Q: Dr. Eppley, I am interested in making some changes to my face and I would value your expert opinion on what needs to be done for this type of facial reshaping. My face does not seem very proportioned and I can’t completely put my finger on why or how to change it. I have attached some pictures of my face from various angles to help you in this assessment.
A: I have taken a look at your pictures and have some changes to the following facial features based on what I see are their disproportions/imbalance.
1) Forehead = high hairline with forehead that slopes backwards at a severe angle. Treated with hairline advancement and upper forehead augmentation to shorten and round out the forehead.
2) Nose = high bridge, protruding tip and bifid tip (wide with split and separated dome cartilages) Treated with open rhinoplasty to lower bridge, deepen nose/forehead junction, shorten and narrow tip, and decrease nostril width.
3) Chin = vertically short chin, protrusive chin pad and deep labiomental fold. Treated with vertical lengthening bony genioplasty.
Attached are some predictive images of all of these potential facial changes put together for their overall composite facial reshaping effect. Together they make for a significant change.
Dr. Barry Eppley