Self-conscious about my facial proportions - what surgery do I need? (Photos)

Question

I've always been self-conscious about my facial proportions but I can't figure out what surgery (surgeries) I need to balance out my face. I think masseter Botox, buccal fat pad removal, and chin augmentation. Do I need rhinoplasty too? What about my forehead? It's very sloped.

John Mesa, MD · Answer

When someone has been self-conscious about their facial appearance or proportions and is trying to figure out the right procedures, the primary consideration should be identifying the ultimate goal. It's important to distinguish between achieving normal proportions and facial balancing. For instance, a person could have a round-shaped face with normal proportions or a V-shaped face that lacks balanced proportions. Therefore, the first step is to determine the ultimate goal.

Many patients seek a more aesthetically pleasing face, which typically means achieving a thinner, V-shaped face that appears chiseled or sculpted. This often includes the absence of chubby cheeks, prominent cheekbones, and a well-defined chin and jawline. To achieve this ultimate goal, procedures such as buccal fat removal (BFR) may be considered to reduce the fullness of the cheeks, enhancing the overall contour and balance of the face.

### REALSELF BFR

When someone has been self-conscious about their facial appearance or proportions and wants to understand which procedures are needed, identifying the ultimate goal is crucial. There are two primary considerations: achieving normal proportions or achieving facial balancing. A person could have a round-shaped face with normal proportions or a V-shaped face that lacks balanced proportions. Therefore, determining the ultimate goal is essential.

Most patients aiming for a more aesthetically pleasing face typically seek a thinner, V-shaped face that appears chiseled or sculpted. This usually involves the absence of chubby cheeks, high cheekbones, and a well-defined chin and jawline. To achieve this ultimate goal, procedures such as buccal fat removal (BFR) are often recommended. BFR helps reduce the fullness of the cheeks, contributing to a more contoured and balanced facial appearance.

Therefore, a consultation with a board-certified plastic surgeon specializing in facial procedures is the best way to address your concerns, determine the ultimate goal, and identify the procedures needed to achieve that goal.

I hope this helps!

Sincerely,

John Mesa, MD  
Buccal Fat Removal Specialist Plastic Surgeon  
New York - New Jersey - Miami

Jeffrey H. Spiegel, MD · Answer

I understand your need for privacy, but it is a bit hard to answer well.  You seem to have a high hairline with prominent forehead. This may be a very straightforward way to improve your happiness with your appearance.  Masseter botox or jaw reduction and a lip lift are also potentials.

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