Can A Jaw Implant Make My Face Above It Concave?

Q: Dr. Eppley, I’m interested in reshaping my face with you making it more attractive and add angularity. I’ve been told I have thick soft tissue resulting in weak contours so I was wondering if I can thin the soft tissue. The side of my face is convex but I want more of a concave side, as shown in the picture because I heard the implant stretches the tissue. Would this be achievable with a jaw implant alone if widening the gonials. Thank you

A: Unless your face has that concave look initially, no form of jaw implant is going to have that effect. The tissue stretching effect of a jawline implant is on that of the neck not the face. That is where the pull off the soft tissues is affected. It may help a loose or saggy beck as it pulls the neck tissues up as the lower and outer border of the lower jaw is expanded. 

Similarly any ability to get a more concave face requires direct defatting of it and some form of cheek augmentation above it to have any chance of that type of facial reshaping effect.

Dr. Barry Eppley

Indianapolis, Indiana