Nasal Augmentation During Forehead Augmentation
Q: Dr. Eppley, I am interested in forehead augmentation. My forehead is very round in shape and I believe a forehead implant can greatly impact my profile. I also have a bent nose and want to go through rhinoplasty simultaneously. I just want the tip of my nose to be lifted very slightly.
What im curious to know is that, would it be possible to do nasal augmentation, through a coronal incision, and by doing so completely avoiding any scarring of the nose.
A: Thank you for your inquiry. Please send me some picture of your forehead, particularly from the side view, for my assessment and recommendations.
Whether it is to build up the radix or bridge of the nose to for nasal tip manipulations, you can not do that successfully from a forehead approach. This requires an open rhinoplasty for which the small columellar skin incision to fo do so heals so well it is virtually invisible afterwards. I have never in 30 years of rhinoplasty surgery had a patient request a columellar scar revision which speaks to the issue whether any adverse scarring occurs.
In addition most forehead augmentation proedures that are done with a custom implant do not require a coronal scalp incision to place them. That type of access scalp incision is only needed for bone cement forehead augmentations.
Dr. Barry Eppley