Should I do a nose job or chin implant? (photos)

You are an optimal candidate for the so called profileplasty, which
consists in doing rhinoplasty and chin surgery at a time, a safe and
routinary procedure in experienced hands.Your nose needs basic
complete rhinoplasty via open approach to shave down the hump, reduce
the tip and narrow frontally, make plasties at your bulbous cleft tip,
eventually tip grafting and perform osteotomies; additionally I notice you have a very wide nasolabial angle which produces a very high and overly rotated tip, nostrils exposure and a piggy-nose deformity due to a very short nasal septul, this makes you a candidate for septal lenghtening and eventually some columellar or tip grafting. We are talking of a top difficulty rhinoplasty, you must research very well to find a surgeon with the right skills and talent to face such case.Your chin needs
anterior advancement and for this I recommend sliding genioplasty.Being an option, chin implants have serious disadvantages, specially in
the mid and long term, patients are rarely happy with them after 5-6
years, all are out by then or later.Consider the chin advancement by means of sliding genioplasty, the advantages are:-lifetime procedure, no more revision or renewal procedures-more natural than implants-no visibility of implant edges during gestures-improves
the double chin effect at the sub-mental muscles (floor of mouth)
hammock caused by lack of tension there; also improves the shape and
tension of perioral muscles; implants do no offer this feature-horse-shoe enhancement, covering the chin and also the jaw sides of it-no future displacements or neuritis of mental nerves-practically zero infections and 100% healing of bones-no
need for complex plates and screws that may need future removal; just
steel wires synthesis may suffice, they stay buried into bone callusThe cons are:-expensive, but cheap if you consider the lifetime pros-technically
demanding, few surgeons are experienced or comfortable (though I
personally perform 100% of the chin augmentations by this osseous
method, always after offering the patients both options)-scary for the patient (though not so much if you explain well the stuff around it)You'll
find in this website dozens of negative experiences with chin implants
in the short and mid term, do read my profile's Q&A and you'll find
them too. I am doing sliding genioplaties for 15 years with the highest
success and no one patient regreted, totall the opposite, I did many
chin implant removals and one staged sliding genioplasties to replace
them.

 Thank you for your pictures. I am in agreement that you could benefit from chin and nasal enhancement. I would recommend in my opinion performing both of those procedures in one operation. Please seek board-certified plastic surgeon or board-certified facial plastic surgery for consultation and recommendations. 

Based on your photos I would consider both. You should consult a board certified plastic surgeon for detailed evaluation and discuss your options. Good luck.

 The side photographs demonstrate a large, overly projecting nose with a dorsal hump, and a weak recessive chin profile. A rhinoplasty procedure can accomplish shaving down the dorsal hump, decreasing the projection of the nose, refining the tip, and refining the bridge line. A chin implant can be inserted through a small incision underneath the chin to give  added projection to the chin to help with facial balance and proportions, especially with respect to the overly projecting nose. A chin implant can be performed at the same time as the rhinoplasty procedure under general anesthesia, or as a stand-alone procedure under local anesthesia. For many examples of this combination and our current price list, please see the link and the video below

If you had to do only one procedure, I would recommend the  chin.Men don't need cute noses. A strong nose and chin are masculine. Besides, if you get a chin implant, your nose will look more balanced. Removing the bump will not make you significantly better looking. The chin will.

Nose Job or Chin Implant.   Whenever possible I do both procedures at the same time so the patient has one operation, one anesthetic, one recovery and the total cost is less. A rhinoplasty would make the most dramatic difference but is also a bigger procedure. 

  Hi, I have performed many Rhinoplasty Surgeries and Chin Augmentations, using a chin implant, for over 30 years.  From the photos, your nose has a slight dorsal hump and is wide along the bridge and nasal tip.  The tip rotation is at the maximum amount aesthetically and it's therefore imperative that the Rhinoplasty not cause any further upward rotation of the nasal tip while decreasing the hump and thinning the nose.  I prefer using a retrograde tip thinning technique in these situations.   As you mentioned, your chin is quite weak.  A weak chin creates an imbalance making the nose appear larger, the mid face top heavy and the lower face look short that de-emphasizes the lips and allows early formation of a double chin.  Chin augmentation using a chin implant will add projection to the chin creating harmony and balance to the lower face.  I have found that placement of a silastic chin implant, through a small curved incision under the chin (also allows excess skin removal) to be very safe, quick and highly effective.  I frequently perform Rhinoplasty along with Chin Augmentation, using a chin implant, for added facial harmony and balance.  If you have to select just one, I'd suggest starting with the chin implant as this can be done under a local anesthetic in less than 30 minutes.    Hope this helps.

If both things bother you, do both. The nasal hump can easily be corrected via a rhinoplasty and a chin implant will add balance to your facial features.