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Many of the books that talk about classic proportions of the face describe
how strong the chin should be. Here's the guideline most books mention: on
the profile view, find the lowest point on the lower lip where you would place
lipstick. Draw a line vertically
down from that point. The chin should come forward to touch that line.
However, guidelines are just guidelines. Put a ruler on your computer
screen, and you'll see that, even in the after picture, her chin doesn't come
forward to
that theoretical line. And we would not want to make her chin any stronger
than it already is. Often, the best surgical plan is to attempt a good improvement,
and not strive for some generalized goal that might not work on everyone.
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Questioner:
Is my nose tip broken?
As a child I had a bad fall on my nose. Ever since it has gradually got worse over the years. I have trouble breathing from my left nostril and I have a poor sense of smell. I can feel a split at the front of the tip. Also if I squeeze my nose tip it feels springy. I'm not sure if this is related, but I suffer with nose bleeds alot too
(Questioner submitted photos)
Dr. Denenberg's answer: Your nose isn't broken, but you must be very careful in selecting a surgeon.
The split and the springiness and the size of your tip are all related to the fact that the two cartilages that form the tip of your nose are fairly large and asymmetric. Your skin is thin, so it's easy to see, and even feel, the contour of those cartilages under the skin.
This all means that if you decide to have a rhinoplasty, you must be very, very careful about selecting the right surgeon. The vast majority of rhinoplasty surgeons do not have the skill and expertise to handle your tip cartilages, which cartilages pose a significant technical challenge.
When evaluating surgeons, you must insist on seeing before and after photos of their other patients. Look to see whether the doctor has been able to handle large tips like yours. If the photos only show profile views, like shaving off a hump, that's not good enough evidence for your situation. Generally, the three-quarter views show the tip cartilages best.
Link to this question on RealSelf.com
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