I hate my side profile. How to fix it? (photo)

Question

I hate my side profile. My face is too flat, chin too long, nose too big, and tiny downturned lips. What would I need to do to fix this?

Ross A. Clevens, MD, FACS · Answer

Thank you for your question. The nose is the most prominent feature and can drive the way your aesthetics are perceived. I suggest that you move forward and consult with a board certified facial plastic surgeon. Many offices offer advanced imaging technology that can very accurately predict and forecast how certain procedures will influence the patient's appearance. The interactive experience with the surgeon and patient using this software is able to answer many of the patient's questions. Always consult with a board certified facial plastic surgeon.Best wishes,

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your
photograph, you may benefit from a tip refining rhinoplasty. Your surgeon can
accomplish this by trimming, suturing, and reshaping the cartilage in your
lower nose. You may also benefit from a conservative dorsal hump reduction.  Chin reduction surgery can be performed at the same time.  Make sure you specifically look at before and after
pictures of real patients who have had this surgery performed by your surgeon
and not just a computer animation system. The most important
aspect is to find a surgeon you are comfortable with. I recommend that you seek
consultation with a qualified board-certified plastic surgeon who can evaluate
you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Barry L. Eppley, MD, DMD · Answer

Just based on one profile picture the combination of a rhinoplasty, chin reduction and cheek-infraorbital-maxillary implants would make the most significant change to your facial profile and appearance.

William Portuese, MD · Answer

A rhinoplasty procedure can accomplish decreasing the overall size of the nose, shaving down the dorsal hump, and refining the nasal tip. Cheek implants are placed for patients in the mid-face which allows augmentation of the cheeks. A full set of facial photographs are required to make any determination about two different surgical procedures that are both three-dimensional  operations.

Josh Surowitz, MD · Answer

Thank you for posting your question and photo. It would be helpful to have higher resolution photos from the front, both sides, below the nose (base view), and angled (about 45 degrees) from both sides.

Based on your photo, you have excellent profile to the jawline, chin, and neck.  Be happy that you have a strong chin, as this is a feature many people wish to have.  Your cheeks have somewhat less prominence and this is the reason that your chin appears to be overly long. The addition of filler to the cheeks (I prefer Voluma or Restylane Lyft) will add volume and will balance the midface (cheeks) with the lower face (jaw and chin). In addition, you may benefit from filler around the eyes to improve the contour from the lower eyelid into the cheek. My preferred filler for this area is Restylane-L.

Your lips can be enhanced with the use of filler to in and around the lips.  There are many good options for this including Restylane-L, Restylane Silk, Juvederm Volbella, and Juvederm Ultra XC.

With regard to your nose, it is difficult to determine how best to address your concerns without seeing the additional photos I mentioned.  Overall I do not feel that your nose appears to big for your face.  You may be a good candidate for rhinoplasty to refine the tip and potentially to reduce the very slight dorsal hump (bump) on the top of your nose.

I recommend that you consult with a board certified facial plastic surgeon or plastic surgeon who is skilled in facial volume enhancement and rhinoplasty.  This will allow the surgeon to take standardized photographs so that both you and the surgeon are on the same page in understanding your desires.  It also allows image simulations of the nose so that the surgeon can demonstrate potential changes during rhinoplasty and give you an understanding of the results that can be achieved.

Best of luck!

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