What Can I Do For A Big Head And A Round Face?

Q: Dr. Eppley, The main issue is I feel it’s abnormally large head which disproportionate to the rest of my body, in addition to my face being too round and full which I believe significantly distorts my features. I’m 37 years old… 6’1, 275lbs, but even before I gained this weight, I was an avid weight lifter and I incorporated cardio into my workouts. For years I maintained a weight between 235lb-245lbs; however, the weight in my face never seemed to significantly fluctuate as I would have liked. So now I feel surgery is my only option. Essentially, I want a slimmer, more sculpted face. I don’t know if my goals are realistic, and exactly what procedures I would need, but I’m sending pics of myself and the look I’m hoping to achieve.

A:Thank you for your inquiry and sending your pictures. I think we have to acknowledge that you achieving hey look that is similar to the ideal pictures is not achievable as they have completely different faces, body type and wait. But there is nothing wrong with having goals. The real question is what can be done with the anatomy that you have. When it comes to your head shape the most practical improvement would come from narrating the sides of your head so they are less convex and more of a straight profile. When I say practical I am specifically referring to the lack of any visible scars to achieve that change. In the shaved head male one must be very cautious about scars and their  length and location as scars are an aesthetic trade-off that must be balanced against what is the statically again. At least the temporal reduction procedure for head narrowing is essentially scarless.

From a face standpoint it appears in all of your pictures that you hold your jaw down and forward in what is a common jaw thrust maneuver as patients feel that that makes them look better. Besides creating a more defined jawline it also helps lengthen the face or deround it. This deliberate jaw positioning is really a test of the effects of facial lengthening.. Thus it appears that a custom jawline implant to make that type of permanent change without having to create it as well as some cheek defatting would be the most successful procedures to slim or deround your face.

To evaluate these concepts in more detail I need facial pictures from three different angles, front side and three-quarter view in a non-jaw thrust position, to do predictive imaging the effects of the procedures that I feel would most benefit you.

Dr. Barry Eppley

World-Renowned Plastic Surgeon