Looking for balance: I have a weak chin and a steep gonial angle as well as a dorsal hump. (photos)

Nasal
cosmetic surgery and a chin implant 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. Whether a chin implant or a more extensive jaw surgery would be
optimal depends on multiple factors including your desired outcome and personal
anatomy.
Keep in mind that following advice from a surgeon on this or any other website
who proposes to tell you what to do based on two dimensional photos 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) or a facial plastic surgeon (otolaryngologist) 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., FACSLa Jolla, California

Hello and thank you for your question. Based on your
photograph, you may benefit from a conservative dorsal hump reduction.  A chin implant would greatly help balance your lower face also.  I highly recommend a medpor chin implant with screw fixation.  Silicone chin implants tend to undergo malrotation over time. The most important aspect is
to find a surgeon you are comfortable with. With good surgical technique, you
could have an outstanding result. 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