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

 The profile photographs demonstrate a weak and recessive chin profile, and an overly projecting nose with a dorsal hump.  A closed rhinoplasty approach can accomplish shaving down the dorsal hump, narrowing the bridge line and refining the tip if necessary. Placement of a chin implant can help bring the chin forward to help balance the side profile, especially with respect to the overly projecting nose. Chin implants are composed of Silastic, are placed through small incision underneath the chin without screw fixation and are placed in a very precise pocket. A chin implant can be performed as a stand-alone procedure under local anesthesia, or in combination with the rhinoplasty procedure under general anesthesia. Computer imaging performed at the time of the consultation and examination would also be helpful to understand what can be accomplished on your facial features. For many examples of this combination, please see the video and the  link below  to our chin implant/ closed rhinoplasty photo gallery

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