The photograph demonstrates an overly projecting nose and an under projecting chin for which a rhinoplasty and chin implant would be an excellent combination to help with facial balance and proportions. A closed rhinoplasty approach can accomplish decreasing the overall projection of the nose, shaving down the dorsal hump, narrowing the bridge line, and refining the tip, with all the incisions placed on the inside of the nose. An open Rhinoplasty with an incision across the columella is not necessary. A small silastic chin implant can help augment the chin forward to help with facial proportions, especially with respect to the overly projecting nose. Chin implants are manufactured in a large array of sizes and shapes, and are usually placed through an incision underneath the chin. The cost of a rhinoplasty and a chin implant is directly related to the amount of time it takes to perform both procedures in a formal operating room, time monitored by a physician anesthesiologist under general anesthesia, and the surgeon's fee for performing both procedures in addition to all of the post operative follow-up appointments for one year. Digital computer imaging performed in the office setting would also be helpful to understand what can be accomplished with both procedures on your face. For more information, many before-and-after examples of this combination and our current price list, please see the link and the video below
Thanks for adding your photo. It is hard to know if you would benefit from a chin augmentation form the photo but you would be a good candidate for a reduction rhinoplasty. A cosmetic rhinoplasty costs between $6000 and $7000 in the Seattle area depending upon what needs to be done and the type of anesthesia. One of the ways to get the cost of both procedures for your area is right her on RealSelf. Just type in the procedure and you rarea in the search bar and a map with the costs paid by other RealSelf patients should come up. The cost can be higher in certain areas and if you have special problems that will require more time and work to accomplish the look you want. It can also be lower in some areas. Be sure to look carefully at your surgeon’s before and after photos, especially the photos of any redo’s. Quality revision results are one of the great ways to determine if the surgeon you are considering does great work. Many will talk about experience and numbers but a quick look at any posted revision rhinoplasties tells you much more about the quality of their work. I hope that helps. Best regards.
