Additional or accessory procedures are sometimes performed at the same time as rhinoplasty to enhance the overall result. The most common such accessory procedures are chin implants and dermal fillers.
A prominent hump on the nose disrupts the facial profile. The profile is further imbalanced when there is also a weak under-developed chin. The poorly developed chin further exaggerates the prominence of the nose. The profile then shows the middle portion of the face to be propelled forward. Certainly, in such instances, reducing the hump moves the nose backward and improves the nasal profile. However, going one step further by adding a chin implant to project the chin forward greatly enhances the result. The combination of recessing the nose and strengthening the chin significantly balances the overall facial profile and creates a harmony in the facial proportions.
The procedure involves placing the implant under the skin and muscles. This can be accomplished by placing an incision in the lower gum and inserting the implant through the mouth or by making a small skin incision under the chin and inserting the implant through this incision. The implant is shaped in such a way that it wraps around the sides of the chin along the jaw line to provide a continuous and smooth contour. The procedure is performed at the same time as the rhinoplasty, under local or general anesthesia.
Fillers are used for a variety of facial areas, including the lips, the nasolabial folds (folds between the nostrils and sides of the mouth), marionette lines (the lines between the the sides of the mouth and chin), under the eyes, and the cheeks. Most commonly, when used along with rhinoplasty, fillers are applied to the nasolabial folds, the lips, or, in cases where patients opt not to have a chin implant, the chin. The application of a filler can add to the improvement obtained from rhinoplasty and complement the final overall result.
There are multiple types of fillers available, some permanent and some temporary. The choice of filler used will depend on durability, cost, and patient and surgeon preference. A discussion with your surgeon will help identify the best filler suitable for your case.