How Can I Improve The Shape Of My Bottom Heavy Face?

Q: Dr. Eppley, I mostly feel like the bottom half of my face is quite heavy and creates a pear shaped look to my face. A lack of cheekbone definition and the appearance of jowls are all part of this. There also seems to be a concentration of fat right by my nose and lips from the side view. Additionally, I feel like there is not enough forward projection of my chin in my profile, leading to a weak profile and my nose still looking quite large in comparison. Ideally, I would like to remove the heaviness and jowls and gain a lifted appearance overall, as well as a stronger profile.

A:As you have astutely pointed out your skeletal deficiencies certainly make a major contribution treat your current facial appearance. The combination of cheek and shin augmentation possibly with some facial defatting would be helpful. While the cheek augmentation needs to be done by implants your chin augmentation is best done by a sliding genioplasty which will have a more profound effect on improving the jowling and the heaviness in the perioral area than an implant.. The attached imaging provides a visual application of these facial augmentation concepts although the magnitude of the desired changes is open to discussion.

Dr. Barry Eppley

World-Renowned Plastic Surgeon