Facial Feminization Surgery

Q: Dr. Eppley, I’ve done some research on Facial Feminization Surgery and noticed your website. I am interested in getting some Facial Feminization surgery going forward. I’ve had plenty of surgeries done in the past. I’ve had 4 rhinoplasties with alarplasty and tiplasty, Jawline reduction with chin contouring, chin implant, cheek implant, brow bone reduction, upper blepharoplasty, upper lip lift, hairline lowering, bone cement into forehead. I am not satisfied with how my jaw looks because it doesn’t look “normal”? I had my jawline reduction with chin contouring in 2012. I am not sure if I should consider a jaw implant? Also My chin implant looks masculine in my eye, I was hoping for a more feminine chin implant. I feel like my jawline is too curved if you know what I mean. I guess, when I told my surgeon I wanted a V-shaped face. He gave me that. I am interested in Kim Kardashian and Kylie Jenner’s jaw shape.

A:Thank you for your inquiry. With v-line surgery the jaw angles are removed and the chin is theoretically narrowed. (usually without an implant) This why your jaw line is ‘too curved’ as the angles are now too high. The chin implant that had placed is most likely a ‘male’ chin implant which makes the chin too wide rather than more narrow.

Ideally it would be nice to see an x-rays of your jawline to appreciate its bony contours. But to change the shape of your jawline your would need vertically lengthening jaw angle implants and replacement of your existing chin implant with a more feminine heart-shaped chin implant.

Dr. Barry Eppley
Indianapolis, Indiana