What procedure/s could I benefit from? Rhinoplasty. Buccal fat removal, masseter reduction, or cheekbone augmentation? (photos)

Question

Hi! I am 24 and have been wanting a rhinoplasty for a long time. I am mainly concerned with the boxy tip, but would also prefer my nose to be a bit smaller. I also have concerns about my profile. I would like my cheekbones to stand out more. I feel like my face is a bit flat and droopy when I'm not smiling and it looks chunky (bmi of 18%) when I do smile. What procedure/s could I benefit from? And what to look for in a surgeon? Thanks in advance!

Jonathan Kulbersh, MD · Answer

Thank you for your question and photos. Based on your images, I'm not sure I would recommend rhinoplasty for you. Your nose has a nice shape and balances your other facial features. Rhinoplasty is a complex procedure that could actually create more problems than gains for you. If your cheeks are a concern, a bit of well-placed dermal filler might be a good choice. But in your case, less is definitely more. You can schedule a consultation with an experienced, board-certified facial plastic surgeon, but make sure it is a reputable doctor that will not try to talk you into procedures you don't really need.

Ronald J. Edelson, MD · Answer

You don’t need any of those procedures not even the rhinoplasty. Your face looks fine. Unfortunately you sound like someone whom an unethical plastic surgeon would take advantage of you for a huge payday while doing procedures that are not indicated. Your face is perfect the way it is. Please don’t make a mistake and get it operated on.

Jeffrey C. Hamm, MD - Account Suspended · Answer

Hi and welcome to our forum!
From your photos, the nose appears relatively midline, the nasal tip is broad and amorphous, and the nasal bridge is straight, slightly high and broad. Your nasolabial angle appears satisfactory. Your cheeks appear fine. 
You appear to represent an excellent candidate for a closed rhinoplasty with lowering the bridge to create a feminine curve and partial resection of upper and lower lateral cartilages to improve tip definition. 
If desired, you may consider cheek augmentation. I would first try an injectable such as hyaluronic acid filler to see if you are satisfied with the result. If so, the procedure can be repeated at 6 month intervals, or, the result can be made permanent with small cheek implants.
Buccal fat removal will narrow your lower cheeks, and will thin your lower face. Masseter reduction is reserved for individuals with a "thick" lower face. You do not have this problem.
Seek a consultation with a board certified plastic surgeon for in-person evaluation and discussion.
Best wishes...

What procedure/s could I benefit from? Rhinoplasty. Buccal fat removal, masseter reduction, or cheekbone augmentation? (photos)

Answers (3)

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Everything you need to know about Rhinoplasty

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What procedure/s could I benefit from? Rhinoplasty. Buccal fat removal, masseter reduction, or cheekbone augmentation? (photos)

Answers (3)

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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.