Nose, Chin and Jaw Contouring


 

Do you have some asymmetry in your nose that bothers you? Does one nostril seem to sit higher than the other? Are you bothered by a bump on the top of your nose that you’d like to have smoothed? Do you have a traditionally ethnic nose you’d like to subtly refine?

If so, you are a good candidate for rhinoplasty surgery. However, you may first consider trying out a new nasal contour via non-surgical rhinoplasty. Read more about this minimally invasive procedure below under non-surgical nose job.

Non-Surgical Nose Job

A non-surgical nose job is a great alternative to surgical rhinoplasty if you:

  • Want to see potential rhinoplasty results before committing to surgery
  • Only have a small surface deformity or irregularity
  • Are not concerned about having permanent results
  • Do not wish to significantly reduce the size of your nose
  • Do not require any functional nasal improvements (i.e., deviated/crooked septum, swollen turbinates)

If these criteria do not reflect your own, then visit our traditional surgical rhinoplasty page. A wealth of information and guidance can be found there to help you consider the options for permanently altering the look or function of your nose.

Chin Contouring

Are you gazing in the mirror these days amazed that you are old enough to know what jowls are? Of course you only know this because you see the pre-jowl sag taking hold on your own face. This is not generally a joyous moment.

You’re definitely not ready for a facelift yet. And you’re wondering if a chin augmentation does anything to help your jowls. Surgery is a big step though, and you wish you could visualize what the results may look like first.

If so, you are a good candidate for non-surgical chin augmentation. Read more about this minimally invasive procedure below under non-surgical chin augmentation.

Non-Surgical Chin Augmentation

Aging in the mid and lower face results in loss of skin elasticity and soft tissue volume. When combined with gravity, these aging effects result in a downward pull and sag, which contributes to the loss of your defined and youthful jawline. This can have a big impact on the way you look.

The area on either side of your chin is called the pre-jowl sulcus. As the jowls gradually develop over time, a hollow develops in the pre-jowl area. Filling in the sulcus produced by the developing jowls replenishes the volume lost in this area. Doing so provides a more youthful appearance with a strong, smooth jawline.

If dermal filler treatment is successful and you like the look, restoration of your smooth jawline may be something you want to consider more permanently with chin augmentation surgery.

Age-related loss of natural tissue volume in the lower third of your face may also create wrinkles on your chin. RADIESSE® can easily restore volume to your chin to minimize wrinkles there too, making your skin appear smoother and more youthful.

Narrow a Wide, Square Jawline with Botox

In the jaw area, BOTOX® or Dysport™ can help de-emphasize a wide, square jawline. This is a common treatment goal for female Asian patients, who prefer to have a less masculine, aggressive-looking, square jaw.

As an excellent alternative to surgical reduction of the bony angles of the mandible (jawbone), BOTOX® injections in the masseter muscle can create the appearance of a rounder, more feminine jawline, avoiding the risk and expense of surgery.

Nose and Chin Contouring Results

Treatment

The treatment itself consists of:

  • Applying ice, as needed, for vasoconstriction and numbing
  • Applying topical anesthetic to further increase numbing
  • Targeting select injections sites
  • Massaging injection sites to promote even integration into tissue
  • Treatment is concluded in about 30 minutes for the nose, chin or jawline

Note: Immediate results may be exaggerated due to swelling

Discover injectable recovery tips. Injectable treatments with tissue fillers typically require 24-48 hours for commonly experienced redness, swelling, or bruising to subside. It’s very possible that you experience none of these side effects and enjoy no downtime.

Results

Contouring of the nose or chin can produce great short-term results.

  • Minor nasal deformities are corrected, creating a clean, smooth, attractive nasal profile.
  • Chin is redefined with strong, smooth, youthful contours.
  • Jawline is made rounder, less angular, less aggressive, and more feminine.
  • Results are achieved faster, less expensively, and require less downtime.
  • Non-surgical results may vary in both the nose and pre-jowl/chin areas.
  • Filler results are temporary and may last 9-18 months, depending on the filler used.
  • BOTOX® results last 4-6 months before the effect fades and re-treatment becomes necessary.

The downside of non-surgical nose and chin recontouring is that the improvement is not permanent. The bonus is that non-surgical treatment allows you to see the change before making it more permanent.

About Dr. Michael Macdonald

Dr. Macdonald is a skilled specialist in Cosmetic and Facial Plastic Surgery. He is Board Certified as a Diplomat of the American Board of Facial Plastic and Reconstructive Surgery and a Diplomat of the American Board of Otolaryngology - Head and Neck Surgery. He is a Fellow of the American College of Surgeons and of the Royal College of Surgeons of Canada. After earning his medical degree at Queen's University, Dr. Macdonald completed an internship at North York General Hospital, followed by residencies at Dartmouth-Hitchcock Medical Center and the University of Toronto. He then completed Advanced Fellowship training in Cosmetic Facial Plastic and Reconstructive Surgery under the auspices of the American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS) at the University of California-San Francisco.

Dr. Macdonald is Director of the Aesthetic Surgery Center Inc. in San Francisco, and serves as Chief of the Division of Head and Neck Surgery of the Alameda Health System in the East Bay (Alameda County Medical Center, San Leandro Hospital, and Alameda Hospital) where he acts as Assistant Clinical Professor in the Department of Surgery of the University of California. He also serves as Director of a BOTOX* Cosmetic National Physician Training Center. In addition to his clinical appointment through UC-San Francisco, he has taught at the Meiji College of Oriental Medicine and been a lecturer for the Oakland Kaiser Head and Neck Surgery training program. He is the author of several medical articles and has received numerous awards and scholarships related to his clinical research. He speaks at professional engagements and presentations throughout the country and internationally.

Dr. Macdonald participates in the National Domestic Violence Program of the American Academy of Facial Plastic Reconstructive Surgery to repair wounds and deformities of victims of domestic violence. He also has participated in medical missions to Guatemala to repair congenital deformities in children. In earlier years, he was a camp counselor at Camp Laurel for HIV positive children and Camp Oochigeas for children with cancer. He is an ongoing supporter of The Little Jim Club of San Francisco whereby he raises money to help fund pediatric medical programs of the California Pacific Medical Center.

Patient Care Philosophy

Dr. Macdonald specializes in treating men and women who wish to improve their appearance. He emphasizes an individually tailored approach in evaluating and treating his patients to produce the most natural looking results possible with minimal recovery time.

Dr. Macdonald's areas of greatest interest include rhinoplasty, septoplasty, paranasal sinus surgery, liposuction and liposculpting and facial rejuvenation surgery - blepharoplasty (eyelid surgery), facelift, neck lift and brow lift surgery, facial contouring including chin augmentation, cheek and jaw contouring. He and his carefully selected and trained staff are experts in the art of facial contouring with fillers (liquid rhinoplasty, liquid facelift, lip enhancement, cheek revolumization), neurotoxins (Botox*, Dysport*, Jeuveau*), and Kybella* and advanced skin care with laser treatments (laser resurfacing for wrinkles, large pores and acne scars, BBL for discoloration and sun spots, and Skin Tyte), micro-needling, chemical peels and facial treatments. At the Aesthetic Surgery Center in San Francisco, California, Dr. Macdonald uses state-of-the-art techniques and technology to achieve customized results focused on each patient's unique goals and needs.

Dr. Macdonald provides the highest quality of medical care to his patients by attending to each patient's concerns in the following manner:

* The doctor-patient interaction begins with a detailed consultation. Dr. Macdonald's caring and sensitive style sets the patient at ease right away. This allows a thorough discussion of each patient's unique personal needs, concerns, goals and expectations.
* Dr. Macdonald is meticulous in assessing various options available to each patient, with a view to identifying which procedure is best suited for the individual in question. As patient safety is of the utmost importance to Dr. Macdonald, he avoids taking any and all risks in pursuing recommended treatment.
* In assessing optimal care, each patient's aesthetic goals and expectations are balanced with other life considerations such as exercise, diet, and personal time constraints. The planning process is thoroughly discussed with each patient in an effort to facilitate an informed and comprehensive decision making process.
* Close, personal attention is given to each patient by Dr. Macdonald and his highly trained staff at the San Francisco Aesthetic Surgery Center throughout all phases of treatment, including surgery, recovery, and follow-up periods.

Dr. Macdonald is constantly updating his knowledge and refining his skills in applying state-of-the-art medical techniques of patient care. He attends local, national, and international continuing medical education programs on a regular basis. He has developed an artistic approach in the application of advanced procedures to achieve optimal results for his patients.

Dr. Macdonald and the Aesthetic Surgery Center welcome new patients from throughout the San Francisco Bay Area, as well as nationally and internationally. With specialized expertise in primary and revision nasal surgery and in eyelid rejuvenation surgery, Dr. Macdonald frequently treats patients who travel from throughout the country and around the world to this downtown San Francisco location, in the heart of Union Square. Dr. Macdonald speaks both English and French. His staff also speak Tagalog.

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Aesthetic Surgery Center

Dr. Macdonald is a skilled specialist in Cosmetic and Facial Plastic Surgery. He is Board Certified as a Diplomat of the American Board of Facial Plastic and Reconstructive Surgery and a Diplomat of the American Board of Otolaryngology - Head and Neck Surgery. He is a Fellow of the American College of Surgeons and of the Royal College of Surgeons of Canada. After earning his medical degree at Queen's University, Dr. Macdonald completed an internship at North York General Hospital, followed by residencies at Dartmouth-Hitchcock Medical Center and the University of Toronto. He then completed Advanced Fellowship training in Cosmetic Facial Plastic and Reconstructive Surgery under the auspices of the American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS) at the University of California-San Francisco.

Dr. Macdonald is Director of the Aesthetic Surgery Center Inc. in San Francisco, and serves as Chief of the Division of Head and Neck Surgery of the Alameda Health System in the East Bay (Alameda County Medical Center, San Leandro Hospital, and Alameda Hospital) where he acts as Assistant Clinical Professor in the Department of Surgery of the University of California. He also serves as Director of a BOTOX* Cosmetic National Physician Training Center. In addition to his clinical appointment through UC-San Francisco, he has taught at the Meiji College of Oriental Medicine and been a lecturer for the Oakland Kaiser Head and Neck Surgery training program. He is the author of several medical articles and has received numerous awards and scholarships related to his clinical research. He speaks at professional engagements and presentations throughout the country and internationally.

Dr. Macdonald participates in the National Domestic Violence Program of the American Academy of Facial Plastic Reconstructive Surgery to repair wounds and deformities of victims of domestic violence. He also has participated in medical missions to Guatemala to repair congenital deformities in children. In earlier years, he was a camp counselor at Camp Laurel for HIV positive children and Camp Oochigeas for children with cancer. He is an ongoing supporter of The Little Jim Club of San Francisco whereby he raises money to help fund pediatric medical programs of the California Pacific Medical Center.

Patient Care Philosophy

Dr. Macdonald specializes in treating men and women who wish to improve their appearance. He emphasizes an individually tailored approach in evaluating and treating his patients to produce the most natural looking results possible with minimal recovery time.

Dr. Macdonald's areas of greatest interest include rhinoplasty, septoplasty, paranasal sinus surgery, liposuction and liposculpting and facial rejuvenation surgery - blepharoplasty (eyelid surgery), facelift, neck lift and brow lift surgery, facial contouring including chin augmentation, cheek and jaw contouring. He and his carefully selected and trained staff are experts in the art of facial contouring with fillers (liquid rhinoplasty, liquid facelift, lip enhancement, cheek revolumization), neurotoxins (Botox*, Dysport*, Jeuveau*), and Kybella* and advanced skin care with laser treatments (laser resurfacing for wrinkles, large pores and acne scars, BBL for discoloration and sun spots, and Skin Tyte), micro-needling, chemical peels and facial treatments. At the Aesthetic Surgery Center in San Francisco, California, Dr. Macdonald uses state-of-the-art techniques and technology to achieve customized results focused on each patient's unique goals and needs.

Dr. Macdonald provides the highest quality of medical care to his patients by attending to each patient's concerns in the following manner:

* The doctor-patient interaction begins with a detailed consultation. Dr. Macdonald's caring and sensitive style sets the patient at ease right away. This allows a thorough discussion of each patient's unique personal needs, concerns, goals and expectations.
* Dr. Macdonald is meticulous in assessing various options available to each patient, with a view to identifying which procedure is best suited for the individual in question. As patient safety is of the utmost importance to Dr. Macdonald, he avoids taking any and all risks in pursuing recommended treatment.
* In assessing optimal care, each patient's aesthetic goals and expectations are balanced with other life considerations such as exercise, diet, and personal time constraints. The planning process is thoroughly discussed with each patient in an effort to facilitate an informed and comprehensive decision making process.
* Close, personal attention is given to each patient by Dr. Macdonald and his highly trained staff at the San Francisco Aesthetic Surgery Center throughout all phases of treatment, including surgery, recovery, and follow-up periods.

Dr. Macdonald is constantly updating his knowledge and refining his skills in applying state-of-the-art medical techniques of patient care. He attends local, national, and international continuing medical education programs on a regular basis. He has developed an artistic approach in the application of advanced procedures to achieve optimal results for his patients.

Dr. Macdonald and the Aesthetic Surgery Center welcome new patients from throughout the San Francisco Bay Area, as well as nationally and internationally. With specialized expertise in primary and revision nasal surgery and in eyelid rejuvenation surgery, Dr. Macdonald frequently treats patients who travel from throughout the country and around the world to this downtown San Francisco location, in the heart of Union Square. Dr. Macdonald speaks both English and French. His staff also speak Tagalog.


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We are here to help

  • Jodi   Landi
    Jodi Landi
    Practice Manager, Patient Coordinator
  • Jai  Martin
    Jai Martin
    Paramedical Aesthetician, CMA
  • Elise  Willett
    Elise Willett
    Registered Nurse
Testimonials

Words from our patients

  • Yelp

    "He has a calm bedside manner, with genuine concern for his patients and goes above and beyond to keep you as informed, relaxed and comfortable and possible."

    Dena M.
  • Yelp

    "Dr. Macdonald's been my doctor now for two years and I couldn't be happier. I trust him to do any procedure. Hands down, one of the best doctors I've had."

    Jodie M.
  • Yelp

    "I've never experienced a more calming, professional and helpful Doctor's office in my life of 46-years. I'm so thankful and lucky to have found Dr. Macdonald!"

    Leah J.
  • Yelp

    "Dr. MacDonald is truly the 'plastic surgeon's plastic surgeon'. Totally professional, great listener, and the ultimate Artist."

    Richard L.
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Feel free to email us regarding any scheduling or general questions!

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Michael Macdonald, M.D.
500 Sutter Street
Suite 430
San Francisco, CA 94102