Should I Lose Weight Before Having Male Masculinization Implant Surgery?

Q: Dr. Eppley, I am interested in a more enhanced, attractive and masculine face.This also goes beyond just the custom jaw wrap around implant that I first enquired about. I am interested and willing to consider other potential enhancements to the face such as in the zygomatic areas – cheek bone implants and other possible recommendations. In short,  I want a rather significant makeover to maximize my full potential.

This issue is I have is that I put on a significant amount of weight within the last two years due to some negative personal incidents in my life – leading to the neglect my health and well being. However 2021 is a new year, and it is time to focus on my health, appearance and happiness. I have a BMI of around 35 and an estimated body fat level of 40% – classifying me as obese. 

My plan over the next 8 months is to lose about 35 – 40 kilos.  And attain a body fat % level of at least around 15%. This should provide a more reasonable analysis of my “natural facial” features.

My question is,  should I do my consultation now – However – significant fat and bloat are covering my facial features – which may impair any analysis and influence any potential recommendations. 


I have attached four photos to this email. Would you recommend any orthognathic surgeries. I know this is extremely difficult to assess just from a few random photos but an initial opinion would be appreciated ) However I would rather prefer implants or other corrective options if it could be an effective alternative.

I look forward to hearing your feedback and suggestions.

A: Thank you for your inquiry and sending your pictures. Given that weight loss would be of tremendous benefit and I need to see what the ‘real’ facial shape is when it comes time to plan and undergo male facial masculinization implant surgery, it would be better to wait until you have achieved at least 75% of your weight loss goals. At that time better facial assessment, imaging and treatment planning can then be done.

Based on the pictures provided, I do not see any indication of the need for orthognathic surgery. But that is said with the caveat that an informed opinion in that regard requires x-rays and a dental/occlusal assessment.

Dr. Barry Eppley

Indianapolis, Indiana