Am I A Good Candidate For Extensive Male Facial Reshaping?

Q: Dr. Eppley, I desire to enhance and harmonize multiple facial and cranial features through a combination of custom-based implant augmentation and soft tissue procedures. My primary concerns include upper projection and asymmetry of the midface and lower face, disproportionate upper and lower lips, narrow oral commissures, dissatisfaction with the previous rhinoplasty, and a notably narrow forehead and cranial width. The overall goal is to achieve a more proportional, sculpted, and balanced craniofacial structure, with refinement and strength in both hard and soft tissue aesthetics. Requested Procedures: 1. Custom Forehead Implant with Cranial Extension (?): The correction of the narrow upper third of the face with forehead widening. The goal is to create a wider upper face that harmonizes with the augmented midface and jawline, while providing a mid skull- widening effect without excessive frontal projection. 2. Custom Wrap-Around Jawline Implant: I seek augmentation and definition of the mandibular angle, body, and chin with a single-piece custom implant designed to create a seamless jawline contour. 3. Custom Infraorbital-Malar Implant: To address the midface volume deficiency and midface under projection, I desire augmentation of the infraorbital rim and malar region. 4. Subnasal lip lift: To address the elongated philtrum and insufficient upper lip vermilion show. 4. Bilateral Mouth Widening and Lifting: To address concerns about the width and downward slant of the oral commissures. 5. Revision Rhinoplasty: A comprehensive revision including: Nasal Width Reduction: To address flared alar bases and improve nasal base proportions. Tip Reshaping and Narrowing: To refine the nasal tip, reduce bulbosity, and enhance tip definition. Nasal Bone Osteotomy: To narrow the upper bony vault and restore dorsal continuity and symmetry.

A:Thank you for your very detailed inquiry into a variety of custom facial implants and soft tissue procedures that I commonly perform in men. The first place to start is to send me some face pictures so I may do some initial imaging in a process which I call targeted imaging to determine what is possible and also what are your exact goals.

Dr. Barry Eppley

World-Renowned Plastic Surgeon