need to wait 6 months.  Discuss this with your Rhinoplasty Surgeon before getting to worried.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.6 out of 5 stars 24 reviews

Radix graft and approach

A radix graft can be approached through a closed rhinoplasty approach. Good luck with your decision but you are best to wait for now because of swelling.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

Endonasal rhinoplasty approach to radix

The radix can certainly be addressed through an endonasal or "closed" approach.  Depending on the type of graft that was used, the revision may range from straightforward to challenging.  

Donald B. Yoo, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 57 reviews

Radix Graft in Rhinoplasty

A radix graft is used to correct a depression at the root of the nose, with the goal of a straight bridge. This graft must be carefully shaped and softenend if necessary so it is undetectable. Softened cartilage may act like a sponge, absorbing fluid after surgery, and this may take time to resolve. Try to be patient and follow up with your doctor to express your concerns.

Roy A. David, MD
San Diego Facial Plastic Surgeon
4.5 out of 5 stars 23 reviews

Removing Radix Graft

A radix graft can be removed easily via a closed or endonasal approach.  Although I wouldn't recommend it at only 2 weeks post-op.  It is best to allow the swelling to decrease before considering any additional procedures.  

Jill Hessler, MD
Palo Alto Facial Plastic Surgeon
5.0 out of 5 stars 26 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.