How Can I Widen My Upper and Middle Facial Thirds?

Q: Dr. Eppley, I’ve been researching ways to enhance the balance and definition of my facial structure. After reviewing your website and seeing your extensive work with custom facial implants, I am very interested in exploring potential procedures with you.

I naturally have a pear-shaped face, with a relatively narrow upper face, flat cheekbones, almond-shaped eyes, and a narrow forehead and temples. My jawline is stronger in proportion, and I would like to improve the harmony of my facial thirds — specifically enhancing the midface and upper face for a more balanced and structured appearance.

I’m particularly interested in your custom midface implants, infraorbital-malar implants, temporal implants, and possibly forehead augmentation. I am also open to mandibular angle or jawline implants if you believe they would further enhance my facial aesthetics.

I’ve attached a photo for reference and would greatly appreciate your expert opinion on what procedures or implants you would recommend in my case.

Looking forward to your thoughts.

A:Thank you for your inquiry and sending your pictures. Your primary focus in your inquiry has been about mid and upper facial widening which your pictures clearly show a longer more narrow face. This would require custom temporal and infrarbital – malar implants to help widen the upper two thirds of your face as well as provide some augmentation the under eye hollowing. The attached imaging reflects a general concept about the effects of these implants although do not over interpret the details of it. Since you ask about the lower chol augmentation I’ve also done a second set of imaging which includes that of a custom jawline implant.

The purpose of the imaging is to help you think about what changes you feel are best for your facial structure and proportions. I never tell patients what they need. Rather my mission is to help patients think about their problem and potential solutions and the use of imaging guides the patient’s understanding of potential facial changes. In the end it is the patient must decide what they think looks best of them.

Computer Facial Imaging ConceptsAlso, I would read the following attached statement so you can best understand what the role of facial prediction imaging is for facial reshaping surgery.

Dr. Barry Eppley

World-Renowned Plastic Surgeon