How Can These Facial Reshaping Changes Be Done?
Q: Dr. Eppley, I have attached a couple of files below– I was wondering whether or not the facial reshaping changes done on the right of each image could be achieved, and if so, through what means. I see that the bizygomatic width and the width of the jaw are both reduced. Secondly, the jawline is more defined and the chin is more robust. Could this be accomplished through implants?
A: As best as I can tell from that facial reshaping morph the following changes have occurred: zygomatic arch width reduction, jaw angle width reduction, and chin/anterior jawline extended. For these type of facial changes the following are needed:
1) Cheekbone reduction (standard anterior and posterior osteotomies)
2) Jaw angle shaving (outer cortical removal), not to be confused with v-line surgery where the jaw angles are cut off.
3) Custom chin/anterior jawline implant OR extended sliding genioplasty (modified chin wing) for the vertical lengthening effect needed.
Dr. Barry Eppley
A detailed description and pictures of your concerns allows for the most informed response.