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April 2001

The Radix Graft in Cosmetic Rhinoplasty

Author Affiliations

Copyright 2001 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.2001

Arch Facial Plast Surg. 2001;3(2):120-121. doi:

NASAL length is an important component of the overall nasal aesthetic. The depth of the nasofrontal angle contributes to the apparent length of the nasal profile and is a region that must be addressed in primary and revision rhinoplasty.1-3 The starting point of the nose is largely defined by the depth and character of this region. A nose with a diffuse or blunted nasofrontal angle will appear excessively short, as will a nose in which this angle is too deep. Although there are numerous methods of assessing this region, the aesthetic sense of the operating surgeon should guide this anatomic analysis. It is true that an overzealous reduction of the dorsal hump can result in a deficient nasofrontal angle and a loss of nasal length. The surgeon must understand the importance of maintaining the appropriate height to the nasal dorsum. In some cases, augmentation of the nasofrontal angle can create the impression of a lowered and more aesthetically pleasing dorsum without actually removing any tissue from the nose itself. In other cases, nasofrontal augmentation may be used to correct a deficient nasal length that may have occurred naturally or from a primary procedure. In addition, in some patients, balancing an otherwise heavy or significantly projected lower third of the nose is best achieved by augmentation in the radix region.

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