The answer to this question is – quite commonly. I would say that nearly 20% of our patients seeking primary rhinoplasty (1st time rhinoplasty) also consider chin augmentation with an implant. One of the main goals of rhinoplasty is to achieve improved harmony with the rest of the face. In cases where the nose is disproportionately large compared to the rest of the face, the aim would be to make it smaller. Most of these cases involve noses that are projected too far out from the face and/or have an excessively high bridge. This usually is more pronounced when looking at the profile view (side view). Unfortunately, there is a limit to how much smaller the nose can be made, particularly if one has thicker than average skin. In cases like this where even more balance is necessary, one must consider the shape and size of the chin to help compensate. These patients have a chin that is quite weak or underdeveloped, which makes a large nose appear even larger (since the lower one-third of the face looks comparatively too small). By augmenting the chin and jawline with an implant, the lower face is brought into better balance with the remainder of the face. When doing this in combination with rhinoplasty to make the nose smaller, the results can be rather dramatic. In fact, in many cases this is often a multiplicative effect and not just additive (like 1+1=3!).
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