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

Question

I am getting my nose done because I have a bulbous tip and it droops when I smile. Should I add a chin implant also or is it prominent enough? I'm also nervous having a silicone piece in my face in case it moved or got infected!

Peter Chang, MD · Answer

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.

Alejandro Nogueira, MD · Answer

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.

Stephen Prendiville, MD · Answer

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.

Johnny Mao, MD, FACS · Answer

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.

Vasdev Rai, MD · Answer

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.

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

Answers (8)

Answer: Chin implant with rhinoplasty

Answer: Chin implant with rhinoplasty

Answer: Submitted phographs are insufficient to make that determination

Answer: Submitted phographs are insufficient to make that determination

Recommended reading

Everything you need to know about Chin Implant

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

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

Answers (8)

Answer: Chin implant with rhinoplasty

Answer: Chin implant with rhinoplasty

Answer: Submitted phographs are insufficient to make that determination

Answer: Submitted phographs are insufficient to make that determination

Browse related questions

Recommended reading

Everything you need to know about Chin Implant

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