I really dislike my side profile. Would a Rhinoplasty and chin implant help? (Photo)

You appear to have a large anterior nasal spine. That is a piece of bone between the bottom of somebody's nose and upper lip. I believe it may be causing a "tension lip deformity." You did a good job with your profile nasal imaging, except I think you would not gain as much nasal tip projection as imaged. I think a chin implant is a good idea as well. Experienced rhinoplasty specialists are familiar with placing silicone chin implants for a more balanced facial profile appearance. I hope this helps! Sincerely, Dr. Joseph

You would benefit from a rhinoplasty and chin implant. The rhinoplasty can increase the tip projection and decrease the amount of columella show. The chin implant will increase your anterior projection.

Best Wishes,

Gary Horndeski, M.D.

Based on your photos, you are a great candidate for rhinoplasty with chin implant at the same time. Your imaged results are not unreasonable. The bridge can come down some and the tip better defined and projected. A medium chin implant should give you the projection you need. Be sure to see a rhinoplasty expert for consultation.

Hello and thank you for your question. Based on your photographs, you may benefit from a rhinoplasty with a chin implant performed at the same time. With good surgical technique, you could have an outstanding result. I highly recommend that my patients focus much more on real longterm before and after photographs rather than 3D imaging.   I encounter so many patients in my practice who see me for revision rhinoplasty who previously had surgery elsewhere who feel like they were mislead into surgery by surgeons who relied heavily on 3D imaging without adequate real before and after pictures to back it up. Photoshop is easy but real surgery is very different.

I always recommend that you carefully evaluate your surgeon’s online before and after gallery on their website for both quality and quantity of results. Make sure that there are hundreds of real before and after pictures which demonstrate long-term follow up results. If your surgeon is posting mostly on table results without real long-term follow up results, that is usually a major red flag. If a surgeon is posting mostly just splint removal day videos without longterm follow-up pictures, that can also be a red flag. Long-term results are much more meaningful than on table results or 1 week post-op results.

I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

You’ve done a great job describing your concerns and showing the improvement you’d like to see. While the results may not be exactly as shown in your edited photo, that’s definitely the goal we’d aim for. For your chin, you have two options: a chin implant or a sliding genioplasty (moving the chin bone forward). Either of these would help achieve better balance with your nose, and it is ideal to do the rhinoplasty and chin surgery at the same time.

Dr. B.

Thank you for your question. You are an excellent candidate for rhinoplasty and agree with your assessment. Additionally, I would fat graft the labiomental crease - the indentation between your lower lip and chin. This becomes more prominent after chin augmentation. A large portion of my practice is dedicated to rhinoplasty surgery. It is important to only see plastic surgeons with extensive experience in rhinoplasty, ie perform at least 6 per month and have performed hundreds of cases. Also, critically evaluate on-line galleries to see if their art form resonates with yours. Rhinoplasty is definitely a grey haired plastic surgeon's sport. Best wishes to you.

I do think that what you are describing and with which you are concerned would be improved through both a rhinoplasty as well as chin augmentation. It would be best to do both at the same time - one healing period, one round of anesthesia, and the costs are lessened when bundling procedures as well.

Your simulation pictures do a pretty good job of explaining your desired changes - nasal projected, a more acute nasolabial angle, and chin projection. Your picture does also reveal a deepened labiomental sulcus which could occur through chin augmentation as well.

The before pictures demonstrate an overly projecting nose, and an under projecting chin. A closed rhinoplasty approach can accomplish shaving down the dorsal hump, tucking in the hanging columella and refining the nasal tip and narrowing the bridge line with all of the incisions placed on the inside of the nose. A chin implant can accomplish augmenting your recessive chin forward for better facial balance and proportions, especially with respect to the projection of your nose from the side profile. Both procedures can be performed together under one anesthesia with one recovery. There's a cost savings to do in both procedures together, which allows for one recovery.

You have an underdeveloped mandible.
It’s important to differentiate if the deficiency in projection is the body of the mandible or the chin region.
In your case, I think it’s both.
Jaw advanced surgery would be a more definitive procedure.
Shin augmentation may be helpful as well.
Consider consulting with oral surgeons in regards to mandible surgery.
Plastic surgeons who only offer chin augmentations are going to have a more limited perspective.
Both oral surgeons and plastic surgeons contribute to this kind of work.
There are different options to take.
A rhinoplasty may be helpful, but it is micrognathia(Under developed mandible )which is the primary underlying issue.
Best,
Mats Hagstrom MD