Hi, I’m having issues with the convexity of my face and how all the focus of my side profile goes to my nose. I’ve been wanting a rhinoplasty, but am wondering if I could gain a balanced face with the addition of a chin or jaw augmentation. My forehead feels receding too, but I’m not sure if that can be fixed. Overall, I just want less focus on my nose and a less convex profile. Any advice is much appreciated.
February 11, 2022
Answer: Rhinoplasty and chin augmentation The side profile photographs demonstrate an overly projecting nose and an under projecting chin. Th under projection of the Chin makes your nose look larger than it really is from the side profile photograph. Consider a closed rhinoplasty to shave down the dorsal hump, reduce the projection of the nose, refine the nasal tip and narrow the bridge line with all the incisions placed on the inside of the nose. Also consider placement of a chin implant to augment the chin forward for better facial balance and proportions. In our practice, we use Implantech brand of solid silicone chin implants placed through submental approach. The chin implant can be performed at same time as the rhinoplasty under general anesthesia, or as a stand alone procedure under local anesthesia.
Helpful
February 11, 2022
Answer: Rhinoplasty and chin augmentation The side profile photographs demonstrate an overly projecting nose and an under projecting chin. Th under projection of the Chin makes your nose look larger than it really is from the side profile photograph. Consider a closed rhinoplasty to shave down the dorsal hump, reduce the projection of the nose, refine the nasal tip and narrow the bridge line with all the incisions placed on the inside of the nose. Also consider placement of a chin implant to augment the chin forward for better facial balance and proportions. In our practice, we use Implantech brand of solid silicone chin implants placed through submental approach. The chin implant can be performed at same time as the rhinoplasty under general anesthesia, or as a stand alone procedure under local anesthesia.
Helpful
February 11, 2022
Answer: Rhinoplasty or Chin/Jaw augmentation? Or something else? 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 limited 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., FACS La Jolla, California
Helpful
February 11, 2022
Answer: Rhinoplasty or Chin/Jaw augmentation? Or something else? 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 limited 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., FACS La Jolla, California
Helpful