Chin augmentation, buccal fat removal and rhinoplasty?

There is an intricate relationship between chin and nasal aesthetics, and how changes in the shape and projection of one could influence the observers eyes with regard to the other. Thus, it is quite common to perform both surgeries at the same time on the right candidate. Buccal fat pad removal is quite distinct from an aesthetic analysis standpoint. They all can be performed on the same patient but obviously a thorough analysis including photos, in person examination and discussion of goals, expectations and limitations is paramount in making the most suited decision for the patient.

Hello and thank you for your question.  The
best advice you can receive is from an in-person consultation.  Posting photographs would help in giving you accurate advice.  In patients with a large nose and retrusive chin, this combination of surgery can be beneficial.  Make sure you specifically look
at before and after pictures of real patients who have had this surgery
performed by your surgeon and evaluate their results.   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

Nasal cosmetic surgery,  a chin implant and buccal fat contouring are frequently performed together in the appropriate patient. The ideal aesthetic result should be individualized to achieve harmony with your other facial features and improve the areas that concern you.Keep in mind that following advice from a surgeon on this or any other website who proposes to tell you what to do  without examining you, physically feeling your tissue, assessing your desired outcome, taking a full medical history and discussing the pros and cons of the operative procedure would not be in your best interest. Natural appearing results need to be individualized and what is appropriate for one patient is not necessarily the best for someone else. I would suggest that you find a surgeon with extensive rhinoplasty experience certified by the American Board of Plastic Surgery and one who is ideally a member of The American Society for Aesthetic Plastic Surgery (ASAPS)  that you trust and are comfortable with. You should discuss your concerns with that surgeon in person. The extent and length of the procedure, cost, and the specific operative steps to achieve an ideal cosmetic result vary from patient to patient and would depend on the findings at your consultation examination. 

Robert Singer, M.D., FACS 

La Jolla, California