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I would suggest to begin the discussion with a maxillofacial surgeon and evaluate the skeletal relationship of the upper jaw, forehead and mandible.My impression is that the upper jaw is a little bit recessed but it may be the effect of how the photograph is cropped. If the balance of the occlusion and mandibular development are good, and chin reduction would be possible and can be combined with a slight tip rotation and increased projection at the radix.This would help to create the impression that the middle third of the face is slightly more advancedAnd evaluation of the shape of the forehead in its entirety would be important as part of this decision
Evaluation for the need of rhinoplasty is based on looking at the entire face and the harmony of the nose to the face.The picture is inadequate for any evaluation.Best to get a personal consult
Rhinoplasty requires exceptional skill on behalf of the surgeon and great communication with the patient about realistic goals and expectations. Common cosmetic concerns include a dorsal hump, wide nose, sunken nose, irregularities, and asymmetries. Functional concerns include difficulty...
You can decrease the short appearance of the nose by undergoing rhinolasty to lengthen it as well as thin and define it better. It is not easy to lengthen a nose so be sure that you are seeing a rhinoplasty specialist for consultation.
Thank you for your questions and for sharing your photographs. Rhinoplasty is frequently performed in combination with Septoplasty (called Septorhinoplasty) to correct a deviated nasal septum (the cartilage in the nose that separates the nostrils) causing a blocked nose and/or to harvest septal...