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

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

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.