What can I do to achieve facial balance? (Photo)

Question

Hello, I'm concerned about my side profile. I'm aware that my over-jet adds to the imbalance & I'm in the process of fixing it with braces. What else can I do to achieve facial balance? I was thinking of a rhinoplasty, chin filler, or chin implant. Thanks. Update: new photos added

Farhad Rafizadeh, MD · Answer

A chin implant is going to help tremendously, so this is where I would start. A rhinoplasty to reduce the slight hump and refine the tip would be your next move.

Zoran Potparic, MD · Answer

Only on the basis of in person evaluation, a board certified plastic surgeon, expert in rhinoplasty,  can give you more meaningful answer. You seem to be excellent candidate for rhinoplasty; decision about chin augmentation should be made based on in person consultation. Good luck.

David M. Kowalczyk, MD, MBA, FACS · Answer

Good Morning! The photos you've provided are very helpful. A rhinoplasty to refine and decrease the size of your nose may be a good option. The overall changes needed would likely be subtle as your nose has a nice form already. A chin implant or filler can work well. You want to make sure you don't overproject you chin as that may seem artificial. Filler would be a good starting point in the chin to ensure that you like the result. If you place an implant and hate it, you need it removed. Hope this is helpful!

Renata Khelemsky, MD · Answer

Hi there, and thanks for submitting your question to RealSelf! Your profile has many attractive features and while you have concerns, from a surgical standpoint, minor changes may be suitable to help you achieve your wishes. As you undergoing orthodontic therapy to help your bite, it would be best to hold on on any surgical changes until this is completed, as your surgeon will wish to plan something permanent against a moving target. I find that the upper lip position can and does change after orthodontic therapy is completed, and for this reason, I prefer to wait until patients are wearing a retainer to plan chin/nasal surgery. 
In the meantime, patients can "test drive" the appearance of a stronger chin/jawline with filler, which can also help to "balance" the profile. You may indeed benefit from this nonsurgical approach in the meantime. As well, a rhinoplasty surgery can also help to balance how your chin appears, but subtly changing the position of the nasal tip. A 2D simulation with your surgeon can show you how making the nasal tip slightly de-projected can change your profile. These are highly visual subtleties, and I find that computer simulation is an excellent starting point for discussions with my patients.
I hope this helps you find an experienced rhinoplasty surgeon! Best of luck!

Robert Ciardullo, MD · Answer

Would you be a good candidate for rhinoplasty, Chin filler or chin implant? By textbook standards your nose is slightly over projecting with a tiny dorsal hump. Your chin is minimally weak. A very limited rhinoplasty with long lasting filler is an option. A small chin implant is also an option. Of note your nose is somewhat short and in front view you show quite a bit of nostril‘s, so any rhinoplasty should address only the projection and certainly not shorten the nose or rotate the tip.

Barry M. Weintraub, MD, FACS · Answer

Thank you for your question and photos! You have a lovely face based on the photos, but I do agree with you that you could benefit from a chin augmentation and rhinoplasty. The tip of your nose appears bulbous in the photos and a rhinoplasty would help to file down the bump in the center of the nose and reshape the tip cartilage into a more delicate, feminine nose. Your chin is slightly underprojected compared to the rest of your facial features and you could consider an augmentation with either filler or a small silicone implant. The filler option is not permanent but you could try it first to see if you like it and then proceeded with the surgical implant for a more permanent result. I recommend you consult in person with an experienced board certified plastic surgeon to go over your goals and see if these procedures are right for you.

Robert Singer, MD · Answer

Nasal cosmetic surgery and a chin implant are frequently performed together in the appropriate patient. The ideal aesthetic result should be individualized to achieve harmony with your other facial features and improve the areas that concern you. Whether a long lasting chin implant or a more temporary filler would be optimal depends on multiple factors including your desired outcome and personal anatomy.

Keep in mind that following advice from a surgeon on this or any other website who proposes to tell you what to do without examining you, physically feeling your tissue, assessing your desired outcome, taking a full medical history and discussing the pros and cons of the operative procedure would not be in your best interest. Natural appearing results need to be individualized and what is appropriate for one patient is not necessarily the best for someone else. I would suggest that you find a surgeon with extensive rhinoplasty experience certified by the American Board of Plastic Surgery and one who is ideally a member of The American Society for Aesthetic Plastic Surgery (ASAPS) or a facial plastic surgeon (otolaryngologist) that you trust and are comfortable with. You should discuss your concerns with that surgeon in person. The extent and length of the procedure, cost, and the specific operative steps to achieve an ideal cosmetic result vary from patient to patient and would depend on the findings at your consultation examination.

Robert Singer, M.D., FACS

La Jolla, California

William Portuese, MD · Answer

A full set of facial photographs from all angles would be helpful to get a better understanding of what's going on with both your chin and your nose. From the one limited side profile photograph, your nose looks just fine, so consider placement of a chin implant to augment your chin forward for better facial balance and proportions. In our practice, Chin implants can be performed under local anesthesia as an outpatient procedure which takes approximately 30 minutes. We insert the implant through a small incision underneath the chin.

Williams Bukret, MD · Answer

I do agree with you, a rhinoplasty and chin augmentation with an implant will definitely improve the balance on your face. If you are not sure about a chin implant, you can start with a filler to have a temporary result. 
Additionally, frontal view pictures are important to rule out septal deviation, and analyze symmetry and will allow you to obtain further recommendations. 
Regards, :)

Darryl J. Blinski, MD · Answer

Only 1 posted photo? I agree with full rhinoplasty w chin implant or long lasting chin fillers. Best to seek in person or virtual consults with.... Fees in the $10,000 ranges btw.

What can I do to achieve facial balance? (Photo)

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