Nuances of profile management: the radix.

Profile refinement is one of the most common reasons patients seek consultation for rhinoplasty. Emphasis on creating a natural-appearing nasal dorsum demands a methodic nasal and facial analysis. Areas of dorsal excess and deficiency are identified, quantitated, and considered when determining surgical goals. The radix is an essential component of the profile and is carefully assessed from the standpoint of projection and position. Height and contour are evaluated at the radix, rhinion, and nasal tip. Each component of the dorsal profile is individually classified as overprojected, underprojected, or of appropriate height. Case studies demonstrate the necessary surgical steps to create a more balanced profile.