Male Facial Sculpting

Q: Dr. Eppley, I’m interested in having male facial sculpting through buccal fat removal and cheek implants. However I’m a bit unsure about the jawline area as whether I should get just liposuction or submentoplasty or custom mandibular implants. I’m aiming for a more chiseled jawline and masculine look. I’ve attached a stock image of the look I’m looking to achieve.

I’ve had a consultation in Europe and the doctor recommended buccal fat removal, zygoma bone grafts for the cheeks and liposuction for the jaw. However I’m unsatisfied with this recommendation.

I’ve attached my images from side front and 45 degree angle, I wanted your opinion on what procedures you would recommend.

A: In looking at your face as well as what your male facial sculpting goals are, I can make the following comments:

1) Your ideal facial reshaping goals, in terms of a chiseled jawline like the picture you have shown, are not realistic. You can never take your face and make it look like that picture. You simply have a much different face that is thicker and fuller throughout the entire face. While improvements are possible with your face, that type of change is too much to expect no matter what procedures are done.

2) Maximal defatting is needed including buccal lipectomies, personal mound liposuction and neck liposuction.

3) Cheek implants that have a high angular design that go back along the zygomatic arch are needed. (bone grafts are not going to be effective)

4) While your beard makes it difficult to assess your jawline, it  appears that your chin and jawline needs some vertical length and well as some width. Only a custom jawline implant can create that effect. Liposuction can never create a bony augmentation look and is a flawed approach to it.

Dr. Barry Eppley

Indianapolis, Indiana