Would I benefit more from jaw surgery, or rhinoplasty and chin augmentation? (Photos)

Question

I am a male in my early 20s who is considering surgery. I have always been uncomfortable with my face and self-conscious of my weak profile and facial asymmetry. I did research and found out I am a mouth breather with recessed facial growth. I consulted with various specialists, and the general consensus is that I have facial asymmetry and breathing issues. I am still unsure what is the ideal route for me. Should I opt for jaw surgery, rhinoplasty, genioplasty, or some combination of these?

Timothy Osborn, MD · Answer

Like most things in life, it depends on how far you want to/can go...if you look at your upper lip relative to your nose, you have an obtuse nasolabial angle, meaning the angle from your upper lip to your nose is about 110 degrees. That suggests that your upper jaw needs to come forward just a bit. And looking at your jawline, your mandibular angle is relatively steep. Double jaw surgery would allow your entire facial complex to be rotated counterclockwise (as you look from the profile of your right side). This would improve your breathing if some of your breathing problems are coming from your jaws. By doing the rhinoplasty in addition (either same time or staged), your nose would balance with the new position of your jaws. My goal with your nose no matter when/the overall procedures you choose would be to reduce the bump, improve support, refine the tip (bulbous). If you don't want to go through jaw surgery, genioplasty/rhinoplasty would get you roughly the same outcome, but your chances of losing tip support are a little bit higher without doing jaw surgery. If you consider the recovery of rhino/genio and DJS/rhino/genio, they are honestly not that far apart. Main question for you is where the breathing issues come from, and does the shape/relationship of your upper lip bother you at all.

William Portuese, MD · Answer

If you're having difficulty breathing you may have a deviated septum which Will need to be determined at the time of the examination. A closed rhinoplasty approach can accomplish shaving down dorsal hump, decreasing the overall projection of the nose, refining the nasal tip, narrowing the bridge line. All incisions are placed on the inside of the nose. A chin implant can be inserted through a submental approach to give projection to your mandible since it's rather weak. Both procedures can be performed under one anesthesia with one recovery.

Would I benefit more from jaw surgery, or rhinoplasty and chin augmentation? (Photos)

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Would I benefit more from jaw surgery, or rhinoplasty and chin augmentation? (Photos)

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