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Steven M. Denenberg, M.D.
Steven M. Denenberg, M.D.
chin augmentation
 
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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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Next: an example of the solid advice Dr. Denenberg gives patients on RealSelf.com.
Get that advice for your own situation by emailing your photos to Dr. Denenberg.

Questioner: Rhinoplasty to Possibly Make my Eyes Look a Bit Less Wide Set?
I already know I want rhinoplasty. I'm just plainly curious if I could maybe make my eyes look a slightly closer together with a rhinoplasty. I've had a few people say i have wider set eyes, it doesnt look bad but I have neer ever noticed it until I got the comments, but now i see it a little bit. I'm not looking for a giant improvement but a noticeable one. Is it possible? Or would it make my nose too big and then look awkward?
(Questioner submitted photos)

Dr. Denenberg's answer: Don't worry about the width of your eyes. Rather, be sure to exactly define what you want done to your nose.
Occasionally I have a patient ask how a planned rhinoplasty will affect her eyes, because she's worried that the operation will make her eyes look closer together, or farther apart. The operation will do neither. Despite some people being understandably concerned about this issue, it never comes up after surgery; I've never had a patient complain that the eyes look wider apart or closer together. It seems to be one of those academic questions that just turns out not to materialize as a problem.

The only comment I get is that sometimes a patient with a very large nose says that her eyes look better after surgery because the nose no longer takes up so much attention.

At least from the images you submitted, your nose doesn't have any overwhelming feature to address surgically. Be sure you define exactly for your surgeon what you want changed, and get confirmation that he understands and can accomplish those changes. See the "Web reference" link for more suggestions.

Link to this question on RealSelf.com



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