Lower Face Reshaping

Q: Dr. Eppley, I am interested in lower face reshaping surgery. My lower face is very heavy. My biggest concern is my double chin and round lower cheeks which look like a chipmunk. I am Interested in chin and/or jawline liposuction and maybe a small chin implant. Also, I have a very boulbous nose tip. I dislike how my nose looks from the front view but am not interested in a full rhinoplasty. Maybe just a nasal tip plasty or nostril reduction will do. I am looking for treatment suggestions to improve profile and a subtle refine nose tip. I have included some pictures for your review and suggestions.

A: Thank you for sending your pictures for consideration for lower face reshaping. In addressing your lower facial concerns, I can see the benefits of defatting it with a combination of submental liposuction, buccal lipectomies and  perioral liposuction. This would be combined with increasing chin projection slightly through a vertical lengthening chin implant and a tip defining rhinoplasty. This combined approach will provide improvements in the shape of your lower face through narrowing and lengthening it as well as concurrently addressing the wide nasal tip concerns.

Dr. Barry Eppley

Indianapolis, Indiana