Weak Chin, Large Nose? (photo)

Question

Hello, I am looking for some information regarding a nose job. I like the front view of my face, but the profile is what I hate. Is there still a way to make the nose look flattering without changing the front view of my face? Also I have read that fixing the chin can help the nose look more structured. Thank you for the help. Lynn

Philip Solomon, MD, FRCS · Answer

You appear to be an ideal candidate for rhinoplasty and chin augmentation. Reduction rhinoplasty together with chin implantation will significantly enhance your facial aesthetics. Computer imaging can often help with surgical planning and simulation of potential results.

Michael R. Macdonald, MD · Answer

Hi Lynn,

	Yes, the frontal view of your face can remain very similar by maintaining the characteristics that you like about that part of your appearance.

	You are correct in that your nose can be made to appear more flattering (smaller, not as long, remove small dorsal bump) if you combine rhinoplasty surgery with a small chin augmentation implant surgery. The contour of your neck line will also be improved with a chin implant.

	Nasal surgery and chin implant surgery are often combined because these 2 elements of the face compliment each other to create not only an attractive, balanced profile but also a harmonious appearance to the frontal view of the face.

	These 2 surgeries combined often yield a very pleasing result for patients, and they are very straightforward to perform.

Jonathan Pontell, MD, FACS · Answer

Hi and thanks for your question. Yes, your nose can be deprojected and your chin augmented without making any significant changes to your frontal appearance. It looks like you would be an excellent candidate for these procedures. I am also in Pennsylvania, although not very close to you as I am in the suburbs of Philly. I do however, see many patients from out of town. Please check out my before and after photos here on Realself. Thanks. Dr. P

William Franckle, MD, FACS · Answer

This is a common scenario where a patient may not have noticed his or her profile until perhaps viewed in a picture. Often the nose is straight and the tip has normal appearance, but the profile can have a hump or even be “beaky.” A weak chin can make the profile even worse. Certainly, these problems can be addressed without altering the overall appearance of the frontal view. Remember that the nose looks best when all of the parts are in appropriate proportion. This is why a chin implant can be of assistance in certain patients.

Steven J. Pearlman, MD, FACS · Answer

Often we use the term profilplasty to explain the addition of a chin implant along with nasal surgery, especially hump removal. And the profile of the nose can also be changed without altering the front view. I find that computer imaging helps a lot, especially when chin implants are being considered. the new Vectra 3-D image system is great for that.

Toby Mayer, MD · Answer

Rhinoplasty for the large nose and chin implant for a weak chin is what would improve your entire face. The chin implant will make the nose look smaller and the rhinoplasty will address the profile, etc.

Thomas A. Lamperti, MD · Answer

You're absolutely right that improving the projection of a weak chin can help balance out the facial features and even make the nose appear smaller.

	It is also possible to refine your profile without necessarily changing the frontal view of your nose. You'll want to visit with a rhinoplasty surgeon experienced these types of procedures. Check out before and after photos of their patients to help with surgeon selection.

George John Alexander, MD, FACS · Answer

A chin implant will help improve the balance of your facial profile. Often times it is combined with rhinoplasty surgery. For more specific recommendations, consult with an experienced board certified plastic surgeon.

Steven Wallach, MD · Answer

A weak chin can be strengthened with a chin implant at the same time as a rhinoplasty.  This can put the face in better balance.

Vasdev Rai, MD · Answer

Nose and chin projections are lead points of face in face's profile view and their optimal balance is pivotal for facial aesthetics.  

	Thus it will make perfect sense to evaluate both these features of face when surgery is considered in anyone of these. If nose is large and chin is weak and patient seeks rhinoplasty, it will be required to do chin augmentation at time of rhinoplasty to achieve best possible outcome from rhinoplasty

	This is what you need.

Weak Chin, Large Nose? (photo)

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