I want to have rhino and wondering if I can get away with rhino alone to enhance my profile? I feel my chin is a little weak ~ I have class II overbite. I did ortho to correct crooked teeth only. I don't want jaw surgery & I'm OK with my bite Goal: Harmonious and ideal profile via rhino and possibly horiz & vert chin augment Concerns: My deep labiomental crease. Will a chin augmentation hurt, help or not not effect this? I got 2 conflicting opinions - Torn between implant, genio, or no change
Would a Chin Augmentation Help? Torn Between a Chin and Implant & Genioplasty (photo)
Doctor Answers (6)
Chin Augmentation & Rhinoplasty Would Help
Thank you for your question and photos. A chin procedure would definately enhance your profile with a rhinoplasty. A genioplasty would be the best permanent option due to the bite issues and deep labio mental sulcus. A chin implant large enough to correct the deficit would deepen the sulcus too much. A small implant would be a compromise but you would have to live with very conservative agumentation and a slightly deeper sulcus. This could be removed easily if you are unhappy if a silicone implant is used. Finally Radiesse injections or fat injections would help both issues. Consult a surgeon experienced in these treatments. Good luck.
Chin and nose
Best to start out with just a chin augmentation. A small or medium sized silastic chin implant is placed thru a submental incision and placed over the bone. The implant will give mostly anterior projection, some vertical and lateral enhancement as well. A chin implant can be performed under local anesthesia
Rhinoplasty Combined With Sliding Genioplasty For Best Profile Change
yhe chin deficency is making a bigger negative impact on your facial profile than your nose. Thus any rhinoplasty should include a chin augmentationk procedure as well to really change your profile. A sliding genioplasty would be better than a chin implant in your case because you need both horizontal as well as vertical chin increases. With the vertical lengthening of a genioplasty, the labiomental fold will not get deeper as the chin comes forward. (but it won't get more shallow either)
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Genioplasty or Chin Implant
A chin implant will deepen the labiomental sulcus to some extent. If you would like a more balanced face, I would recommend some type of chin augmentation.
Chin Augmentation for horizontal and vertical dimensions
Classically a sliding genioplasty is favored to provide both vertical and horizontal changes to the chin. A properly placed chin implant can also produce similar changes at a slightly lower cost (~$1500 less) and quicker recovery but it may also deepen the labiomental crease. Your next best step is to pay a visit to a board certified plastic or oral surgeon who specializes in these procedure. Glad to help... @drryanstanton
Go with the genioplasty
It's important to note that you already had orthodontics to correct your bite. Be careful when considering a chin implant as, due to your deep depression above the chin ( the labio-mental sulcus), an implant can look like a shelf and very unnatural. Additionally, your chin is short vertically. So, I'd recommend a genioplasty to both project the chin modestly and to lengthen in vertically. I've had great patient satisfaction with this procedure. Good luck!
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