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Steven M. Denenberg, M.D.
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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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Questioner: Swollen nose 9 months post-op?
Hello. I had a nose surgery back in June 2014 and, though I was told it takes up to a year or more for the swell to dissolve, I'm starting to worry about it. I had a problem with my nose's tip (it was too big & out of proportion with the rest of my face) but it's still not small enough, although it's been a long time since the surgery. Plus, the tip is very hard & feels numb when I touch it. Is this natural?
(Questioner submitted photos)

Dr. Denenberg's answer: Need bigger photos, at different angles
Hi,
While it's true that it takes about a year for almost all of the swelling to go down, it's also true that if you are to receive a great result, you probably should be closer to that result by now. With a great result on the way, you wouldn't be worried about the tip getting smaller at 9 months; rather, the last three months would see just the very tiniest of swelling resolve to give more finesse to the result.

It's sometimes possible for a surgeon to give a patient an idea of what might be going on based just on photographs, but we would need photos that are much larger, and taken from different angles, to get a better evaluation. We'd need to see more details of the nose. Hope that helps some.

Link to this question on RealSelf.com