Can I Get A Full Face Augmentation?

Q: Dr. Eppley, I am considering a full face augmentation. I’m frankly tired of “soft” or “initially good-but-then-less-good” changes (fillers and the like) and looking for a drastic, over-the-top change (that a certain model, among others, has, I’ve uploaded pictures of whom I refer to) I know of no other surgeon other than you, who seems to offer the possibility for such radical changes. I realize there are limitations to what can be achieved. Please let me know if the goal of looking similar to the model I’ve attached pictures of (in terms of jaw, cheeks and eye-area (Hunter eyes)) is possible. My (unqualified) prediction is that the buccinator myectomy procedure (already done buccal fat removal, although it is possible not all of it was removed, but that’s a discussion for another day perhaps), liposuction, custom (enormous!) jaw-forehead-cheek-implants, hunter eye procedure (already done canthoplasty but not satisfied, I need a revision and no spacer graft was used, you can see old scars, those could probably be used and at the same time revised) mouth-widening and lip lift (my teeth don’t show when I smile, might as well do this with the widening methinks), possibly midface-lift (with same incision used for the cheek-implants, just to get rid of the nasolabial folds (?)), could make me look very similar to the model, or at the very least take me to the “unusually nice”-look-domain.

A:Thank you for your inquiry, detailing your surgical objectives, and sending your pictures. As you have noted achieving the ideal model face look that You have shown has its limitations is your face it’s not the same as his face. That being said you are correct in that radical changes requires an aggressive and comprehensive approach. The use of custom jawline, cheek and for head brow bone implants can make for some dramatic facial changes. There are some other soft procedures, lateral canthoplasty, perioral suction and buccinator myectomy, that are often performed in conjunction if any of these custom facial implant augmentations. Other procedures such as lip lift and mouth widening should be deferred to a later surgery date.

All of the facial implant procedures can be performed at once but, as you might expect, one has to be prepared for a significant facial recovery. Extreme changes requires extensive surgery which  results in some prolonged recovery.

Dr. Barry Eppley

World-Renowned Plastic Surgeon