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03-21-13 | Posted by

When done safely, combining two or more plastic surgery procedures often makes financial sense, and now a new study shows that simultaneous nose and chin reshaping can also produce a better cosmetic result.

The findings appear online in JAMA Facial Plastic Surgery.

The all-important nose-chin-neck relationship determines how balanced a face looks. Even people who have good nose jobs can still end up with an out-of-balance face, largely because of a Jay Leno chin or worse, no chin at all.

But profileplasty – which combines a rhinoplasty with chin reshaping (genioplasty) – can be like a one-two punch for your face. It can create a more balanced profile, and has a low risk for complications, according to a study of 90 people who had their noses and chins reshaped simultaneously between January 2002 and January 2004.

This makes perfect sense to American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS) Past President Steven J. Pearlman, MD, a facial plastic surgeon in New York City. “Doing surgery at the same time saves some cost for operating fees and anesthesia fees [and] it also subjects the patient to only one recovery,” he says. “So, if you are considering chin augmentation and would be doing it within a short time of rhinoplasty, why not only have one surgery, one recovery and one block of time for healing and taking off from work or school.”

New York facial plastic surgeon and AAFPRS member Sam Rizk, MD, agrees. “Reshaping the nose and chin is all about proportions. Shortening a long nose, reducing a hump or refining a bulbous tip can go far to improve facial balance, but when the chin and jawline are out of alignment, this needs to be addressed as well to achieve optimal symmetry. Plus there are less invasive options available for chin reshaping in addition to chin repositioning that include solid silicone implants, fat grafting, and temporary dermal fillers like Radiesse. This combined operation is often ideally suited to men, but works well in teens and adult women also.”

Very frequently patients perceive a nose aesthetic issue but really it’s a chin/facial harmony issue, warns AAFPRS Yael Halaas, MD, a facial plastic and reconstructive surgeon from New York City. “Often patients are unaware of having a small chin that is out of balance with the rest of their face. They then can be reluctant or even fearful to have a chin implant.  Ideally, restoring facial harmony by performing the genioplasty and rhinoplasty at the same time eliminates the recovery from two separate procedures and gives the best visual result. Also for the mature patient, a lack of chin can cause lack of definition between the aging face and aging neck.  The augmented chin can help hide signs of early aging.”

If you are feeling out of sorts, maybe it is really a matter of balance, facial balance that is.


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