Can The High Radix Of The Nose Be Reduced?

Q: Dr. Eppley, would it be possible to deproject the radix slightly, to give the illusion of a brow ridge (assuming my radix is already really outgrown) (it looks kind of like those blue avatar people from the side profile). I attached a morph of my nose (the first is unedited, with just me pulling back the soft tissue to show the bone more clearly, and the second is how i would want it to look). Do think a result like this is achievable without making my nose slope straight down from my forehead (The main issue isn’t that it’s too big, even though it is too big, the issue isn’t that is molds into my forehead and makes it look super flat). Any advice or help would be greatly appreciated, thank you.

A:While I see no attachment that shows your morphed nasal changes I can tell you that reduction of the high nasal radix is one of the hardest things to do in all of rhinoplasty surgery because it is a bone structure located in the no man zone between the nose and the forehead where there is limited surgical access. I have done numerous high radix reductions through a dual osteotome technique from an intranasal and a percutaneous approach. Whether your ideal morphed changes are achievable would require an actual assessment of that image.

Dr. Barry Eppley

Plastic Surgeon