Q: Dr. Eppley, I have a pretty round face. I was wondering what could be done to sharpen some of my features. Like my jawline.
My eyes look a bit droopy unless I raise my eyebrows. I was wondering if botox can lift my forehead enough to lift my eyelids a bit.
Also, my lip has always pulled to the right when I talk. I was wondering if Botox could relax that muscle pulling my lip.
A:The most effective strategy to deround a face and improve the shape of the jawline in your case is to lengthen the chin (vertical lengthening genioplasty) and cheek defatting. (buccal lipectomy/perioral liposuction) Your chin is too short for your mandibular plane angle.
For the eyelids forget about Botox. You have a significant amount of upper eyelid hooding (extra skin) for a young person. A simple blepharoplasty (skin removal) will solve that problem and result in at least a decade if not more of improvement.
Botox is the only option for a hyperactive facial muscle.
Dr. Barry Eppley
World-Renowned Plastic Surgeon
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