Combined rhinoplasty & genioplasty
Based on the photos, you are a good candidate for both procedures.
Nose: Rhinoplasty to remove the bump, address any deviation (which may require a septoplasty and spreader grafts), nostril balancing and improving the drooping of the tip.
Chin: There are two options. 1. Segmental, posterior sliding genioplasty. The bone is cut and repositioned father back. This technique allows correction of any vertical excess. The procedure does not affect your teeth. 2. Shaving back of the chin bone directly, without any cuts in the bone.
An in person exam will determine the detailed approach for each surgery. Both are usually performed at the same time.
Addressing nasal and chin deformities together.
Your question is a good one, and both deformities can be addressed surgically with a well performed rhinoplasty and genioplasty, which will also balance your profile optimally. Computer imaging will help greatly, even though it is only 2 dimensional, in planning the procedures. These surgerys can and should be performed together to reduce the number of anesthetics and recoveries.
Rhinoplasty and Chin Reduction
Both your nasal and chin shapes are due to normal development. Many people have bumps on their nose which is where the nasal bones and septal cartilages meet. A little bit of septal overgrowth can cause both a nasal hump and a crooked nose. Taking down the bump and straightening the nose (with probably a little bit of tip elevation) is done through a septorhinoplasty procedure. A prominent chin can be caused by excessive bone and, when it is only a moderate excess like yours, it only becomes most apparent when the soft tissue are pulled back over the bone when one smiles. A submental chin reduction procedure is needed to remove enough bone and tighten the resultant loose chin tissues to remove its prominence.
Rhinoplasty for nasal bump removal
The dorsal bump is composed of both bone and cartilage and must be shaved down in order to remove it. The dorsal hump removal will repair the asymmetry on the bridge. Osteotomies of the nasal bones are then required to narrow and straighten the nasal bones and sidewalls of the nose. For many examples, please see the link below
Chin and nose
Thank you for the photos and question and you are a great candidate for a rhinoplasty and genioplasty to reduce your chin prominence
How can you try to fix the tip of the nose, nostril and bump??!!
standardized photos would be useful to correct distortions from camera
position.The nostril asymmetry is not
obvious from these photos.
Has there been an injury or previous surgery? Whether a full open rhinoplasty would be
necessary or a less invasive approach would work would be determined by a more
critical analysis either by an in person exam or better photos. Correction of
an over projecting chin is best corrected by bony genioplasty without
disconnecting the soft tissue from the bone at the apex of the chin and
repositioning the bone conservatively. Again, standard photos and/or an in person visit would be a better way
to evaluate this.
One has to avoid losing the soft tissue support to avoid
a witch's chin deformity where the tip of the chin hangs down.