How Can I Give My Round Face More Structure?

Q: Dr. Eppley, Here are the X-rays . You should be able to view my front, side and 3/4 view from my earlier email but lmk if not. Overall I find my face is quite long, flat and a bit droopy. I believe my resting face looks a bit sad and I don’t have many “features”

I’d like to talk about what can be done to give my face more “structure” specifically around under eye and paranasal / maxilla area. Potentially reducing the roundness of my face. 

A:Thank you for sending your  X-rays whose only purpose is to serve as the platform on which to build custom implant designs. They, in and of themselves, do not tell us exactly what is needed for the dimension of any implants to try to achieve the desired effect. The most important piece of information is facial pictures on which imaging is done to determine not only the patient’s aesthetic goals but what some of those potential effects may be on the overall facial shape.

In other words I need face pictures to do imaging to evaluate a variety of potential augmentation changes.

Dr. Barry Eppley

Plastic Surgeon