What can I do to have a better side profile? (Photo)

Question

I am currently considering a nose job but I feel it will not be enough to better my side profile. I was thinking of maybe fillers or etc. I would like some opinions.

Carlos Mata, MD, MBA, FACS · Answer

Thank you for your question.I would recommend that when you have your rhinoplasty that you have a dorsal augmentation graft with either your own tissue or silicone implant. In terms of your chin you can use that you can use filler, fat  Or you can use implant. I personally think an easier approach is to use your fat or use a temporary filler to see if it's something that you like the way it looks before going into something more permanent. Good luck and I hope this helps.All the best,Carlos Mata M.D., MBA, FACSBoard-certified plastic surgeon

P. Daniel Ward, MD · Answer

Hi rose1345,I definitely think a chin implant would be of benefit. A silicone implant is durable and lasts for years with a very low rate of malposition or shifting. In addition, although it is hard to tell based on the photo, your nose will likely benefit from augmentation of the dorsum. Fillers can be used to accomplish both the chin and nasal changes, but are only temporary. Surgical treatment will offer permanent results.Please let us know if you have any other questions or concerns!

Mark E. Mason, MD · Answer

Hello and thanks for your question.It never hurts to try filler prior to having surgery. This gives you a good idea of what augmenting your profile will look like first-hand, rather than via computer imaging. Wait until all filler has dissolved before having surgery. Most hyaluronic acids last approximately one year. I'd suggest trying a little in the chin for more projection to see if that balances your profile in a way that is pleasing to you.

David C. Yao, MD, FACS · Answer

Thank you for sharing your concern. A proper consultation with a board certified plastic surgeon is a proper way to start. Based on one image, an appropriate sized chin implant may be helpful for you. This would make the jawline stronger and possibly more shaped if desired. Best wishes!

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your
photograph, you may benefit from a chin implant which can improve your jaw line contour.  I always use a medpor implant with screw
fixation, which stays in place over time.  A silicone chin implant has a
high rate of malrotation over time.  Make
sure you specifically look at before and after pictures of real patients
who have had this surgery performed by your surgeon and not just a computer
animation system. The most important aspect is to find a
surgeon you are comfortable with. 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

Tim Sayed, MD, MBA, FACS · Answer

The answer to your question starts with asking: what is it you'd like to improve? You need to be able to articulate if you are unhappy with the slope of your nose, the length of the nose, the chin projection, etc. in order for a plastic surgeon to counsel you on options. Using surgical simulation software is helpful as it can be used to educate you on the potential effects of different maneuvers on your face in 3 dimensions.  Young patients often are best served by fillers, Botox, fat transfer, skin resurfacing/tightening lasers, and rhinoplasty (if indicated). You should undergo some consultations in person and virtually by video to help you narrow down your interests.

Robert Singer, MD · Answer

Nasal cosmetic surgery and a chin implant are frequently performed together in the appropriate patient to improve the profile. 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 temporary injectable flllers 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 a two dimensional photo 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

Wesley G. Wilson, MD · Answer

Rose1345,
From the one photo that you have posted.  I think your nose looks fine.  Chin is a little recessed and a chin augmentation will balance you face.  Would like the see a straight on forward view.  Of course an in office full facial review is needed and further questions about what exactly you want to accomplish would be necessary to achieve the best results.
Best,
Dr. Wilson

William Portuese, MD · Answer

The side profile photograph is rather limited, but it appears that the nose looks quite nice. Consider a chin implant to augment the weak and recessive chin profile. Placement of chin implant will augment the chin forward to help with  facial balance and proportions, especially with respect  to the nose from the side profile. Chin implants are manufactured in a large assortment of both shapes and sizes, so that is usually determined time of the examination and consultation. For many examples, please see the link and the video below

Richard W. Fleming, MD (retired) · Answer

In addition to your rhinoplasty surgery I suggest you place a small chin implant which will improve chin projection and jawline definition. This will provide better balance in the lower part of your face.

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