Facial balancing vs. rhinoplasty? (Photo)

Hello and thank you for your question and the pictures. You actually have a difficult problem. To properly address your nose and improve your facial balance, you would need a rhinoplasty with nasal tip deprojection to improve the overall harmony of your different facial features.

This truly a surgery of millimeters- and tip deprojection is one of the most technically challenging surgical techniques! Because your nose is the DEFINING feature of your face- I would only recommend seeing a surgeon who specializes in rhinoplasty procedures, and who has significant training and experience performing these surgeries. I actually trained under one of the world leading rhinoplasty experts (who performs 1,000+ nosejobs annually).

I recommend for you to setup a formal consultation with me (or another plastic surgeon who is extremely comfortable with rhinoplasties) to thoroughly discuss your surgical goals, undergo a formal examination, evaluate your options, and develop a personalized plan just for you. At the same time, I would also perform a full facial analysis to see if you would benefit from any other procedures (e.g. chin filler vs implant). I hope this helps!

Dr. Donald Groves
Aesthetic Plastic Surgeon

Nose and chin balance definitely affects overall facial balance from both frontal and (especially) profile view. You would benefit from some augmentation of your chin, which would in turn help balance the relative proportions of your nose. The home run result, of course, would be both rhinoplasty and implant-based chin augmentation, however you would likely see benefit from filler to the chin alone as well. There is no harm in starting with that to see if it's a satisfactory change.
Dr. Justin Bellamy, MD

I would recommend a rhinoplasty and potentially a chin implant or osseous genioplasty (bony chin advancement). I am not a fan of injecting fillers throughout the face as we have MRI studies showing that the filler truly never goes away (it only loses its effect of pulling in large volumes of water). I would recommend seeing an American Board of Plastic Surgery certified plastic surgeon. Ideally, this surgeon would have completed a 6 year integrated plastic surgery residency program and a 1 year aesthetic fellowship accredited by The Aesthetic Society.

Hi from Istanbul, thanks for this question. It looks like chin augmentation, either through an implant or injections with filler or fat, could help balance your overall look. Refining the slightly broad tip of your nose, without elongating it, and some degree of deprojection could also contribute positively. Additionally, shaving the hump just a bit and millimetrically raising the nasal root might enhance your profile significantly. Hope this helps!

Based on your photos, your chin is a bit behind the bridge of the nose, so it looks short. While filler can be done to help some, and chin implant will give a permanent improvement of that area. The procedure can be done while you are awake and looks very natural. Be sure to see a facial specialist for consultation.