Can I Get A More Heart-Shaped Face with Chin Surgery?

Q: Dr. Eppley, Attached are the pictures requested. As previously mentioned, I’m interested in getting a chin implant and perioral mound liposuction. I got buccal fat removal done last year, but didn’t obtain the goal I had in mind. I have a round face, and would like to obtain a more heart shaped face, and more of a hollow cheek look as well. Please let me know what you would recommend.

Thank you 

A: Thank you for sending your pictures. To make your chin com both further forward and the more narrow you need a narrowing sliding genioplasty not a chin implant. A chin implant would help in that regard if it was custom made as most standard chin implants wil make you chin wider.

With your buccal lipectomy you should have had perioral liposuction also. A buccal lipectomy alone is an incomplete facial defatting/thinning procedure.

I trust that you do realize that your ideal facial reshaping goals, as you have indicated in the model pictures, is not a realistic goal coming from your natural facial shape. You can get definite improvement but not to level of that degree of a heart shape.

Dr. Barry Eppley

Indianapolis, Indiana