Can you change the shape of a person's face, square jawline?

Question

I,m 67 years old I want to get my upper and lower eyelids fixed, maybe a face lift. my jawline is square, I have high cheek bones,but under them is hollow,sunken in. Is it a bad surgery to have your face shape changed? I would also like bigger lips and see if you can make my face round instead of square? and smooth my face? Thank you

Vito C. Quatela, MD · Answer

Some aging-related changes, such as jowling, can alter the shape of a person's face and cause a square jawline. Some of these changes can be changed with surgery; however changes
related to the underlying bony or muscular structure are not as easy to
alter. It is important to discuss your
concerns with your surgeon, who can then give you a detailed analysis about
what can or cannot be altered.

Vincent N. Zubowicz, MD · Answer

Depending on the aesthetic goals the face can be changed by manipulating the soft tissue, adding volume by way of fillers or by implants, or by moving the bones by way of orthographic surgery.

Boris M. Ackerman, MD · Answer

The goal of a facelift is to make a person look younger and rejuvenated, 
and yet retain natural appearance.  In some patients it is appropriate to change 
the shape of the face, assuming that is also requested by the patient.  There 
are various surgical maneuvers that can achieve changes in the facial shape to 
create a more esthetic appearance and harmony.  Seek out an experienced and 
talented surgeon, review his before and after photos of patient that have 
undergone similar transformation.  In this fashion you will be able to get a 
better idea whether this is the type of change you desire.

Donald B. Yoo, MD, FACS · Answer

There are certainly ways to change the shape and contours of your face, and for you one of the likely factors contributing to the squared appearance of your jawline is the descent of your jowls and midface structures.  Lifting and redraping the skin and soft tissue of the face will take away volume from your lower face and restore it to your midface - creating a more tapered jawline.

Guy Watts, MBBS (Hons), FRACS (Plast) · Answer

Thank you for your question. It would be nice to see some images to understand what your concerns are. As we age the facial tissues descend and form jowls, this change can give our face a more 'square' appearance. In this situation a facelift can elevate the deep tissues and redefine the jaw line producing a more desirable 'heart' shaped face. Fillers are often combined with a facelift and can help reshape your lips. A facelift will not smooth the texture of your skin and therefore skin resurfacing would also be required. Best of luck. RegardsDr Guy Watts

David Gilpin, MD · Answer

Thank you for your question.  A facelift can certainly help to re-define your jawline, and in most cases can also help to restore volume loss in the midface.  You mention that you already have a strong jawline and midface, which is actually an asset, when it comes to having a facelift.  Be sure to consult with a Board Certified Facial Plastic or General Plastic surgeon to address these concerns more specifically.  I hope that this helps and answers your question!

Philip J. Miller, MD, FACS · Answer

To answer your first question, there is nothing bad about changing the shape of one's face. That can be done a number of ways including temporarily with fillers or more permanently with implants. A faelift can change the shape of one's face but would not make a square face into a round one if that is your concern. Having a strong jaw line and high cheekbones can only make the face look even better after a lift. You do mention that there is an area of a hollowness under your eyes. That can be filled in with filler or fat which is often accompanied with a facelift and can make the area around your eyes a little softer and rounder.A laser skin resurfacing can smooth your face eliminating wrinkles and vanishing blemishes.

Rafael C. Cabrera, MD · Answer

Thank you for your question. You can change the shape of your face through the use of dermal fillers, botox, and fat. Of course, it is best to meet with a master injector to be sure that product placement is exact. Enjoy your new self.

Humberto Palladino, MD, FACS · Answer

One of the goals of facelift is to go from square face to a more youthful triangular face. So to answer your questions, yes, a facelift will improve the geometry of your face. I frequently add fat injections to accentuate this effect. Visit a board certified plastic surgeon in your area for more details and good luck!

Suzanne Kim Doud Galli, MD, PhD, FACS · Answer

There are several options to address your jawline. These range from neurotoxin injections to surgical reduction of the bony jaw. Your best option is to have an in person evaluation with a board certified surgeon.

Can you change the shape of a person's face, square jawline?

Answers (12)

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