Q: Dr. Eppley, I am would be interested in some procedures that could help me improve upon my face, in terms of structure, proportion, balance and profile. Please see my attached photos and let me know what can be achieved in terms of improving my facial structure. To highlight some areas I would be seeking improvement, I would like a more defined, less saggy neckline and a more contoured, defined, less square like face with a narrower facial shape, upper half of the face broader in relation to the lower face. By playing with some photo editing software I got some results that looked interesting (see before and after picture). I am curious what is achievable in reality. What procedures would you recommend to achieve the results I need?
A: Thank you for your inquiry and sending your pictures. Essentially what you would like to achieve is to make some changes so that your face has more definition and less of a round and indistinct shape and contours. From that perspective, there are a variety of procedures that can be done to help achieve that overall goal. Given that it is a more total facial metamorphosis, there is no one single procedure that will achieve it. Rather it is a combination of smaller skeletal and soft tissue procedures that need to be done.
I would recommend some soft tissue contouring by neck, jaw angle and perioral liposuction combined with partial buccal lipectomies. In conjunction i would do some small cheek implants and a small more central chin implant to provide some better skeletal highlights. (narrower chin and more V-shaped face from front view) As you can see, this approach uses a combination of soft tissue reduction and skeletal augmentation to obtain a face that has more overall definition.
I have attached some imaging to demonstrate that potential outcome.
Dr. Barry Eppley