The facial profile depends on the balance between the forehead, nose, lips and chin. A receding chin makes the nose look larger; a prominent nose accentuates a weak chin. This is why rhinoplasty is often combined with genioplasty, which advances, reshapes or reduces the chin. Performing both procedures together harmonises the profile in a single operation. The price depends on the complexity of the nose and the technique chosen for the chin: implant or osteotomy. For the procedure itself, see our page on rhinoplasty and genioplasty.
The combined cost is that of a rhinoplasty, plus the genioplasty: a moderate supplement for an implant, a larger one for an osteotomy with plates. A single anaesthetic and a single stay reduce the total compared with two separate operations. The functional portion of the nose may be reimbursed; the rest is cosmetic.
A chin implant, placed through a small incision under the chin or inside the mouth, advances the chin; it is the shortest procedure. An osteotomy, which cuts and moves the chin bone and then secures it with plates, can advance, set back or shorten the chin or correct an asymmetry; it takes longer and requires fixation hardware. See our page on the genioplasty price.
| Chin procedure | Added time | Relative budget |
|---|---|---|
| Implant | Short | Intermediate |
| Advancement osteotomy | Moderate | High |
| Complex osteotomy | Long | Highest |
Rhinoplasty generally accounts for the largest share of the combination. A correction of the tip alone costs less than a complete reshaping; a secondary rhinoplasty or one with grafts costs more.
| Programme | Effect on price |
|---|---|
| Tip only | Lower |
| Full nose | Intermediate |
| Secondary or with grafts | Higher |
For a full rhinoplasty combined with a chin implant, the price differences between cities and cantons are shown below, with Geneva as the reference.
| Location | Canton | Choice of practitioners | Price position |
|---|---|---|---|
| Geneva | Geneva | Extensive | Geneva rate |
| Lausanne | Vaud | Extensive | 2 to 5% lower than Geneva |
| Neuchâtel | Neuchâtel | More limited | 6 to 8% lower than Geneva |
| Sion | Valais | More limited | 3 to 7% lower than Geneva |
| Bern | Bern | Extensive | 3 to 8% lower than Geneva |
| Basel | Basel-City | Extensive | 0 to 3% below Geneva |
| Zurich | Zurich | Extensive | 0 to 3% below Geneva |
| Zug | Zug | Extensive | 2 to 6% lower than Geneva |
| Lucerne | Lucerne | More limited | 5 to 7% lower than Geneva |
| Lugano | Ticino | Extensive | 1 to 8% lower than Geneva |
| Chur | Graubünden | More limited | 4 to 8% lower than Geneva |
| Canton | Consultations available in | All-inclusive package offered | Price position | Time to get an appointment |
|---|---|---|---|---|
| Aargau | Baden, Aarau | Sometimes | 4 to 6% lower than Geneva | One to two months |
| Appenzell Ausserrhoden | St. Gallen, Herisau | Sometimes | 6 to 9% lower than Geneva | About one month |
| Appenzell Innerrhoden | St. Gallen, Zurich | Frequently | 2 to 10% below Geneva | Two to three weeks |
| Basel-Country | Basel, Liestal | Frequently | 3 to 6% lower than Geneva | About one month |
| Basel-City | Basel | Frequently | 0 to 3% below Geneva | Two to three weeks |
| Bern | Bern, Biel | Frequently | 3 to 7% lower than Geneva | A few weeks |
| Fribourg | Fribourg, Bern | Frequently | 2 to 6% lower than Geneva | One to two months |
| Geneva | Geneva | Frequently | Geneva rate | Two to three weeks |
| Glarus | Zurich, Glarus | Frequently | 2 to 6% lower than Geneva | One to two weeks |
| Graubünden | Chur | Frequently | 3 to 10% lower than Geneva | Three to five weeks |
| Jura | Basel, Neuchâtel | Sometimes | 4 to 12% lower than Geneva | Two to three weeks |
| Lucerne | Lucerne, Zug | Sometimes | 4 to 6% lower than Geneva | One to two weeks |
| Neuchâtel | Neuchâtel, La Chaux-de-Fonds | Sometimes | 4 to 8% lower than Geneva | About one month |
| Nidwalden | Lucerne, Stans | Frequently | 2 to 6% lower than Geneva | A few weeks |
| Obwalden | Lucerne, Sarnen | Frequently | 3 to 9% lower than Geneva | Two to four weeks |
| St. Gallen | St. Gallen, Zurich | Frequently | 2 to 6% lower than Geneva | Varies with the season |
| Schaffhausen | Schaffhausen, Zurich | Frequently | 0 to 5% lower than Geneva | Varies with the season |
| Schwyz | Lucerne, Zug | Frequently | 3 to 8% lower than Geneva | A few weeks |
| Solothurn | Solothurn, Olten | Sometimes | 5 to 8% lower than Geneva | Varies with the season |
| Ticino | Lugano, Locarno | Sometimes | 4 to 7% below Geneva | Two to four weeks |
| Thurgau | Frauenfeld, Zurich | Sometimes | 5 to 8% lower than Geneva | One to two weeks |
| Uri | Lucerne, Altdorf | Sometimes | 6 to 9% lower than Geneva | Varies with the season |
| Valais | Sion, Martigny | Sometimes | 6 to 12% below Geneva | One to two months |
| Vaud | Lausanne, Morges | Frequently | 2 to 6% lower than Geneva | Three to five weeks |
| Zug | Zug, Zurich | Frequently | 0 to 5% lower than Geneva | Two to four weeks |
| Zurich | Zurich, Winterthur | Frequently | 0 to 2% below Geneva | About one month |
Many surgeons offer a simulation, on a photo or in three dimensions, to visualise the effect of the chin on the profile. It is often included in the consultation. It helps decide whether genioplasty is worthwhile, avoiding unnecessary expense or, conversely, an incomplete result.
A deviated septum or enlarged turbinates that impair breathing can be corrected in the same procedure, with possible coverage. When the position of the chin is part of a dental bite disorder, jaw surgery may be discussed, with different coverage.
The nasal splint is worn for about a week; the chin is supported by a dressing for a few days. Swelling and bruising last one to two weeks. After an intraoral approach, a soft diet and mouthwashes are recommended.
Check the technique for the nose and the chin, the type of implant or fixation, the simulation, the overnight stay and the follow-up appointments. Ask for before-and-after profile photos of patients with a comparable profile.
A person with a prominent nose and a receding chin: rhinoplasty and chin implant, mid-range budget. A person with a chin that is both receding and too long: rhinoplasty and osteotomy, high budget. A person with a deviated septum: reimbursable functional portion.
Nasal saline, mouthwashes, soft foods, one to two weeks of keeping a low profile.
Surgeons analyse the profile using simple reference points: the projection of the nose relative to the upper lip, the angle between the nose and the lip, and the position of the chin relative to a vertical line passing through the lips. A chin set well behind this line looks receding, and the nose looks larger than it is. Sometimes advancing the chin is enough to rebalance the profile without reducing the nose as much, which changes the programme and the budget. This analysis, carried out at the consultation, is the key to spending wisely.
| Benchmark | What it indicates |
|---|---|
| Nasal projection | Perceived size of the nose |
| Nasolabial angle | Drooping or upturned tip |
| Chin position | Receding or prominent chin |
| Nose-to-chin ratio | Overall balance |
In men, the aim is often a stronger, squarer chin and a straight, minimally upturned nose. A wider implant or an advancement osteotomy is common. The price is the same as for a woman for equivalent procedures.
A rhinoplasty with a chin implant often takes three hours; with an osteotomy, three and a half to four hours. The duration directly affects anaesthesia and operating theatre fees. The chin procedure, even if short, requires specific preparation.
| Programme | Duration |
|---|---|
| Rhinoplasty and implant | About three hours |
| Rhinoplasty and osteotomy | Three and a half to four hours |
Injections of hyaluronic acid or other products can project the chin slightly, to test the effect on the profile before surgery. The effect lasts one to two years. This option can help with the decision, but it does not replace a genioplasty for a significant correction.
Harmonising the nose and chin requires a real sense of proportion. A surgeon who regularly performs both procedures and shows convincing before-and-after profiles is the best choice to ensure the money spent results in a balanced face.
For the medical side, the page Rhinoplasty and genioplasty in Switzerland answers questions about the procedure.
The points that come up most often in consultation.
Do the lips change when the chin is advanced? Their position often looks more harmonious.
Can advancing the chin avoid reducing the nose too much? Sometimes, the balance of the profile is improved as a result.
Is a test with injections possible? Yes, to visualise the effect on the profile.
What material is used for the implant? Most often silicone.
Can the implant move? Rarely, if it is well secured.
Is an X-ray needed before the osteotomy? Often, for planning.
Why combine nose and chin? Because together they determine the balance of the profile.
Does genioplasty add much to the price? With an implant, a moderate supplement; with an osteotomy, more.
Implant or osteotomy: which to choose? An implant to advance a chin, an osteotomy for more complex corrections.
Is the chin implant charged separately? Yes, it appears on the quote.
Are the osteotomy plates charged? Yes, as equipment.
Can the functional portion of the nose be reimbursed? Yes, if breathing difficulty is documented.
Is genioplasty reimbursed? Rarely, except as part of jaw surgery for a functional disorder.
How long does the operation take? About three hours, longer with an osteotomy.
Do I stay overnight at the clinic? Often.
Is a profile simulation offered? Often; it helps to visualise the effect of the chin.
How many days of keeping a low profile? About ten to fifteen days.
Can I eat normally? After an intraoral approach, soft foods for a few days.
Is the result on the chin immediate? It appears once the swelling subsides.
Does the result on the nose take time? Up to a year to become final.
Does the price vary between Bern and Geneva? A little; see our tables.
Is payment in instalments possible? Depending on the clinic.
Is a deposit requested? Often.
Is the first consultation charged? Generally.
Are travel costs covered? No.
Should the quote separate the two procedures? Yes, as well as the functional portion if there is one.
Is the quote valid for long? A few months.
Can the implant be removed? Yes, if necessary; it is a separate procedure.
Is prior orthodontic treatment necessary? Only if the bite is involved.
Can a double chin be treated too? Yes, that is profileplasty.
Must the surgeon master both procedures? Yes, or work as a team.
Do men have this combination? Yes, often for a more defined chin.
Are complications billed? Depending on the surgeon's terms.
Can lip sensation change? Temporarily after an osteotomy.
Is the result permanent? Yes, for both procedures.
Can injections replace genioplasty? For a small, temporary effect.
Tell us your canton: we will forward you, free of charge, the combined quote of a surgeon specialising in the profile.
Feel free to contact us for relevant information about your medical project and payment options.
Benefit from a personalised assessment and significant discounts from the second procedure onwards. Save up to 60% on the total cost of your operations.