I really want to change my profile - I hate my receding chin and big nose.

The combination of a small chin and a large nose can be a problem for the profile. It can improve someone's appearance and self confidence tremendously if both are corrected. The average cost is any where from $5000 to $20000 depending on the area you live in. RegardsDr. J

Thank you for your pictures. The first thing I would recommend is an evaluation by an orthodontist. I suspect that you have a lower jaw issue that can be corrected with orthodontics and orthognathic surgery. That is the most complete treatment. If this is the case and you refuse for that treatment a chin implant and a rhinoplasty may be helpful

If the appearance of your nose
concerns you enough, it can be cosmetically improved with a rhinoplasty.
Whether it is worth doing is a decision that is personal and only you can make.
A receding chin can be improved with a natural appearing chin implant.

Nasal cosmetic surgery and a chin
implant are frequently performed together in the appropriate patient. The ideal
aesthetic result should be individualized to achieve harmony with your other
facial features and improve the areas that concern you.

Keep in mind that following advice
from a surgeon on this or any other website who proposes to tell you what to do
based on two dimensional photos without examining you, physically feeling your
tissue, assessing your desired outcome, taking a full medical history and
discussing the pros and cons of the operative procedure would not be in your
best interest. Natural appearing results need to be individualized and what is
appropriate for one patient is not necessarily the best for someone else. I
would suggest that you find a surgeon with extensive rhinoplasty experience
certified by the American Board of Plastic Surgery and one who is ideally a
member of The American Society for Aesthetic Plastic Surgery (ASAPS) or a
facial plastic surgeon (otolaryngologist) that you trust and are comfortable
with. You should discuss your concerns with that surgeon in person. The extent
and length of the procedure, cost, and the specific operative steps to achieve
an ideal cosmetic result vary from patient to patient and would depend on the
findings at your consultation examination.

Robert Singer, M.D., FACS

La Jolla, California