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Hello and thank you for your question. Thebest advice you can receive is from an in-person consultation. Based onyour photographs, you may benefit from neck liposuction to improve your jaw profile on side profile. Make sure you specifically lookat before and after pictures of real patients who have had this surgeryperformed by your surgeon and evaluate their results. The mostimportant aspect is to find a surgeon you are comfortable with. I recommendthat you seek consultation with a qualified board-certified plastic surgeon whocan evaluate you in person.Best wishes and good luck.Richard G. Reish, M.D. FACSHarvard-trained plastic surgeon
The side view photograph demonstrates a weak and recessive chin profile for which a chin implant can improve. Chin implants are manufactured and a large array of sizes and shapes which can give the desired augmentation to the chin to help with facial balance and proportions. For many examples, please see the link and the video below
It is extremely unlikely you can do any damage to your surgical results with excessive coughing and laughing. In the first week after surgery, heavy coughing or vomiting can lead to an increased chance of nose bleeds, but beyond this point it is much less likely. Cough suppressants...
The shape of the the nose is the shape of the underlying archetecture. The bone and cartilage. To change your nose, I perform what I call a structured rhinoplasty. I reduce certain areas and augment other areas like the tip to give a better shape and definition.
It appears to be a portion of your cartilaginous septum that is deviated. A septoplasty would take care of this.