How Can I Narrow My Wide Lower Face If It Isn’t Caused By Bone?

Q: Dr. Eppley, As U can see in the picture My lower face is very wide , I have had buccal fat removal and liposuction , after a CT scan, it was revealed that I have big mucosal space and my bone structure and size was normal width but the mucosal space is giving the wide face

I already have buccal fat removal, I just need to reduce the soft tissue of my cheeks.

A:Admittedly I have never heard of a ‘big mucosal space’  nor exactly what that means or how that would even be diagnosed on a CT scan.

That being said I think what you are asking about is a more complete soft tissue cheek reduction procedure. While a buccal lipectomy has benefits it is not a complete cheek reducing procedure and does not address the lower soft tissue components of the cheeks. To complete full soft tissue reduction of the cheeks perioral/lateral facial suction and a buccinator mucosal myectomy is what is needed to maximize whatever thinning of the tissues between the bony cheeks and the jawline can be achieved.

Dr. Barry Eppley

World-Renowned Plastic Surgeon