The rhinoplasty procedure can address raising the bridge of the nose with cartilage grafting techniques. When there is a recessive and weak chin profile present, a chin implant is suggested to give further balance and proportions to the profile of the face. For many examples of this combination, please see the video and the link below
Dear jc1127,Thank you for your clinical post and photograph. Analysis of your profile shows that thetakeoff of your nose is slightly low and weak and your chin slightly underprojected. You do have a long face withyour forehead and upper third and lower third being relativelyproportionate. The nose itself could belengthened slightly through the use of soft tissue fillers such as Juvederm orRestylane and this will give you a good idea as to the efficacy of using longerterm tactics and strategies such as cartilage grafting to the bridge. Your nasal bridge is not classicallydepressed or scooped out as it might be and only very subtle changes may beneeded in the radix or top of your nose and nasal tip. If you do make the nose slightly larger andlonger this will exaggerate the under projected chin and you may also considerinjecting Juvederm Voluma or other soft tissue fillers in the chin to assessthe impact of this nasofacial balance, aesthetics and proportions.Long-term strategies such as Genioplasty or bony chin augmentationtogether with cartilage grafting to the nose may be options for you. Computer imaging using two dimensional andthree dimensional changes can help the rhinoplasty surgeon to find the types ofimprovements that you may be seeking and give you a chance to assess yournasofacial balance and proportion before committing.Having been trained in both plastic surgery and ear, nose,throat, head and neck oncology I’ve been performing rhinoplasty surgeries forover 20 years and the strategies outlined above might be options for you.I hope this information has been of some assistance and bestof luck.For more information, please review the link below.R. Stephen Mulholland, M.D.Certified Plastic SurgeonYorkville, Toronto