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!
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.
Kotler, MD, FACS
4,500 nasal procedures performed
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!
You should get the jaw surgery first and when fully healed get a consultation from an expert in rhinoplasty.
In good hands, you will see dramatic improvement in your looks
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
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.
Dear amartinez94993, It is best to have the genioplasty (jaw surgery) first and see what the corrections you receive are. Often times you may still need to have a small chin implant done after genioplasty and this would be done in conjunction with your rhinoplasty to help add balance to your profile. Genioplasty alone will not make a major change in your appearance as rhinoplasty surgery will. Best regards, Michael V. Elam, M.D.
In my opinion you will be better off delaying rhinoplasty until after your jaw surgery is complete. Until your jaw is repositioned, I'm afraid that you will still feel that your new nose is large even though with a proper jaw relationship it would look properly proportioned. Second, after your jaw surgery is complete, your rhinoplasty surgeon will be better able to match your nose to your jaw and IF necessary add a chin implant of fat grafts to "touch up" the shape of your newly repositioned jaw.
Good luck with your surgeries and enjoy the results.
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.
Dr. Emmanuel Mallol Cotes.-
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.