Asian female w/ mild maxillary hypoplasia wanting better side profile. Is lefort necessary? Cheek fill/rhino enough? (Photo)

Obviously, an in person physical exam with a Board Certified plastic surgeon experienced in Asian facial surgery will yield the most helpful suggestions.That being said, if you were my patient, I would augment your maxilla with a peripiriform implant, augment your infra orbital and malar area with Voluma (a long lasting filler), and do a rhinoplasty to include, at a minimum, cartilage graft from ear to columella.  These can all be done in one surgical setting.Fortunately for you, Los Angeles has many excellent plastic surgeons experienced in exactly the surgeries you are contemplating.  

The best way to determine what specific changes will look good on your face, and what changes are surgically possible, is to do your research to find the top Asian rhinoplasty specialists and consult with several of them in person.  During your consultation, your photos can be computer-morphed to show how the changes to your nose will affect your appearance.  A rhinoplasty specialist will have the experience to determine whether the morphed images are surgically attainable.

Thank you very much for sharing your concerns with us.The harmony between facial parts makes us instinctively recognize the beauty... without knowing it, without defining it, just a perception that surprises and captivates 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.-

You have some typical maxillary retrusion common to many Asians.  If your bite is normal then you can correct the look without major surgery such as a Le Fort maxillary advancement.  A simple implant similar to a Brink's Peripiriform implant can achieve the look you desire.  This implant is made by Implantech.  It just requires a very small incision in the upper buccal sulcus and a U-shaped implant is placed just below the base of the nose.