Candidate for rhinoplasty to shorten vertical height of nose, upper lip lift, and forehead reduction? (photo)

I have vast and solid experience in the mentioned procedures; find my therapeutic indication below:I do not recommend a forehead reduction on you, it is a very scarry procedure to be applied under justified conditions and chosen cases (transgender or postraumatic), not in a young woman like you.About your nose, my advice is no-touch, it is a nice nose; furthermore, you are suffering a dangerous misjudgement about your nose: you wish to shorten your nose, when actually the diagnosis of your nose is of a "short nose", that is why the tip is slightly upturned, yours is already a short nose (nose is short when radix-tip length is short, long when there is a wide such radix-tip distance; tip is long or short considering the philtrum-tip distance) and shortening it further is a total catastrohe. If any change is suitable for your nose would be a tip-only rhinoplasty, to make it a bit smaller, better defined and eventually with a Sheen's tip graft to make it sexy and feminine. If the bone is to be touched I'd narrow the bridge in the frontal view. Otherwise your nose is a nice one and you might well consider leaving it as it is; nevertheless rhinoplasty would not be strictly said a "mistake" in your face; anyhow yours is a very tricky and subtle rhinoplasty, since your frame has no ugly deformity at present time, thus requiring total mastery and refinement from surgeon's side.Shortening the philtrum is not very wise in your face, yours is not an abnormally long philtrum; can it be shorter? yes it might, but it is not a real and clear problem or deformity in your case, and considering its visible and lifetime scars and the irreversibility of the procedure... you'd rather leave it for a later stage, if ever needed or wished in the future.About your chin, you are NOT a case for a chin implant; in general chin implants are very problematic (dislocation, artificialnes, dynamic deformities, short lifetime, early removal due to pain or disturbances, bone imprint and cortex thinning, infections, etc) and the osseous genioplasties (sliding, augmentation with grafting or reduction) are way superior and unparalleled in safety, naturalness, beauty and versatility.Your chin is three-dimensionally small (microgenia), this means you need vertical increas, horizontal widening and anterior advancement, thus making you a case for the three-dimensional augmentation genioplasty, with bone grafting supply (donors elbow / hip) and a very well planned preop antropometry of the craniofacial relations, and needless to say with good aesthetic judgement.Actually, I'd say with the 3D genioplasty augmentation as standalone procedure you'd begin to love the reast of your, otherwise beautiful, face.Do seek the advice of a good facial surgeon with experience in osseous augmentation genioplasties. Beware: a simple sliding genioplasty would not work for you, you'd get a sharp "witche's chin", you must also widen it moderately (avoiding masculinization, just to round its contour) and increase vertically (to balance it with the rest of your face). In good hands the results are simply awesome.Feel free to request any additional information.

Thank you very much for sharing your concerns with us.
The harmony between facial parts makes us instinctively recognize the beauty... without knowing it, without defining it, just a perception that surprises and captivates us.
In this regard, I suggest perform a Closed Rhinoplasty (without visible scars) to treat the tip, base and nasal bridge. With this procedure you get a delicate nose, better harmonize with your other facial features.
Respectfully, Dr. Emmanuel Mallol Cotes.-

Before you do any of those procedures you should have computer imaging performed to see how you would like the possible combination of procedures. With the anterior hairline lowered the forehead height will be diminished and the nose may not look too long. You would have decide if you prefer hairgrafting or scalp advancement surgery to accomplish this. Your current nose upper lip angle is about 95degress. Shortening the nose will increase the angle but if you decide to do so it should be very conservative with only a few degree increase in the angle to avoid a snout look with highly visible nostrils. The upper lip lift you describe can leave unsightly scars if performed at the lip margin and be insufficient in horizontal length if placed directly under the nose. Your vertical lower facial height is less than the mid and upper facial heights and can be more balanced with a chin implant but you should make that decision after seeing computer imaging of the possible differences with and without various implant sizes.I hope you realize that this format of posting questions and receiving answers lacks the face to face direct communication required for you to make an informed decision regarding your surgery.
My response to your question/post does not represent formal medical advice or constitute a doctor patient relationship. You need to consult with i.e. personally see a board certified plastic surgeon in order to receive a formal evaluation and develop a doctor patient relationship in order to know if this assessment is valid.

Proportion and harmony between the different sections of our faces is a major determinant of beauty. I do believe you are absolutely correct in your assessment that your forehead is high and takes up a bit too much of the "real estate" of your face, and a scalp advancement to shorten your forehead would be very beneficial. The incision would have to be meticulously planned and executed to minimize the scar, as your hair seems to flow away from the forehead, but this maneuver would indeed go a long way towards enhancing the balance between the upper 1/3 of your face and the mid face/lower face. In terms of your nose, I believe that your nose is actually of an appropriate length. What is making it seem a bit long in your view is that your chin (the lower 1/3 of your face) is actually where much of the problem lies. It is short on frontal view, and regressed on profile view. In other words, I believe that you would benefit greatly from a chin augmentation, with either implants or through a genioplasty, and this procedure would go a long ways to achieving the proportionality between the different parts of your face that you desire. An interesting exercise for you to do is to break up your face into thirds - this is a concept in art known as the "rule of thirds" wherein the face is horizontally divided into thirds.  Use horizontal lines to divide your face into segments beginning with the area between the hairline to the eyebrows (upper 1/3), from the brow to the base of the nose (the middle 1/3), and from the base of the nose to the chin (the lower one-third). In most aesthetically idealized faces these areas are approximately even. If you do this you will see that the main outlier is the lower third of your face, and this is why a chin modification may be so useful for you. The use of computer imaging and morphing software is very useful when planning chin and nose surgery, and I use this routinely as a means of communicating and demonstrating the desired outcome of surgical interventions for these 2 structures. Best of luck!

Creating a more feminine and balanced face in the young female? These procedures --An Irregular Trichophytjc Hairline Lowering with slight brow lift, Chin Implant with or without the nose will give you what you are looking for. We developed the Hairline lowering 35 years ago and I have done several thousand without a visible scar. Your nose is short and should NOT be shortened any more. You can look at my website and those of others familiar with this technique.

It's important not to  shorten the nose since you'll be looking up your nostrils and it will be very piggish. We also do not recommend upper lip lifts. Consider a chin implant for the weak and recessive chin profile. For more information  and many examples of chin implants, please see the link and the video below

Forehead reaction by hairline advancement is the one procedure that would absolutely be of benefit. While your nasal tip can be made more narrow, your nose does not need to be shortened nor would it make your midface look less long. Shortening your upper lip may help but be aware that the sides of the upper lip will not change and they will need to be increased by vermilion advancements to keep your upper lip vermilion show looking balanced. The other procedure to consider is chin augmentation bringing the chin forward and up, this will also help with making your face more proportionate. All of these proposed facial changes need to be looked at by computer imaging first so you can determnine how helpful they may or may not be in achieving your aesthetic goals.

You have some imbalances in your facial dimensions.Your proposed plan is really not feasible in your case in that it would not result in an overall improvement.I would begin by recommending a genioplasty or chin augmentation with an implant.