What procedure will best help improve my side profile and balance my features? Rhinoplasty? Chin implant?

Hello and thank you for your question. Based on your
photograph, you may benefit from a tip refining rhinoplasty. Your surgeon can
accomplish this by trimming, suturing, and reshaping the cartilage in your
lower nose. You may also benefit from a conservative dorsal hump reduction.  A chin implant can be performed at the same time for
improved jaw line contour.  I always use a medpor implant with screw
fixation, which stays in place over time.  A silicone chin implant has a
high rate of malrotation over time.  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. FACS
Harvard-trained plastic surgeon

It’s important for patients to identify what their own concerns are before seeing a plastic surgeon. The surgeon can help analyze areas of concern and even determine if related issues are involved (like whether a patient might benefit from a chin implant with a rhinoplasty). But if a patient has a surgeon change facial features that didn’t bother the patient, s/he may not be satisfied with the result. In your case, based on the pictures, a chin implant can be considered if you are bothered by your chin. Fat augmentation is less predictable but has the potential to add more volume. Similarly, there are minor changes that could be made to your nose,  but only if this bothers you. Sometimes a virtual consult can be a good starting point to gather more information and help analyze facial features. Good luck. 

From the photos, it appears that you would do well with a rhinoplasty to decrease the bump and refine the tip combined with a small chin implant to balance the nose. This would change the side profile from a curved shape to more of a straight up and down shape. Be sure to see a rhinoplasty specialist who can do computer imaging at the time of the consult.

Thank you for your question. I suggest that you move forward and consult with a board certified facial plastic surgeon. The consultation will give you the opportunity to discuss your desired appearance, and the surgical and non-surgical opportunities to achieve it. A rhinoplasty can improve your nose and create a more symmetrical / proportional appearance to your face.
Best wishes,

HI there. Thank you for your post. It is good to think about the face in general as oppose to just the nose when considering the side profile as you suggest. The photos are helpful although there is not an absolute side profile shot so the following comments are just a generalisation of patients with similar concerns to yours. I look at the side profile from the top down. The first thing is that there may be benefit from a minor cartilage graft to the radix region to soften the take off of the nose from the forehead. Reducing the height of the nose will help bring the nose into proportion with the rest of the face but there is also a case for increasing projection of the chin to aid facial harmony. Sometimes, enough chin augmentation can be achieved with fat grafting, which provides a natural solution (see web reference) although a chin implant will achieve amore projection. These are details that are best discussed in person with a board-certified plastic surgeon. Good luck!

Thank you for your question.  After reviewing your photos, I believe that you are a good candidate for rhinoplasty, chin augmentation and facial reshaping - whether it is volume addition to the medial cheek, buccal lipectomy, or a combination.  An in-office visit would be required to take a look at complete facial balance.  This can be achieved with 3D facial imaging; this is a superb assessment tool to see the physical results prior to surgery.  I recommend meeing with a Board-Certified plastic surgeon experienced in rhinoplasty.  He or she will accurately examine your face, create a 3D simulation and develop a reasonable plan to tailor your facial shape.

Your nose could be improved with rhinoplasty, which would give permanent improvements in symmetry and shape making it thinner. A chin implant will give better projection. You can bring the photos of noses that you think would be flattering to your face and these can be discussed. When you meet with a facial plastic surgeon, he or she will consider your nose in balance with your other features and can over the cost of the procedure. I hope this helps.

Hi and thanks for your photos and question.  I would recommend a chin implant and rhinoplasty.  Your chin is significantly underprojected and your nose is a bit overprojected with a dorsal hump.  Addressing both issues would give the best result, but you don't have to do both. If you go to the photo gallery on my website, you will see many patients with similar issues as yours. I would be happy to see you for a consultation with computer imaging to show you what the possibilities are.  My office is in the Philadelphia suburbs. 

You have an atractive face and 2 small procedures will enhance your overall appearance.
1. Rhinoplasty with dorsal hump reduction and tip refining sutures
2. Small chin implant
This can easily be performed and an excellent outcome is expected

Hello and thank you for the question and sharing your photos. I believe you benefit from a rhinoplasty (to remove the dorsal hump and refine the tip) as well as a chin augmentation. An under-projected tip makes the nose look longer. I would seek consultation with a qualified plastic surgeon for an complete evaluation. Best,Pejman Aflaki, M.D.Johns Hopkins-trained plastic surgeon