Q: Dr. Eppley, I am ready to change the look of my face and am willing to spend whatever money it takes to do it. First I want to make my nose smaller as it is too big for my face I think. Second, I want to reduce my jaw size and I want to shift it little back and narrow it from the front view. If these are possible, please get back to me. I have attached some pictures of me for you to see my problems.
A: Based on your pictures, your nose is wide and broad from the front and has a low dorsal profile from the side. Your nose could be made to look smaller by a rhinoplasty which includes dorsal augmentation, nasal bone osteotomies, tip narrowing and nostril reduction. How much smaller it would appear would ultimately be controlled, particularly in the tip area, by the thickness of your nasal skin. From a jaw standpoint, I am a little perplexed that you want your jaw smaller when it already has a horizontal chin deficiency when view from the side. But in applying your request, it could be made slightly smaller by chin reduction by burring through a submental approach and jaw angle reduction by oblique osteotomies. I have attached some predictive imaging with those nose and jaw changes in mind.
Dr. Barry Eppley