How Can I Reshape My Oblong and Recessed Face?

Q: Dr. Eppley, Inquiry Regarding Facial Harmony and Jaw Surgery Options. I’m reaching out to consult you regarding a long-standing concern I have with my facial structure. I feel that my face appears too oblong, with limited forward projection and a pronounced gonial angle. These aspects have impacted my confidence, and I’m exploring possible surgical options to improve my facial harmony and jaw definition. Specifically, I would like your expert opinion on whether a double jaw surgery (maxillary and mandibular advancement) would be appropriate in my case to enhance midface projection and balance. Alternatively, could jaw implants — particularly to improve gonial angle definition — offer an effective solution on their own? Additionally, I’ve noticed some jaw asymmetry, which I’m hoping to address. I am currently undergoing orthodontic treatment to correct a slight overbite and align my teeth. Could you please let me know what diagnostic steps (e.g., imaging, consultation) you would recommend to evaluate my candidacy for either approach? I would greatly appreciate your guidance on the best path forward. Thank you in advance for your time and expertise.

A: Thank you for sending all of your pictures. Based on these pictures it is hard to imagine the double jaw surgery has any benefit for you. Your midface lack of projection concerns lie above the LeFort I osteotomy level in which only in for orbital – malar implants can be of benefit. Asymmetry aside your lower jaw simply lacks some more defined structural enhancements at the chin and jaw angle areas. Again this is best treated by an implant approach rather than jaw bone surgery. (aka SSRO advancement) Jaw asymmetry is almost always best treated by a 3D implant approach as well.

Dr. Barry Eppley

World-Renowned Plastic Surgeon