Q: Dr. Eppley, I want to find out if my goals for a complete facial reshaping set of procedures I’d like to have done are realistic. Is the computer-aided imaging I have done myself using an iOS app any realistic at all? I have done the following changes and have suggested ways of doing so in parentheses -obviously your input is going to be helpful- :
1.Increased zygomatic arch width (Custom Zygomatic Arch Implants + Buccal Fat Removal -not certain if the last one is going to benefit me)
2.Increased jaw angle width (Custom Jawline Implant)
3.Shortened nasal tip and lower part of nasal bridge (Open or Closed Rhinoplasty approach)
4.Reduced lower lip protrusion (Lower Lip Reduction) and have moved the lips slightly “upwards” (No idea what procedure would help achieve this type of change)
5.Lengthened the inner and outer corner of the eyes (Medial & Lateral Canthoplasty)
Changes #3 & #4 would have a profound positive aesthetic impact I believe since they make my face much more balanced (even if the apparent height of the face on the left looks elongated due to distortion of the camera)
I’m open to even more noticeable changes anywhere -especially in the lower third of the face and the cheekbones- but for this instance I wanted to create subtle changes to make the imaging look as realistic as possible since I have not expertise skill in doing so.
I certainly understand that it’s very difficult, if not impossible, to make someone look exactly like their own desired morphs of the face but at the same time I have no idea if I will be disappointed or not by the feasibility of the imaging.
Let me know what you think.Thank you for your time.
A: In regards to your facial reshaping prediction images, the jaw angle (standard widening implants), rhinoplasty (open approach) and the zygomatic width (special design zygomatic arch implants ) are realistic. With the proper implant selection and placement, the facial augmentation should be achievable.
However moving the eyes corners further inward or outward is very hard to do in any significant amount. In addition there is no procedure that will move the lips upward.
Dr. Barry Eppley