Center For Cosmetic Surgery: Todd Gerlach MD
Since no two people are alike, a patient should not expect to "select a nose" by studying other people's noses or photographs, but such input is helpful to the surgeon as it gives some idea of the patient's general desires.
A surgeon must consider the patient's entire facial profile when planning nasal surgery. Patients with moderate sized noses, but very weak chins will appear to have much larger noses than they actually have. In such cases, it is impossible to reduce the nose sufficiently to provide a satisfactory profile, but facial balance may be restored by simultaneously performing a chin augmentation. Additional ancillary procedures such as a liposuction of the neck or a face lift may enhance the result of the rhinoplasty even further by restoring facial balance.