Would a rhinoplasty help my asymmetry?

Question

I have a pretty large overbite. Im getting surgery to correct this. They are moving my lower jaw foward. So I don't think I could get a chin implant yet. Would I benefit from rhinoplasty before jaw surgery? Would this make a significant difference in my apperance?

Thomas A. Mustoe, MD, FACS · Answer

Thanks for your question. The jaw
surgery will help your facial proportions a great deal. If they are not moving
the maxilla (the upper jaw), but only the lower jaw, then the nose will not be
changed by the jaw surgery. However, in order to make an optimal assessment of
nasal projection in relationship to your face, I would suggest doing the rhinoplasty
after. I would talk to your jaw surgeon about the chin projection, which could
also be addressed at the time of jaw surgery. Overall, I think you would be an
excellent candidate for a rhinoplasty. The curved nasal profile is one of the
more common indications that leads patients into rhinoplasty, and patient satisfaction
is very high. Best of luck!

Ronald J. Edelson, MD · Answer

I have seen this combination often.  You should definitely have your jay surgery done first.  After your jaws are ripely aligned, it will be easier to plan for the rhinoplasty.  Good luck!

Marcelo Ghersi, MD · Answer

You would definitely benefit from rhinoplasty. However, I would recommend you wait until your jaw surgery is done before you seek advice from a rhinoplasty doctor.

Emmanuel Mallol Cotes, MD · Answer

Thank you very much for sharing your concerns with us.In this regard, I suggest perform a Closed Rhinoplasty (without visible scars) to treat the tip, base and nasal bridge.With this procedure you get a delicate nose, better harmonize with your other facial features.Respectfully,Dr. Emmanuel Mallol Cotes.-

Toby Mayer, MD · Answer

Most patients would do the jaw surgery first but it really makes no difference which comes first. Do the one that bothers you the most first and the other after. See a surgeon who does los is that you like based on his actual work and not imaging.

John Michael Thomassen, MD · Answer

You could undergo a rhinoplasty before or after your lower jaw surgery.  However, it would probably be best to do it afterwards and possibly combine if with a chin implant if you happen to need more projection of your chin after your jaw surgery.   A rhinoplasty to reduce your dorsal hump would have a very nice impact on your appearance.

Robert Kotler, MD, FACS · Answer

Dear Friend in Irvine:

The dental issue is somewhat apart from the decision to
have the rhinoplasty.  The order makes no
difference.  However, I would suggest
that you have computer imaging so that the effect of the jaw surgery could be
factored in as determining what your ideal profile would be.  Based on the photos that you submitted, you
would be quite happy with a well-done rhinoplasty.  Your other facial features are good.  The typical need for someone like you centers
around removing the bump and giving you a better profile.  Consult well. 
Computer imaging is essential. 
Also essential is looking at the surgeon’s website for all of the before
and after photos and a comparison of the results of the computer imaging and
the final end result of the surgery itself. 
Read reviews and testimonials very carefully because they give you the
flavor of the practice.  You want to do
it right the first time.

Best wishes,

Robert
Kotler, MD, FACS

Over
4,500 nasal procedures performed

William Portuese, MD · Answer

Best to have the jaw surgery first, wait a few months and then undergo the rhinoplasty  procedure.  A closed rhinoplasty approach can accomplish reducing the dorsal hump, addressing any asymetry decreasing the projection of the nose and lifting the tip. For many examples, see the link below

Mohsen Tavoussi, MD, DO · Answer

The short answer is no but it will definitely improve your profile and overall facial harmony. Facial asymmetry is universal but more pronounced in some and certain procedures can improve it, such as position of eyebrows and enhancement or reduction of certain part of facial skeleton. Good luck with your surgery, wait until you are fully recovered from this before considering the next surgery.

Frederic H. Corbin, MD (license restricted) · Answer

Thank you for your question and it would be best to complete your oral surgery first before proceeding with a rhinoplastyDr Corbin

Would a rhinoplasty help my asymmetry?

Answers (14)

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