Should I have rhinoplasty or genioplasty?

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.

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