Can I include a rhinoplasty, chin lipo, brow lift and under eye procedure with my forehead lift? (Photos)

Question

I researched a lot. I know I need a forehead lift. I have always struggled with my looks. Areas of concerns are my redness/deep indents under eyes and redness around nose. For last year (8 treatments) been doing BBL laser around nose and under eyes. has cut down just a little redness. Anything else I can do? have always had issue under eyes since I was child. I need a forehead reduction, rhinoplasty with lipo under chin. Would a brow lift benefit me? I want my brows higher with my lids not saggy Can I combine all procedures? I am a 31 and healthy.

Steven M. Denenberg, MD · Answer

For example, you seem to be a very good candidate for a rhinoplasty. But your eyebrows are in excellent position, and I can't imagine a brow lift doing very much, and it would come with scars and hassles. Under your eyes, you have the tiniest bulge of fat herniation when your face is at rest, and that's what we treat with the under-eye surgery. Look at photos #4 and #5 to see those bulges best. In the first photo, you're smiling/squinting, and that flexes the lower eyelid muscles and pushes the bulges back inside so you can't see them, and it bunches up the skin. We typically don't treat wrinkles that are only there when the face is that active.Under your chin, there's probably nothing to do. A bulge in that area doesn't have to be excess fat -- it is often just the way the skin likes to droop there, and in that case there's nothing to take out! And you're waaaaay too early for a face lift.See? We can't fix everything that we notice with any predictability, and every treatment/operation comes with significant potential downsides. Fix a couple things that would make you happier, and you might not notice the other stuff as much!
I'd love for you to see some excellent professionally-designed morphs of what could possibly be done with your nose. Morphs could also help you identify what's bothering you, and help you set a goal for the rhinoplasty that's accurate for your tastes. (Side note: in my opinion, morphs should always be done by the surgeon, or he should direct an assistant as she makes the morphs. Morphs should be made with a constant eye to what actually *can* be done in surgery, for that particular nose, and only the surgeon has that information and judgment. Another aside: I also recommend that you not show morphs made by one surgeon to a different surgeon. If a surgeon makes his *own* morphs, you get to see whether he understands the important issues of your nose, and how your nose should be changed. But if you show the surgeon someone else's morphs, and he says "Of course I can make your nose look like that," then you don't really know if he fully understands, or even recognizes, the important changes shown in those morphs. And you don't know if he can make those changes during surgery.)
Remember that rhinoplasty is an exquisitely difficult operation to get right, and you should only have surgery if you are able to make yourself very confident in your surgeon's skills. The changes that your nose needs require advanced techniques, and skill that most plastic surgeons don't possess with expertise. For most noses, it's much better to not have surgery than to have inexpertly-performed surgery. Read my essay on how to stay out of trouble while selecting a rhinoplasty surgeon.  And it also discusses how to take photos that are best for online evaluations.
Your nose is also a perfect example of why computer imaging is mandatory in rhinoplasty. You need to know exactly what the surgeon is planning to accomplish -- what features he thinks he can change, and by how much he thinks he can change them. I always email morphs to my online rhinoplasty consultations. When you see the surgeon's goals in the morphs, you'll know whether he has an eye for an attractive nose, and whether he shares your opinion of what constitutes an attractive nose. You'll also know whether the changes he proposes are large enough to be meaningful to you, and whether he understands your wishes enough to address all of your priorities. How would you ever get that figured out without the morphs?

Paul E. Chasan, MD, FACS · Answer

Thank you for your question.  You are an excellent candidate for rhinoplasty, liposuction of the submental area, and either lower eyelid blepharoplasty and/or fat transplantation.  A brow lift is also possible, but would be best made in a determination with an in person exam. Your wish list is definitely not unreasonable. We see patients from all around the world for similar procedures.  Best wishes to you.

Toby Mayer, MD · Answer

Multiple facial procedures can be done together! A rhinoplasty with a chin augmentation, a lower blepharoplasty and/or deep peel, Browlift vs upper blepharoplasty! Your hairline can be lowered at the same time with the Irregular Trichophytic Browlift without a visible scar done by a very experienced surgeon.

Ronald J. Edelson, MD · Answer

I suggest you dial back your wish list and slow down on the multiple procedures. I definitely think a rhinoplasty would be a nice improvement. You don’t need a brow lift especially since your hairline is high. The other minor things like neck lipo are okay. I don’t think you need a chin implant. And forget the bbl. if it hasn’t worked after three sessions it’s not going to do any better the fourth time.

Sam Naficy, MD, FACS · Answer

I think you are fairly accurate with what you could benefit from.  I would also suggest a chin implant based on your profile photos.  This is done through the same incision as the chin lipo.

Can I include a rhinoplasty, chin lipo, brow lift and under eye procedure with my forehead lift? (Photos)

Answers (8)

Answer: Multiple procedures

Answer: Multiple procedures

Answer: Combination of facial procedures

Answer: Combination of facial procedures

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Everything you need to know about Rhinoplasty

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Can I include a rhinoplasty, chin lipo, brow lift and under eye procedure with my forehead lift? (Photos)

Answers (8)

Answer: Multiple procedures

Answer: Multiple procedures

Answer: Combination of facial procedures

Answer: Combination of facial procedures

Browse related questions

Recommended reading

Everything you need to know about Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.