Facial Reshaping by Fat Reduction

Q: Dr. Eppley, I am attaching pics of my face (front and sides) for facial reshaping surgery. I have had these genetic fat deposits all around my mouth (corners and nasolabial folds) jowls, low cheeks and under my chin since I was very young. The results I would like to achieve is an overall more slimmed down and chiseled look in my lower face, in particular definition along my jawline, eliminate the perioral mounds, and the fat in my chin  

What would you suggest would be the best surgery procedures to achieve what I desire?  

How effective it would be in my case?

A: Thank you for your inquiry and sending your pictures. In short I think what you are trying to ideally achieve is not going to happen the way you want it to be. You already have a fairly thin face (albeit thick skin) and using the criteria of bending your head down and creating skin folds is not going to respond to any type of fat removal treatments. While liposuction can be done in the perioral mounds/lower cheeks and under the chin and along the jawline, its results will be very modest and will not create a very slimmed down or chiseled lower face/jawline appearance.

While a facial defatting procedure will provide some benefits, it will just not be at the level of facial reshaping that you appear to desire.

Dr. Barry Eppley

Indianapolis, Indiana