What is causing facial imbalance - Nose or chin? Should I get a rhinoplasty or a chin implant? (photos)

Based on your photographs you would be a good candidate for rhinoplasty. A chin implant in combination would also help to balance your facial proportions while also helping to sharpen your neckline. The best way to determine what specific changes will look good on your face, and what changes are surgically possible, is to do your research to find the top rhinoplasty specialists and consult with several of them in person. During your consultation, your photos can be computer-morphed to show how the changes to your nose will affect your appearance. Consult with 2-3 of these surgeons in person and determine your comfort level with their approach, demeanor, and before and after results. Good luck! @drdonyoo

The nose and the chin complement each other in that each contributes to facial balance and proportion. The answer to your question may be a combination of both factors - the nose appears big which makes the chin appear smaller; and your chin is on the smaller side which again contributes to making the nose appear bigger. Depending on your goals, rhinoplasty +/- chin augmentation may be something to consider.

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