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Notably Uneven Jaw/Face, Flared Nostrils/Prominent Nose. Which Procedures Would You Prioritize? (photo)

I am discontent with my face and done many attempts to harmonize it's uneveness only to end up with more prominent uneveness. I would like procedures that might help harmonize it more but don't know which to choose and prioritize. Main concerns: 1.- A nose that seems too prominent for my face with long, flared thick nostrils. 2.- A completely asymmetrical face, probably due to one side of my cranium being more developed or what might seem as an asymmetrical rotation of my cranium.

Doctor Answers (1)

Rhinoplasty candidate


Dear Copenhagen1, Some facial asymmetry is common in most patients and some patients have more asymmetry then others. Personally I use a facial imaging computer during consultation which allows the patient to see the changes which would be made by the proposed surgery prior to their procedure. In your case I think if you focused on a rhinoplasty to reduce your tip and narrowing the nostrils would help your facial aesthetics and bring more harmony to your face. I also think you may benefit from a chin augmentation and some slight malar enhancement via fat transfer. You need to make sure that these procedures are done in a natural manner to provide the proper aesthetics. Best regards, Michael V. Elam, M.D.

Orange County Facial Plastic Surgeon
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