Rhinoplasty and Chin Implant? Can I do them at the same time? What are the costs? (photo)

Question

My nose has always been something that has made me self conscious. I never thought about a chin implant until I saw before and after pictures of people on here who had the same/similar face shape as mine. How much would these procedures together cost? And would it be possible to do them at the same time?

Alejandro Nogueira, MD · Answer

Better images are needed to assess your case, however so far from the photo posted I can comment the basics.The nose has a good profile, may you wish a subtle dorsal shaving this is an option; the main issue is the nasal angle, too high and the tip overly rotated, also a bit too projected the tip; if you wish a mild derotation you may work with an en bloc shield graft (columella-tip), may you lower further the nasolabial angle then you have to undergo septal lengthening; both options are equally valid.Let me point out the serious disadvantages of chin implants, which are of great technical ease for surgeons but troublesome for patients, having a short lifetime, high rate of unnatural results, high rate of complications like infection, dislocation and nerve irritation, etc. I strongly vow osseous genioplasties, which are lifetime stable, natural and leading to versatile and natural results, though more technically challenging and performed by few.About your chin, you may agree with me you chin is as much vertically short than anteriorly deprojected, and needs both: vertical height increase and anterior increas/re-projection; this is absolutely unfeasible with a chin implant (which provides anterior increase only) besides is aforementioned downsides. This procedure is called two dimenstional augmentation geniplasty, is an awesome operation with shocking results and safe in the best hands.Do research about this topic.

James M. Ridgway, MD, FACS · Answer

Dear Stefanie,Thank you for your question.  It is hard to evaluate your nose from a single profile image, but there is a disparity between your nose and chin that can be brought into greater harmony.  It is very common to perform a nose and chin surgery at the same time.  Also, each of these procedures can be performed separately.  I think what would be essential for you is to have a consultation in which computer simulation is performed. This type of simulation affords a greater understanding for you and how to improve your facial harmony. This also helps to highlight your goals and set realistic expectations.  As one can imagine there are a series of nuances associated with cost in these procedures.  Simply stated, greater complexity requires greater time investment and as a result there is a greater cost. The details of this can be easily reviewed  during your consultation.  I would recommend consultation with a board certified surgeon who specializes in treatment of the face. Be healthy and be well, 
James M. Ridgway, MD, FACS

Thomas A. Lamperti, MD · Answer

Yes, it is pretty common to combine rhinoplasty with chin augmentation during the same surgery. It's hard for me to give an exact price quote without seeing your nose and having a treatment plan in place.You can learn more about chin augmentation and rhinoplasty at y web reference link below.

Sam Naficy, MD, FACS · Answer

Rhinoplasty and chin implant are often performed at the same time.  The cost depends on the amount of work your nose needs which requires an in person evaluation

Michael Kulick, MD, DDS · Answer

Absolutely !In fact one's profile is impacted by both the nasal projection and it's relationship to the chin projection.I use computer imaging to help patients visualize potential outcomes. You can see the impact of both procedures by looking at case # 2430 and 2439 in the web link provided. Sincerely,Dr. K

Toby Mayer, MD · Answer

Rhinoplasty in chin implant are frequently done together.  you have a short knows which requires a very experienced rhinoplasty surgeon will not make this worse.  Cost will vary depending on what is done to your nose.  Don't select a surgeon bike cost but rather by his actual results.

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. I frequently perform rhinoplasty and chin implant together at the same time.  It can have a dramatic improvement in your profile.  Make sure you specifically look at before and after
pictures of real patients who have had this surgery performed by your surgeon
and not just a computer animation system. 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

Barry L. Eppley, MD, DMD · Answer

Historically the most common facial profile procedure has been rhinoplasty and chin augmentation. Moving two facial structures in different directions always produces the best facial change. Have preoperative computer imaging done to determine how much chin augmentation is needed based on how the nose changes.

Myriam Loyo, MD · Answer

Hi there, thank you for sharing your questions and photo. It is very common to do the rhinoplasty and the chin implant during the same surgery. I have found realself to be pretty accurate about prices for my region, so I would start there and then seek consultation. During the consultation you can expect to get a break down of cost (for each surgery, anesthesia, facility, and the implant). In my practice, it is also a little cheaper to do both surgeries together than separate (you get a discount and the anesthesia fee is cheaper). Hope this helps. Good luck!

William Portuese, MD · Answer

The combination of a rhinoplasty and a chin implant is very commonly performed in our practice and  most patients perform them simultaneously. Both procedures can also be performed separately, if the patient so desires. In that case, a chin implant can be performed under local anesthesia, while the rhinoplasty is performed under general anesthesia.  Rhinoplasty is a very difficult endeavor, so it is important to have very specific goals in mind about what you're trying to accomplish, and choose your surgeon very wisely based on extensive experience. Chin implants are placed for patients to augment the chin forward to help with facial balance and proportions, especially from the side profile. Chin implants are manufactured in a large variety of sizes and shapes which is best determined at the time of the consultation and examination. The implants themselves are placed through a small incision underneath the chin and can be custom carved when necessary to match the patient's unique anatomy. The implants are composed of solid silicone. The cost of a rhinoplasty and a chin implant is directly related to the amount of time it takes to perform the procedures in a formal operating room, the amount of time it takes to be monitored under general anesthesia by a physician anesthesiologist, and the surgeon's professional fees for performing the two procedures in addition to the cost of the implant. For more information, diagrams of the chin implants and many before-and-after examples including our current price list, please see the link and the video below

Rhinoplasty and Chin Implant? Can I do them at the same time? What are the costs? (photo)

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