Chin Implant Asymmetry, Can You Have Revision Rhinoplasty?
You may want nose reshaping because of a personal concern, a health problem or other worries. So why might a surgeon decline your case after a consultation? One reason is that the assessment found your face is asymmetric because of a previous silicone chin implant.
An asymmetric face, where both sides are not in balance, can have several causes, such as ageing, daily habits, health problems or more fat build-up. At a glance you may not notice the problem, but when the angles are assessed, the surgeon can tell whether the facial structure or a previous chin implant is making the face uneven, with the 2 sides at different angles.
Chin Surgery and Chin Augmentation for Balanced Facial Proportions
especially for People With a Short Chin, a Square Chin, a Sunken Chin or Other Chin Concerns

Chin surgery, or chin augmentation, can be done in 2 ways: chin augmentation with filler injections and chin augmentation with a silicone implant placed under the chin. Before chin augmentation with a silicone implant, the surgeon measures your facial proportions to check your original chin size and choose a suitable silicone implant before surgery.
For People Who Have Had Chin Augmentation With a Silicone Implant, the Chin Settles Into Shape in 3 to 6 Months
Chin Asymmetry After a Silicone Chin Implant
- It can happen when augmentation is done by a doctor without enough experience, who chooses or carves a silicone implant that is the wrong size and does not suit the face, which makes the chin uneven.
- It can also happen because of certain habits or unsuitable aftercare after chin augmentation, such as often resting your chin on your hand, eating foods traditionally avoided after surgery in Thailand, or doing strenuous exercise that affects the chin shape before the chin has settled.
These problems affect facial proportions. When the surgeon finds an asymmetric, unbalanced face and you want nose reshaping, the surgeon has to analyse in detail what is causing the nose shape problem and whether it is linked to the previous chin augmentation.
Chin Augmentation to Correct Chin Asymmetry
In some cases, if the surgeon finds a related problem from an asymmetric facial structure or an unbalanced face, the surgeon may decline nose reshaping so the facial structure can be corrected first, and the nose reshaped afterwards. If the assessment shows the nose can be reshaped without affecting the facial structure and without making the face look more uneven than before, the surgeon will take the case and reshape the nose.
If Your Chin Is Asymmetric, the Surgeon Will Recommend Correcting It Before Nose Reshaping
because Nose Reshaping Does Not Even Out a Face That Is Asymmetric Because of the Facial Structure or Chin
However, if your facial structure is asymmetric and you want nose reshaping, a new nose shape or correction of other nose problems, see a surgeon for a direct assessment.
Book an S45 Original Consultation to Find a Way to Correct Your Concerns and Feel Confident Again

Nose reshaping with Dr. Ty (นายแพทย์กิตติศักดิ์ วงค์เทียนชัย, ว.35602) using the S45 Original approach for complex cases, correcting a nose that does not suit the face because of health problems, accidents or problems from previous rhinoplasty.
Frequently Asked Questions
If My Chin Is Asymmetric, Can I Have Rhinoplasty or Nose Reshaping?
Yes, you can have nose reshaping or rhinoplasty, but for a good result it helps to correct chin asymmetry first. An asymmetric chin makes the midline of the face unbalanced. If you have only nose reshaping or rhinoplasty, the nose shape may improve, but the angles of your face will not become more symmetrical.
Does Nose Reshaping Help Balance the Face?
Nose reshaping does not correct chin asymmetry, because it changes only the shape of the nose and does not affect the facial structure in other areas. If you want a balanced face, correct the chin or the asymmetric facial structure first, then have rhinoplasty or nose reshaping. You can also book a consultation for advice on combining nose reshaping with chin correction.
Where to Have Nose Reshaping and Chin Correction
If you are asking ‘where to have nose reshaping’, the S45 Original approach at S45 Clinic, led by Dr. Ty, is planned by surgeons with more than 20 years of experience who have cared for many nose reshaping cases. Results depend on each person. If you are concerned about one or more issues, such as an asymmetric face, an unbalanced face or a nose shape that does not suit your face, book an appointment with an S45 Original surgeon to plan nose reshaping and chin correction together.
Read More About Chin Surgery and Chin Augmentation for Balanced Facial Proportions
Should I Correct Chin Asymmetry or Have Nose Reshaping First?
When the chin is asymmetric, correct the facial balance and reshape the chin and facial structure before nose reshaping, so the reshaped nose suits your face and is properly symmetrical. If you have nose reshaping before correcting chin asymmetry, the result may not suit your face.
How Is Chin Asymmetry Corrected?
The surgeon chooses a suitable method for each person, depending on the cause and severity, such as jaw repositioning surgery, filler injections or chin augmentation surgery with a silicone implant.
Note: Repeat nose surgery, which many people know as ‘nose reshaping’, is surgery for people who have had nose surgery before and need a further assessment by a surgeon. The approach to care depends on the original concern, the nasal structure and the surgeon’s judgement in each case.



