My original plan for 2022 was to get only a chin implant and submental lipo - however, recently, I'm intrigued by the possibility of improving my nose as well. I want to avoid surgical rhinoplasty if possible and am curious if I may be a candidate for nonsurgical nose job, or if my dorsal hump is too big? I'm including a photo - the left image is my current side profile, the right photo is a rough mock-up of what I'd like to achieve via chin implant, submental lipo & nonsurgical rhinoplasty.
Answer: I would recommend rhinoplasty surgery Hello and thank you for your question. Honestly, surgery is the best option to address your dorsal hump and refine the size and shape of the nose, as in your situation. Filler can help partially mask the hump, but would not fully achieve your goals, particularly because you have a high radix. Also, filler would only be temporary in nature. The shape of your nose is due to the underlying anatomy present- a combination of your nasal bones and cartilage makes up the structural framework of your nose, including the support for the dorsum and the tip. Addressing the shape of the nose (especially the nasal dorsum and nasal tip) is actually one of the most common reasons people seek out and undergo a rhinoplasty procedure. This would provide optimal results to achieve your goals, especially if you are already considering other surgery, as this could all be performed at the same time. In addition to addressing your aesthetic nose concerns, your septal cartilage (or an off-the-shelf alternative) would be harvested (removed) and turned into multiple cartilage grafts, which would then be secured into different areas of your nose for structural support, including in the columella (middle bottom portion of your nose between your nostrils) to really reinforce the tip and prevent long term alterations/distortions to nose shape. The open approach is very effective in facilitating complex, precise maneuvers to refine the nasal shape and size to a particular aesthetic and look. Rhinoplasty is arguably the most difficult procedure to perform in all of plastic surgery. I would only recommend going to see a surgeon who feels very comfortable with both primary and revision rhinoplasty procedures, and who has significant training and experience in these types of surgeries. This is a surgery of millimeters, so if the surgeon you're going to only does 1-2 per month, you are not going to get the best result possible. Of course it is always difficult to provide tentative surgical recommendations, as there is only so much information to be gained from the photos and description provided. Dr. Donald Groves, our expert facial plastic surgeon, has extensive training and experience with complex rhinoplasty surgeries, so I’d recommend for you to come see him (or another plastic surgeon who is extremely comfortable with rhinoplasties) for a formal consultation to thoroughly discuss your surgical goals, undergo a formal examination, evaluate all your options (surgical and nonsurgical), and decide on the best procedure(s) and type of anesthesia for your specific case. I hope this helps! Dr. Emer
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Answer: I would recommend rhinoplasty surgery Hello and thank you for your question. Honestly, surgery is the best option to address your dorsal hump and refine the size and shape of the nose, as in your situation. Filler can help partially mask the hump, but would not fully achieve your goals, particularly because you have a high radix. Also, filler would only be temporary in nature. The shape of your nose is due to the underlying anatomy present- a combination of your nasal bones and cartilage makes up the structural framework of your nose, including the support for the dorsum and the tip. Addressing the shape of the nose (especially the nasal dorsum and nasal tip) is actually one of the most common reasons people seek out and undergo a rhinoplasty procedure. This would provide optimal results to achieve your goals, especially if you are already considering other surgery, as this could all be performed at the same time. In addition to addressing your aesthetic nose concerns, your septal cartilage (or an off-the-shelf alternative) would be harvested (removed) and turned into multiple cartilage grafts, which would then be secured into different areas of your nose for structural support, including in the columella (middle bottom portion of your nose between your nostrils) to really reinforce the tip and prevent long term alterations/distortions to nose shape. The open approach is very effective in facilitating complex, precise maneuvers to refine the nasal shape and size to a particular aesthetic and look. Rhinoplasty is arguably the most difficult procedure to perform in all of plastic surgery. I would only recommend going to see a surgeon who feels very comfortable with both primary and revision rhinoplasty procedures, and who has significant training and experience in these types of surgeries. This is a surgery of millimeters, so if the surgeon you're going to only does 1-2 per month, you are not going to get the best result possible. Of course it is always difficult to provide tentative surgical recommendations, as there is only so much information to be gained from the photos and description provided. Dr. Donald Groves, our expert facial plastic surgeon, has extensive training and experience with complex rhinoplasty surgeries, so I’d recommend for you to come see him (or another plastic surgeon who is extremely comfortable with rhinoplasties) for a formal consultation to thoroughly discuss your surgical goals, undergo a formal examination, evaluate all your options (surgical and nonsurgical), and decide on the best procedure(s) and type of anesthesia for your specific case. I hope this helps! Dr. Emer
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May 10, 2024
Answer: Consider starting with the chin implant and neck liposuction. Based on your photo, you appear to be a suitable candidate for Chin implant surgery and neck liposuction surgery. I suspected after that procedure is performed, your nose will be less distracting. At that point, you could consider a non-surgical nose job to camouflage your small dorsal hump. I hope this is helpful! Sincerely, Dr. Joseph
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May 10, 2024
Answer: Consider starting with the chin implant and neck liposuction. Based on your photo, you appear to be a suitable candidate for Chin implant surgery and neck liposuction surgery. I suspected after that procedure is performed, your nose will be less distracting. At that point, you could consider a non-surgical nose job to camouflage your small dorsal hump. I hope this is helpful! Sincerely, Dr. Joseph
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January 12, 2022
Answer: Nonsurgical rhinoplasty Nonsurgical rhinoplasty would be able to create a straighter profile and frontal view for your nose. The limitation with nonsurgical rhinoplasty is that it can only add volume, but can not take any away. By slightly raising the bridge of your nose above the hump it will camouflage the hump. A rhinoplasty specialist will be able to comprehensively address the issues you have with your nose. While there are a variety of approaches and techniques employed by various surgeons, it is up to you to do your due diligence to find a rhinoplasty specialist in order to achieve the best results possible. Good luck! @drdonyoo
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January 12, 2022
Answer: Nonsurgical rhinoplasty Nonsurgical rhinoplasty would be able to create a straighter profile and frontal view for your nose. The limitation with nonsurgical rhinoplasty is that it can only add volume, but can not take any away. By slightly raising the bridge of your nose above the hump it will camouflage the hump. A rhinoplasty specialist will be able to comprehensively address the issues you have with your nose. While there are a variety of approaches and techniques employed by various surgeons, it is up to you to do your due diligence to find a rhinoplasty specialist in order to achieve the best results possible. Good luck! @drdonyoo
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January 14, 2022
Answer: Nonsurgical rhinoplasty Nonsurgical or so-called "liquid" rhinoplasty involves the use of dermal fillers to reshape the nose, and one of the most common treatment goals of this treatment is to camouflage a dorsal/ bridge hump. Dermal filler is placed above and sometimes below the bump in order to create the appearance of a straighter bridge. The photo you have shared shows a nose that would likely do well with a nonsurgical rhinoplasty in achieving this aim. Because the nose is a higher risk area to treat with filler, you'd be well served by seeing an expert injector who has a lot of experience with nose filler and is comfortable managing the complications of this treatment. Best of luck!
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January 14, 2022
Answer: Nonsurgical rhinoplasty Nonsurgical or so-called "liquid" rhinoplasty involves the use of dermal fillers to reshape the nose, and one of the most common treatment goals of this treatment is to camouflage a dorsal/ bridge hump. Dermal filler is placed above and sometimes below the bump in order to create the appearance of a straighter bridge. The photo you have shared shows a nose that would likely do well with a nonsurgical rhinoplasty in achieving this aim. Because the nose is a higher risk area to treat with filler, you'd be well served by seeing an expert injector who has a lot of experience with nose filler and is comfortable managing the complications of this treatment. Best of luck!
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January 11, 2022
Answer: Am I a candidate for an nonsurgical nose job? In our practice, we do not recommend non-surgical nose jobs because are only temporary, are not FDA approved for that application, and can have significant complications such as skin necrosis. Consider performing closed rhinoplasty to shave down the dorsal hump, reduce the overall projection of the nose refine the bridge line and nasal tip with all the incisions placed on the inside of the nose. Placement of a chin implant can augment the chin forward for better facial balancing portions, especially from the side profile with respect to the overly projected nose.
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January 11, 2022
Answer: Am I a candidate for an nonsurgical nose job? In our practice, we do not recommend non-surgical nose jobs because are only temporary, are not FDA approved for that application, and can have significant complications such as skin necrosis. Consider performing closed rhinoplasty to shave down the dorsal hump, reduce the overall projection of the nose refine the bridge line and nasal tip with all the incisions placed on the inside of the nose. Placement of a chin implant can augment the chin forward for better facial balancing portions, especially from the side profile with respect to the overly projected nose.
Helpful