Can I Get A Concave Facial Look?
Q: Dr. Eppley, So my goal is to achieve a natural look as possible. I feel like the height of the ramus is short. The gonial angle i would like to make better. As well as a bit of width projection. As far as the jaw I like the more concave look rather than it being super square, and as far as chin I feel like i do need a bit more projection there as well. I will attach a picture I just took now trying to tuck my beard as much as I could. I’m gonna also attach a picture of my father when he was younger. Also attaching a picture of what I feel I think is that concave look. And I will also be cutting my beard fully by the end of the month and send pictures than as well. I feel like the last renderings were just very square for me. I wanna improve the height of my lower face and also that concave swoop with the jawline rather than it being super square lines.
A:The ability to have the so-called concave swoop to the face only occurs in patients who have thin overlying tissues. In other words you really have to have it initially and a jawline implant is not really going to create it in most people. Your facial soft tissues are not thin and therefore I would not expect that to be a resultant effect. You are trying to sculpt your face for more definition, which is certainly understandable, but thicker tissues largely prevent that from happening the way patients would ideally want. While it is true you can create that effect in a thicker tissue face but the implant has to become so big to make that happen that it becomes unnatural and disproportionate to the rest of the face. That is a long explanation to simply say your expectations are not achievable in terms of definition. Patients send me model face pictures all the time that look like the one you sent. However you have to recognize that those are extremely Photoshopped and altered images and are not real. I can’t create unreal outcomes. I have to do the best I can with the face and the soft tissues that are presented to me.
Dr. Barry Eppley
World-Renowned Plastic SurgeonCan I Get

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