Chin augmentation, buccal fat removal and rhinoplasty?

Question

My side profile has always bothered me. I don't mind my look from the front as much. Do you think I could get a better side profile from buccal fat removal, chin augmentation and rhinoplasty? Or is there a way to achieve a better profile without surgery? Maybe kybella for the chin and non surgical nose job?

Jacob Sedgh, MD · Answer

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.

Richard G. Reish, MD, FACS · Answer

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

Daniel Barrett, MD · Answer

Dear calistas,it is hard to tell without an examination. I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendationsDaniel Barrett, MD, MHA, MS 
Certified, American Board of Plastic Surgery  
Member, Am. Society of Plastic Surgery

Johnson C. Lee, MD · Answer

All the procedures you mentioned can definitely affect the profile of your face, however it is best to have an in-office examination to evaluate your facial features and match the treatment plan with your goals if feasible. You may find that you do not need all these procedures to reach your goals or you may find surgical and nonsurgical alternatives as well. Once you have all the information, you can make an informed decision on how to achieve the profile you are looking for. Hope this helps!Johnson C. Lee, MD Plastic Surgery@drjohnsonlee

Robert Singer, MD · Answer

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

William Portuese, MD · Answer

A full set of photographs in the side profile are required to make a determination about being  a candidate for two surgical procedures, a rhinoplasty  and a chin augmentation.  We do not recommend  buccal fat pad removal in our practice.  For many examples of both procedures performed in combination, please see the link and the video below

Jarrod Little, MD · Answer

It is difficult to say what would be needed without seeing photos.  Nevertheless, you are right, in the sense that multiple things contribute to the facial profile.  The anatomy of the chin is directly related to the appearance of the nose.  If both the chin and the nose are abnormal, it is imperative to address both in order to achieve a desired aesthetic result.  Kybella is very popular now, but actually has a very limited indication.  It should be used only in those with an isolated area of submental fat deposit.  It should not be used if there is redundant skin, platysmal laxity, or in a neck that has an anatomical abnormality.  Going back to treat one of these things after Kybella has been used, can be extremely difficult.  A "non-surgical nose job" can be a very dangerous procedure.  This is often performed using dermal fillers.  There are many reports of nasal fillers causing vascular occlusion.  This results in varying degrees of loss of skin and soft tissue.  This can be devastating.  As always, it is important to personally consult with a board-certified Plastic Surgeon who specializes in rhinoplasty

Gary Motykie, MD · Answer

A chin Augmentation and rhinoplasty are often combined to achieve profile balancing. A buccal lipectomy is more routinely used for refinement of a bottom heavy face.

Jon A. Perlman, MD (retired) · Answer

Thank you for your question but it is impossible to give you a valid and useful response without at least photographs or preferably a face-to-face consultation and examination.  Meet with an ABPS board-certified plastic surgeon for evaluation and a discussion of options.  I am personally not a big fan of Kybella but combining Kybella with filler augmentation of your chin and possibly your nose may be an option.  Its more likely that you would benefit from achieving a more permanent result with a chin implant and rhinoplasty.  Other options may exist and I would recommend that you watch the attached video for more information and then seek a consultation with a well experienced reputable plastic surgeon in your area.  Best wishes,
Jon A Perlman M.D., FACSDiplomate, American Board of Plastic SurgeryMember, American Society for Aesthetic Plastic Surgery (ASAPS)ABC-TV Extreme Makeover SurgeonBeverly Hills, CaliforniaIG: jonperlmanmd

George Commons, MD (retired) · Answer

Need photos.   Will answer very generally.    Because each area is on the face there is a relationship to them.   Nose and chin implant are common procedures often combined.    It is not that common to see buccal fat removal combined with either nose or chin but it does occur.    You need a first rate set of professional facial views taken by a professional photographer which include all six views and are printed in 8x10 inch size.    Computer imaging can be done to demonstrate what ech procedure will do and what happens if combined.    Hope this helps.   My Best,   Dr Commons

Chin augmentation, buccal fat removal and rhinoplasty?

Answers (10)

More Rhinoplasty Questions

I'd like to change my face and make it a little more proportional, I don't really know how. (Photos)

Ethnic rhinoplasty: Is this still swelling if so how long? (Photos)

How thin can you make a bulbous nose? 22 years old female from a Middle Eastern background. (Photos)

Odd protruding bone/line on side of nose after rhinoplasty? (Photos)

Why did my dorsal hump suddenly grow?

WE SEND PRETTY
EMAILS