Genio/chin wing vs rhinoplasty for facial harmony

[beautyislife]

I had jaw surgery nearly 5 years ago now. I expected and had marginal improvement, but I have been seeking more aesthetic improvement for quite some time.

I've always wanted and considered a rhinoplasty. I need a septoplasty next year and have been weighing the cosmetic component. My nose is overprojected with a dorsal hump and shaving the hump may give me more facial harmony. This also seems like the best option as I have been very keen on getting 'almond eye' surgery (orbital rim implants+canthoplasty per Taban's recommendation). Having the overprojected nose and getting the eye surgery seems like a recipe to create eyes that seem too far back/deepset.

Two docs I recently consulted with said I should consider chin augmentation instead of rhinoplasty and in the past I had considered a chin wing or even a second bimax. Wondering if I could pick some of your brains and get advice on what procedure between chin/rhinoplasty would bring about a better facial harmony?

Here is a simulation provided by one of the surgeons (quickly mocked up in office, awaiting his more professional version): https://imgur.com/a/Ugu1bcI

[kavan]

What I can tell you as to some GENERAL background info is that it is common for plastic surgeons to BALANCE the nose with the chin. It is considered an inter-related aesthetic complex. This is because the nose could look too projected RELATIVE to some recession at the chin. Also, a rhino to reduce any hump on nose whereas humps there are usually a combination of bone and cartilage is not limited to only 'shaving' the hump. If only that is done, the dorsal area of the nose will look too wide in frontal perspective. Hence, the dorsal hump of the nose usually includes breaking the nose bones and squeezing them in medially so the dorsal area doesn't look too wide from frontal perspective.

Although I don't give references for doctors, I can tell you it is best to find a good rhino guy with an outlook for aesthetically balancing the nose to chin relationship in ONE surgery. So, don't try to 'job out' the rhino to one doctor and the chin to another.

With regard to 'almond eye' surgery, it tilts the lateral canthus higher than the medial canthus is. However it does not horizontally lengthen the palebral fissure (tissue surrounding the eyeball). So, the WIDTH of your eye won't increase. I mention that because some people pursue that type of surgery because they associate the almond eyes with something models have. So, if you are getting it with THAT goal, be reprized that models also have horizontally 'long' eyes in addition to an upward tilt. Also orbital rim implants work well for people who have over projected EYEBALLS. If over projected eyeballs are not your complaint and/or you are getting that kind of surgery with any expectation for horizontally longer eyes, you need to rethink about it.

In closing the general information I've given above is to help you avoid making a mistake. It isn't aimed at pin-pointing exactly what to do and with this or that doctor.

[beautyislife]

What I can tell you as to some GENERAL background info is that it is common for plastic surgeons to BALANCE the nose with the chin. It is considered an inter-related aesthetic complex. This is because the nose could look too projected RELATIVE to some recession at the chin. Also, a rhino to reduce any hump on nose whereas humps there are usually a combination of bone and cartilage is not limited to only 'shaving' the hump. If only that is done, the dorsal area of the nose will look too wide in frontal perspective. Hence, the dorsal hump of the nose usually includes breaking the nose bones and squeezing them in medially so the dorsal area doesn't look too wide from frontal perspective.

Although I don't give references for doctors, I can tell you it is best to find a good rhino guy with an outlook for aesthetically balancing the nose to chin relationship in ONE surgery. So, don't try to 'job out' the rhino to one doctor and the chin to another.

Thanks for this detail, Kavan. The approach you mention surgeons using to try and strike a balance between nose and chin makes total sense. Also noted on finding a surgeon that is skilled in both that could achieve harmony between both the nose and chin, that is most certainly the best strategy.

With regard to 'almond eye' surgery, it tilts the lateral canthus higher than the medial canthus is. However it does not horizontally lengthen the palebral fissure (tissue surrounding the eyeball). So, the WIDTH of your eye won't increase. I mention that because some people pursue that type of surgery because they associate the almond eyes with something models have. So, if you are getting it with THAT goal, be reprized that models also have horizontally 'long' eyes in addition to an upward tilt. Also orbital rim implants work well for people who have over projected EYEBALLS. If over projected eyeballs are not your complaint and/or you are getting that kind of surgery with any expectation for horizontally longer eyes, you need to rethink about it.

In closing the general information I've given above is to help you avoid making a mistake. It isn't aimed at pin-pointing exactly what to do and with this or that doctor.

My goal for the almond eye surgery is to restore a youthful appearance to my face. My eyes have always been a weak point and have always 'aged' me. Canthoplasty seems to give a more 'awake' and youthful look to ones eyes (at least in my opinion). Would getting this upward tilt not achieve that outcome?

My undereye area is also very hollow, very noticeably so and is becoming too much of an annoyance with how much I notice it. A few years ago, it was suggested to me by Taban to get oribital rim implants to correct this hollowing. Though, I have seen some successful results from PRF fillers, I just don't know how that filler would impact the desire of receiving a canthoplasty. Perhaps it's best to ask him directly.


As always, your input is much appreciated Kavan

[kavan]

Thanks for this detail, Kavan. The approach you mention surgeons using to try and strike a balance between nose and chin makes total sense. Also noted on finding a surgeon that is skilled in both that could achieve harmony between both the nose and chin, that is most certainly the best strategy.

My goal for the almond eye surgery is to restore a youthful appearance to my face. My eyes have always been a weak point and have always 'aged' me. Canthoplasty seems to give a more 'awake' and youthful look to ones eyes (at least in my opinion). Would getting this upward tilt not achieve that outcome?

My undereye area is also very hollow, very noticeably so and is becoming too much of an annoyance with how much I notice it. A few years ago, it was suggested to me by Taban to get oribital rim implants to correct this hollowing. Though, I have seen some successful results from PRF fillers, I just don't know how that filler would impact the desire of receiving a canthoplasty. Perhaps it's best to ask him directly.


As always, your input is much appreciated Kavan

The cantho procedure gives an uptilt to the lateral canthal area so, ya, it could look more youthful if you have a drooped down lateral canthal area at present. I'm not that familiar with how Taban puts them in to fill hollows. I'm more familiar with how Yarmemchuk (now retired) would use the orbital rim implants. He would need to do a subperiosteal midface lift as part of the process aimed at mitigating the hollow groove below the eyeball. If you don't have the 'prominent' or bulging eye, then fillers can be used to fill in the groove OR if the groove is mostly SHADOW because there is a fat pad sticking out from the orbit, above it, then there is a type of surgery that slips the orbital fat into the groove. So, you could enquirer with him about that.