Should I have rhinoplasty or genioplasty?

A small chin will make the nose appear larger, so it is common to combine rhinoplasty (nose shaping surgery) with genioplasty (chin enlargement) when nasal surgery is desired and the chin is also small. Computer imaging can be helpful in explaining what, and how much can be accomplished.Whether to combine or do the surgeries separately depends on you. If only one area is bothering you, fix that area. If you are on the fence for one, fix the one that is bothering you, and reevaluate after you have healed. If both areas are bothersome, most plastic surgeons would recommend doing the two procedures together.

The nose and the chin are closely related and are therefore usually addressed at the same time. Failure to address both can lead to abnormal facial proportions and a lack of facial harmony. I commonly perform both rhinoplasty and sliding advancement genioplasty (no implant) on my patients during the same surgery. I prefer using a patient's own bone for their chin augmentation as I do not believe in putting implants in the face.

Hello,Thanks for your question. I don't think you have to worry about having both procedures at the same time. Genioplasty will adjust the shape and position of the vertex of the chin. It can be performed in light of the rhinoplasty and balanced nice. In fact, it makes sense to perform the rhinoplasty surgery first during the operation and then, based on nasal position, perform the genioplasty for balance. Work with your surgeon on this.Good luck,Dr. Shah

In my experience I always perform at the same time in one single surgical episode both: rhinoplasty and osseous genioplasty. If your surgeon does not provide both together then seek and compare other opinions.
Genioplasty does not affect at all to nose shape, only modifies the facial balance.

A genioplasty can be performed on the upper jaw, the lower jaw, or both. If a genioplasty is performed on the upper jaw, it's probably best to perform that first, and then perform the rhinoplasty procedure six months later. Regarding the lower jaw, if the teeth fit well together, then consider a  chin implant to augment the chin forward to help with facial balance and proportions, especially with respect to the nose. For more information and many before-and-after rhinoplasty/chin implant examples, please see the link and the video below

Hi there, you are absolutely correct that facial balance is affected by the chin and the nose. A smaller chin can make a nose look bigger and by augmenting the chin your nose will look smaller even if you did not do any change. I would recommend that you a simulation to evaluate how the change to one affects the other. Genioplasty and rhinoplasty are frequently done together, if you are working with two different surgeons you might want to ask them if they recommend one before the other. Good luck!

These two surgeries are frequently combined. If your plastic surgeon recommended both,  I would do them at the same time. Genioplasty in the right patient helps balance the face and complement the work to be done on the nose.

Rhinoplasty (nose) and genioplasty (chin) are commonly performed to create balance in the face. A small chin can make a normal sized nose look small for your face. I prefer to perform both procedures in one surgery to improve the match and to avoid going to the operating room twice. I like to use 3D computer simulation software to get on the same page as my patients regarding changes that are appropriate for your face for a safe and happy outcome. Safety comes first. 

Nasal
cosmetic surgery and a genioplasty 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 chin implant or a more extensive jaw surgery 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 based 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., FACSLa Jolla, California

Thank you for the question and the two procedures can be done at the same timeDr Corbin