Rhinoplasty for facial balance? (Photo)

Thank you for reaching out and sharing your concerns. It’s completely understandable that past facial trauma can impact your facial balance over time, and many individuals seek options to restore harmony and symmetry.

Rhinoplasty could be a great solution if the asymmetry of your nose is contributing to your concerns. A consultation with a facial plastic surgeon will allow for a detailed assessment of your facial structure, ensuring that any adjustments align with your overall facial balance. In some cases, additional treatments, such as chin augmentation, may also help create a more proportional and natural-looking result.

I agree with you that you have a nice nose. I also see the slight asymmetries that are seen on oblique views. I believe that the imbalance that you are seeing could be from an underprojected chin appearance that could be making your nose look bigger than it is. You also appear to have a relatively long face, and the lower 1/3 of your face appears to be a bit short on front view. Because of those two entities, under projection on profile, and shortness on front view, I would consider a chin implant to improve upon facial balance. Computer Imaging may be helpful for establishing goals. I hope this is helpful for you. Sincerely, Dr Joseph.

Hello! Thank you for your question.
As far as I can see from your photos for get rid of this image I recommend you rhinoplasty surgery.You can get the nose appearance you want with a single operation.It would be better face to face consultation.Best regards!

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.

A closed rhinoplasty approach can accomplish making your nose more symmetrical, shaving down the dorsal hump, which is more prominent on your right side, decreasing the overall projection of the nose, and refining the nasal tip, with all of the incisions placed on the inside of the nose. No external incisions are required and no painful packing is required either. You also have a recessive Chin profile which makes your nose look bigger than it really is. Consider placement of a chin implant to augment your chin forward for a better facial balance and proportions. Both procedures can be performed together, under one general anesthesia, or the chin implant can be performed as a standalone procedure under local anesthesia. Digital computer imaging of both procedures would be helpful in the education process.

Your facial asymmetry is actually quite mild. Overall, I would say you have less asymmetry than most people.
All people have facial asymmetry. There’s no one who has a perfectly symmetrical face.
I don’t think anyone sees you as having a symmetry of your face, so I would not seek treatment for the sake of asymmetry alone.
You’re certainly welcome to have an assessment and get a rhinoplasty if you would like.
I suggest having a few in person, consultations with plastic surgeons who have a proven track record for rhinoplasty surgery. To find the best provider I suggest patient schedule multiple in person consultations. During each consultation, ask each provider to open up their portfolio and show you their entire collection of before and after pictures of previous patient who had similar facial or nasal characteristics to your own. and experience plastic surgeons should have no difficulty showing you the before and after pictures of at least 50 previous patients. Being shown a handful of pre-selected images, representing only the best results of a providers career is insufficient to get a clear understanding of what average results look like in the hands of each provider or how many of these procedures they’ve actually done. Rhinoplasty surgery is considered fairly complex and my recommendation is that patients be more selective than they may think necessary when choosing providers. The best way and my recommendation is for patients be more selective than they may think necessary when choosing providers. The best way to do that is to have numerous consultations before selecting a provider and scheduling surgery.
Best,
Mats Hagstrom, MD