Am I a candidate for this type of rhinoplasty ? (Photo)

Question

I am attempting to lower my nasal angle to lessen my nostril exposure from the front. I also want some of the projection removed. I have seen 3 facial plastic surgeons who do not think this procedure is easy or wise. Are there other options(these were maxofacial/ENT dr's) Questions: is my specific need a difficult procedure and should I seek out opinion out-of-state? Question 2: me and all 3 of the dr's agree'd that I am a candidate for chin implant of up to 1 cm.

Lane Smith, MD · Answer

Hello Straxville,It would benefit you to find a surgeon who is both a Board-Certified Plastic Surgeon and a Board-Certified ENT.  These are the unique qualifications that bring many patients to my door.  A chin implant combined with reduction of your columellar show would help you achieve the more balanced look you desire.  In addition you might consider a small graft to your nasion region (the point at which your nose meets your forehead) which would reduce the appearance of your nasal projection in profile view.Best Regards,Lane Smith, MD, FACS

Kenneth Hughes, MD · Answer

I think that the rhinoplasty request is reasonable and a chin implant is reasonable.Find a board certified plastic surgeon who performs hundreds  
of rhinoplasties and rhinoplasty revisions each year.  Then look at the 
 plastic surgeon's website before and after photo galleries to get a   
sense of who can deliver the results. 	Kenneth Hughes, MD Los Angeles, CA

Toby Mayer, MD · Answer

Rhinoplasty for de-projection of the nasal tip and chin implant.  You will need an extension septal graft and possible graphs to both alas in order to lengthen the nose. I would need to examine this to give you a proper answer. See a very experienced revision rhinoplasty surgeon for this type of expertise.

Barry L. Eppley, MD, DMD · Answer

What you are referring to is a de-rotation of the nasal tip. This will require multiple cartilage grafts to drive the tip downward and lower the alar rims. It is not as easy to perform as some rhinoplasties but that does not necessarily make it unduly difficult or unwise to do. You would benefit by a chin augmentation whose amount of forward projection is best determined by your response to various computer imaging options.

William Portuese, MD · Answer

The photo displays over projecting nasal tip and significant columellar show with a high nasolabial angle.  Reducing the nasal spine,  reducing the columellar show(Collumellar-plasty) by trimming back skin and cartilage can help with the  downward rotation of the nose and help with the bottom heavy look and nostril show. The goal would be to de-project and de-rotate the nose. Placing a small chin implant through a sub mental approach will give more projection to the chin and give the illusion that the nose has been de-projected. Chin implants are manufactured in a variety of sizes and shapes, are composed of Silastic and can be inserted under either local or general anesthesia.

Am I a candidate for this type of rhinoplasty ? (Photo)

Answers (8)

Answer: Rhinoplasty and Chin Augmentation

Answer: Rhinoplasty and Chin Augmentation

Answer: Rhinoplasty and chin implant combination candidate

Answer: Rhinoplasty and chin implant combination candidate

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Everything you need to know about Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.

Am I a candidate for this type of rhinoplasty ? (Photo)

Answers (8)

Answer: Rhinoplasty and Chin Augmentation

Answer: Rhinoplasty and Chin Augmentation

Answer: Rhinoplasty and chin implant combination candidate

Answer: Rhinoplasty and chin implant combination candidate

Browse related questions

Recommended reading

Everything you need to know about Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.