Genioplasty or rhinoplasty for nose that I feel overpowers my face? (Photos)

Question

I don’t like how big my nose is and feel it is overpowering my face and makes me look a bit awkward, especially when I smile w/o my teeth showing. I’ve had one doctor say I should fix my nose, one say it’s too cute to mess with so I should fix my chin with a genioplasty so I can add some vertical length to balance my face more and then my nose would be more balanced (as well as fix my slightly weak chin). I am unsure of which would be the best option and would appreciate opinions, thank you

Lucian Ion, FRCS · Answer

Thank you for your question and sharing your photographs.

In essence, you have to accept that surgeons have their own aesthetic version which may not necessarily match with yours.

When you have doubts regarding the best course of action for you, Computer simulations either with normal photographs or in 3-D can help you design the changes and determine more accurately what do you feel suits your face and your aesthetic vision. It is better to avoid using selfies or mobile phone images for the simulations because they produce significant distortion of the facial features and will make it difficult design changes with reasonable accuracy.

The next step is to decide

Eric M. Joseph, MD · Answer

It is not feasible to evaluate your candidacy for either rhinoplasty or chin surgery with only frontal photos. Consider re-asking your question with profile and oblique photos - the relationship between your chin and nose on profile is very important for evaluating your concerns. Hope this helps you. Dr Joseph

Robert Ciardullo, MD · Answer

Nose surgery or chin surgery? In profile the nose and chin are seen in relation to each other. a large nose will often make a weak chin look even weaker or vice versa a week chin will make alarge nose look even larger. A common procedure in patients with a large nose and small chin is to do a Rhinoplasty and chin augmentation at the same time. In people with borderline weak chins reduction of an over projecting nose will make the chin appear a little stronger relative to the reduced size nose. You do not show any profiles which are the most important view to address this question to you directly. If you would like a more specific answer to your own situation please show some profile views with and without a smile .

William Portuese, MD · Answer

A full set of facial photographs from all angles are going to be required make a determination about two different surgical procedures. The chin and the nose are three-dimensional structures.

Barry L. Eppley, MD, DMD · Answer

With a vertically short chin you are correct in that vertical chin lengthening would help considerably with  improving your facial balance. It is impossible to tell from front view pictures whether your chin is horizontally short as well. The best way to determine how vertical chin lengthening would change your appearance is with computer imaging from both the front and side view pictures.

Genioplasty or rhinoplasty for nose that I feel overpowers my face? (Photos)

Answers (7)

Answer: Rhinoplasty and chin implant

Answer: Rhinoplasty and chin implant

Answer: Vertical Chin Lengthening

Answer: Vertical Chin Lengthening

Recommended reading

Everything you need to know about Rhinoplasty

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

Genioplasty or rhinoplasty for nose that I feel overpowers my face? (Photos)

Answers (7)

Answer: Rhinoplasty and chin implant

Answer: Rhinoplasty and chin implant

Answer: Vertical Chin Lengthening

Answer: Vertical Chin Lengthening

Browse related questions

Recommended reading

Everything you need to know about Rhinoplasty

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