Q: Dr. Eppley, I am interested in multiple facial reshaping procedures. I have a long face with a vertically long chin. The last time you said you would take it back and wouldn’t shorten it. I disagree.I f I set it back I have not enough forward projection, I need to shorten it. My jaw is too long too. I need to change the mandibular angle to make it look rounder it is not soft looking. Next thing is my forehead goes backwards a little, I want it rounder and filled with nothing permanent.
A: Good to hear from you again. I must confess that I do not remember our prior emails. about your desired facial reshaping goals. The projection of one’s chin is open to personal opinion so if you prefer the anterior projection you have then vertical chin reduction should only be done. The jaw angles can be made more round by removing at a 45 degree angle their back end. The only non-permanent method of forehead augmentation would be either synthetic fillers. It can be argued that fat injections may not be permanent but they are best thought of as having some amount of permanent retention. The problem with synthetic injectable fillers is the volume that would be needed to augment a large area like the forehead.
Dr. Barry Eppley