How Can I Make My Head Less Square Shaped?

Q: Dr. Eppley, I am interested if you can do a procedure with my head it’s squarish and I’ve done chin filler but my face still looks like a angry looking face and squareish,I’ve also been made fun of a lot for the size of my head ,and one side of my face is fatter than the other.

A:You are referring to two separate but related craniofacial shape concerns, your head and your face. With a wide full and vertically short face the best approach is a vertically lengthening bony genioplasty. Fillers are a waste of resources since you need at least 10mm lengthening to have a noticeable change. This is not an effect fillers could ever achieve. With a wide full and asymmetric face (you have total facial asymmetry as the left side is smaller than the right from top to bottom), provided the goal is to try and make the right side closer to that of the right, right cheek bone reduction and cheek defatting (buccal lipectomies) would be needed. (see attached imaging)

From a head standpoint desquaring the wider head requires temporal line reductions from front to back on both sides for a more narrow head shape.

Dr. Barry Eppley

World-Renowned Plastic Surgeon