Long Face, Torsion Nose, Short Lip, Puffy Cheeks. Not quite sure what my problem is but I am unsatisfied with profile. (photo)

Question

I have had a small lower jaw, a beak nose, lips that doesn't close, mouth breathing, and chipmunk cheeks most of my life. I had a septum correction years back and my nose has reverted to constrict airway during sleep and allergy season. Since I may have to have surgery again, I wanted to see what else I can do to correct my general apprearance within reason. Not going for a super surgical look but I don't feel very natural in my skin right now. Any advice is much appreciated.

William Portuese, MD · Answer

The side profile photographs reveal an overly projecting nose, and an under projecting chin. A rhinoplasty procedure can accomplish decreasing the projection of the nose, shaving down the dorsal hump, narrowing   and refining the bridge line.  A weak and recessesive chin profile is augmented with a Silastic chin implant. Placement of a chin implant  can help significantly with facial balance and proportions, especially with respect to  the overly projecting nose. For more information and many examples of this combination, please see the video and the link below

Long Face, Torsion Nose, Short Lip, Puffy Cheeks. Not quite sure what my problem is but I am unsatisfied with profile. (photo)

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