Rhinoplasty for facial balance? (Photo)

You can achieve facial balance with a rhinoplasty and chin implant. In terms of the rhinoplasty, your nasal columella angle is about 90 degrees and could be made slightly higher. The tip is slightly widened and could be slightly narrowed.

Best Wishes,

Gary Horndeski, M.D.

First of all, I agree that your nose seems prominent when seen against your other facial features. The three-quarters views make the nose look long -- meaning the tip could be elevated -- and the bridge look wide. And also, the nose seems to project strongly forward away from the face, so it might be good to bring the bridge and tip and entire nose back closer to your face.
Another reason to address the nose is that it's not possible to address other reasons for facial asymmetries or other things you might notice: we can't change the size or shape of the forehead, or the tallness of the face. Your chin is strong so we wouldn't touch it, and imo the things we try to do to the cheekbones never work out very well.


How *much* to elevate the tip, or deproject the nose, or make other changes? We figure that out with morphs, well before surgery. 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 better just what's bothering you, and help you set a goal for the rhinoplasty that's accurate for your tastes. Profile and three-quarter views would be particularly important in morphing your nose. (Side note: in my opinion, morphs should really 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 the surgeon has that information and judgment best.)

Finally, 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. 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.