I have protruded chin and nose, and my face looks like a new moon. My mouth just disappears between them. I am aware that my nose and chin are big, but my doctor said once I had a rinoplasty I would be happy with the overall facial contour, and that if needed he could do a soft tissue procedure on my chin. I want your opinion under the light of facial proportions, can that really be enough? How is that procedure? Does it really work well, or is it better to see a doctor who can do an osteotomy?
What is Most Indicated in my Perfiloplasty?
Doctor Answers 8
I am confident that a rhinoplasty will offer you some improvement, but I don't have enough information to recommend any more than that. You need an evaluation of your occlusion before considering any more than the rhinoplasty.
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Interesting choice of terms for your rhinoplasty but I think it needs more than just the profile. The chin can not be repaired by soft tissue alone, that's likely to be a big mistake. It's the jaw bone that needs to be slid down and then the soft tissue will follow. Your nose will likely reduce nicely since there's a good amount of reduction that can be done even in the least experienced of hands. A board certified plastic surgeon in your area will gladly and very likely successfully be able to help you out with this problem.
Rhinoplasty with chin reduction
The rhinoplasty is a sure bet with reduction of the hump and projection, and modest rotation of the tip. This will not of course correct your profile which is concave instead of the usual straight to slightly convex curve. You may wish to see an orthodontist as the shallow profile may be a reflection of the upper jaw and occlusion. Soft tissue reduction in the chin does not work very well, and an osteotomy to slide the chin back slightly is a better option if your bite is normal.
Best of luck,
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From a strictly aesthetic standpoint, reduction in projection of the nose and chin (a difficult procedure because of the sequelae it may cause) and augmentation of the lips may be indicated.
Cannot say exactly without extra views/ a consultation, but an osteotomy would probably be necessary on your nose.
Improving Facial Profile
On the basis of one picture, it does appear that your profile would be improved by having a rhinoplasty including a decrease in nasal projection, chin reduction, and lip augmentation. All these procedures can done done during one operation.
Profiloplasty: Nose, chin, lips
First and foremost is an assessment of your occclusion to assess the need for orthognathic procedures to enhance the peri-oral region which will effect the overall facial harmony. It is my opinion that you would neeed a reduction rhinoplasty and genioplasty (both requiring osteotomy) with peri-oral fillers/augmentation
Best Solution for Correction of Profile with Large Projecting Nose and Chin
It does appear that your chin will need to be addressed at some point to give you a pleasing profile. The type of chin reduction procedure depends on the underlying cause of your chin projection (bone or soft tissue). Whether the procedures are done simultaneously or at separate times should be determined by your surgeon and you. Good luck and be well.
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