Nuances of Profile Management- The Radix
Rhinoplasty: Case Example 4- Cartilage Grafts for Balanced Nasal Profile
A 35-year-old female presented for revision rhinoplasty requesting reduction of her “large” nose.
Analysis of the nasal profile revealed an inadequate height of the bony dorsum including the radix. This inadequacy was accentuated by excessive projection of the cartilagenous dorsum and nasal tip. The surgeon performing the original rhinoplasty had oversected the cephalic portion of the dorsum while failing to address the over-projected nasal tip and caudal dorsum.
Augmentation of the radix and cephalic dorsum was achieved with an alloplastic (Gore-Tex) extended radix implant. The caudal dorsum was then aligned to the level of the implant, and the tip was retro displaced. Two year postoperative views demonstrate a more ideal nasal profile (Fig. 10). The radix and dorsal implant reduced the nasofacial angle, lengthened the nose, and restored dorsal height.
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