Q: Dr. Eppley,I would like your opinion on what procedures might help me achieve a more chiseled, rugged and defined face. (aka facial masculinization) I have chubby cheeks, my chin I feel is weak, and I would like more definition in my jaw. In my picture I have had filler inserted into my chin about a month ago, however it hasn’t had made the difference I’d hoped for. Overall I’d like to ditch the round, baby faced look in hopes of a more handsome and masculine look. The second picture is an idea of the look I’d like to work towards. Any advice is much appreciated.
A: Thank you for your inquiry and sending your pictures regarding facial masculinization. The first insight that I can provide is that you are never going to achieve the facial look as you have demonstrated in your ideal male face image. You don’t have the right soft tissue overlay (thin fat layer) over your facial skeleton. Your facial soft tissues are thicker and thus they will never look as defined as the male model’s face.
That being said there are some realistic improvements that can be obtained and the approach to do it is based on a combination of the 5 male skeletal highlights and fat reduction surgery. The use of cheek, chin and jaw angle implants combined with buccal lipectomies and perioral and neck/jawline liposuction is the maximum aesthetic facial changes that can be done with the goal of sculpting the young malke face that is softer, rounder and less defined.
Dr. Barry Eppley