Her long nose required elevating the tip, taking down a hump, and shortening
the nose. But she had another operation, too. She had a chin
augmentation, to make her weak chin appear stronger.
In a chin augmentation, an implant is placed in front of the jaw bone to
bring the chin forward. Bringing the chin forward at the same time as
making the nose smaller puts the face in better balance. The profile gets
an improvement that the rhinoplasty alone couldn't achieve.
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Can my nose be fixed? Will I need additional surgeries to create a balance?
I'm 38 and I've hated my nose for as long as I can remember. To make matters worse, I broke it a year and a half ago and have gained breathing issues on the left side, a sway, a hump, and it seems like an all over thickness. I feel like my features give me a masculine appearance. Can my face be fixed? Will I need to have a chin reduction to create a ballance if I have rhinoplasty? What do you suggest? Cost?
(Questioner submitted photos)
Dr. Denenberg's answer: From the photos, you seem to be a good candidate for a rhinoplasty
See the video link -- I made a modification of one of your images, simulating the changes that can be possible with an expertly-performed rhinoplasty. I elevated the tip of your nose, brought the tip and the entire nose back closer to the face ("deprojecting" it), took down the bump. Your nose is very string where it starts, below your eyebrows, and I believe it would be mandatory to reduce the strength of your nose up there, rather than just taking down the bump, or it wouldn't look right after surgery.
Breathing issues can almost always be addressed at the same time as changing the appearance of the nose.
I don't think you need a chin reduction. Your chin looks great, and chin reductions are very very unpredictable anyway. I think they are best reserved for someone who needs a very large change in the chin size, not something subtle or theoretical.
Link to this question on RealSelf.com