Should I get a chin implant with my nose job? (Photo)

Thank you for providing photos. It is understandable to have some concerns, and if you are unsure of whether you would like a more permanent solution, there are other options. I would recommend getting filler to the chin to see if it gives you the results you desire. If you like the look of the added filler, you can then transition to a more permanent option, such as the implant. You did also mention that your nose droops when you smile. There is a muscle that needs to be clipped in order to reduce the appearance of the nose drooping. I do perform this procedure, but there are few surgeons who do. I would recommend seeing a board certified plastic surgeon that specializes in facial procedures to assess your case and provide you with a treatment plan that is right for you.

Your nose's tip is not bulbous at all, that is not an accurate diagnosis; nevertheless if you deem it is too thick and you wish a more defined tip le me recommend the services of a surgeon expert in tip works able to carry out the suitable plasties and/or grafting for the goal you expect.Your nose has a high bridge but without a bump, beware! this kind of noses are tricky and an unexperienced or poorly skilled surgeon may attempt to "shave down a non existant bump", which would lead to a catastrophe with sunken dorsum and a saddle-nose deformity. There exists a very specific technique to lower a high bridge without shaving a bump, leaving it as straight as it is now but at a shorter distance from the maxilla, it is not an easy task and few surgeons feel comfortable with it, do research well reputations.If you don't mind I'd like to finish suggesting you a superb method of
chin work: the sliding genioplasty, which would fit to your face like a
glove.Your
chin may need anterior advancement and for this I recommend sliding genioplasty. Do NOT accept any fillers or implants, at all.Being an option, chin implants have serious disadvantages, specially in
the mid and long term, patients are rarely happy with them after 5-6
years, all are out by then or later.Consider the chin advancement by means of sliding genioplasty, the advantages are:-lifetime procedure, no more revision or renewal procedures-more natural than implants-no visibility of implant edges during gestures-improves
the double chin effect at the sub-mental muscles (floor of mouth)
hammock caused by lack of tension there; also improves the shape and
tension of perioral muscles; implants do no offer this feature-horse-shoe enhancement, covering the chin and also the jaw sides of it-no future displacements or neuritis of mental nerves-practically zero infections and 100% healing of bones-no
need for complex plates and screws that may need future removal; just
steel wires synthesis may suffice, they stay buried into bone callusThe cons are:-expensive, but cheap if you consider the lifetime pros-technically
demanding, few surgeons are experienced or comfortable (though I
personally perform 100% of the chin augmentations by this osseous
method, always after offering the patients both options)-scary for the patient (though not so much if you explain well the stuff around it)You'll
find in this website dozens of negative experiences with chin implants
in the short and mid term, do read my profile's Q&A and you'll find
them too. I am doing sliding genioplaties for 15 years with the highest
success and no one patient regreted, totall the opposite, I did many
chin implant removals and one staged sliding genioplasties to replace
them.

The photos provided do not show a lateral view, which is the best way to determine if a chin implant should be considered.  If this has been suggested to you in consultation, I suspect that your Surgeon felt it may be indicated.  Although chin implants are commonly performed at the same time as a Rhinoplasty, some patients are comfortable with the concept and other are not.    After seeing multiple before and afters, you will be the one to determine if the combination is right for you.  If you decide against an implant, it is a procedure that can easily be performed at a later date.

It does appear your profile may benefit from a small or medium size chin implant to balance the profile aesthetics. The time to perform the chin implant is in conjunction with your nasal surgery so you just have "one recovery".  Silicone implants have low infection rate and I think the aesthetic benefit outweighs the risk.

Subtle chin enhancements can have substantial benefit to rhinoplasty.  However your photos do not provide needed information.  Physical evaluation of face at time of consultation is more meaningful than just photos.  Let your surgeon be the guide and not the internet.   

 The photographs demonstrate  and overly- projecting nose with a dorsal hump, and a weak chin profile. A side profile photograph  would also be helpful. A rhinoplasty procedure can accomplish lifting and reducing the size of the nasal tip,shaving down a dorsal hump and refining the bridge line.  It's important to release the depressor septi ligament which pulls the tip down when smiling. A small chin implant  can be placed through  a small incision underneath the chin which will give the added projection to the chin to help with facial balance and proportions, especially with respect to the nose. For many examples and more information about this combination, please see link and the video below to our rhinoplasty/chin implant  photo gallery

The best way to answer whether any form of chin augmentation is beneficial with a rhinoplasty is to have some computer imaging done. See what the predicted nose looks like with and without the chin augmentation. But with your apprehension about the implant concept that is probably an indicator that you should pass on the idea and just go with the rhinoplasty.

  Hi, I have performed many Rhinoplasty Surgeries and Chin Augmentations, using chin implants, for over 30 years.  from the photos, your nose has a high dorsal with an under rotated nasal tip (makes the nose appear long) and a weak chin.  Rhinoplasty can refine and slightly rotate upward the nasal tip but will not affect or improve the facial imbalance caused by the weak chin as described below.  During Rhinoplasty consultation, I always evaluate the chin projection for this very reason.  A weak chin creates an imbalance making the nose appear larger, the mid face top heavy and the lower face look short that de-emphasizes the lips and allows early formation of a double chin.  Chin augmentation using a chin implant will add projection to the chin creating harmony and balance to the lower face.   I have found that placement of a silastic chin implant, through a small curved incision under the chin (also allows excess skin removal) to be very safe, quick and highly effective.  I perform chin implant surgery in 30 minutes or less, often using a local anesthetic alone.  In my opinion, your are a good candidate for chin implant surgery combined with a closed Rhinoplasty.Hope this helps.