Cheek Augmentation

Q: Dr. Eppley, I am interested in numerous facial reshaping procedures including cheek augmentation. I think my chin is too big, my cheeks are flat and my nose could have a better shape. I have attached some pictures for your review. What do you think about these three facial areas in me?

A: Thank you for sending your pictures. From a chin reduction standpoint, it appears you have too much horizontal projection. Your chin can be reshaped by a submental approach where it is horizontally reduced and the sides tapered in so it does not end up looking wider. The cheek look you seek is a classic ‘apple cheek’ look that many females want. You have a very visible submalar concavity, probably due to buccal fat atrophy/deficiency, which gives yours cheeks an hourglass appearance as opposed to a fuller more convex anterior shape. You need a combined malar-submalar shell type cheek implant for your cheek augmentation which places the implants anteriorly to help achieve that type of cheek augmentation look. As to your nose, I would need more information as to what changes you seek as I see no obvious or glaring nasal shape deficiencies.

Dr. Barry Eppley
Indianapolis, Indiana