Can My Round Face Get A Strong Masculine Appearance?

Q: Dr. Eppley, I have no facial functioning problems regarding bite or any malocclusion.So it is totally aesthetic except a little sleep apnea. I want that macho handsome look.

I am interested in having a strong masculine augmentation.I do not know whether it can be done with implants or surgeries.I have a short face right from my teenage years compared to men of my age and I am 34 years. I have attached photos of models for reference purposes along with my own .I want to make it clear that I want to have an augmented version of aesthetically pleasant myself only. I did a conservative buccal fat removal surgery in 2019 and circumcision to treat my phimosis  in 2020.

I feel that my masseter is very wide so a little bit of shaving along with jowl lipo, chin lipo and necklift can be tried to make my face elongated from the round shape which I have now..In addition  I need to have

1. rhinoplasty to elongate my nose 

2. Angular jaw

3. Malar augmentation 

4. Sliding genioplasty with vertical lengthening of my chin

5. Face tightening if absolutely necessary.

Now I leave the rest to the opinion of the Doctor for suggestion and reference.I will be obliged if he provides me the right surgeries required to achieve a good harmonious masculine handsome man like what I have enclosed along with the approximate cost of the surgeries with implants if necessary. 

I am eagerly looking forward to your guidance and reply please. Below attached are pictures of me from different angle and my desired photos just  for reference.

A:Unfortunately I am not optimistic you can come anywhere close to your ideal pictures. Your facial tissues are very thick and bottom heavy and even with maximal soft tissue reductions the changes would be very slight…as you probably saw with your buccal lipectomies. As a general rule you can never reduce your way into a more defined facial shape unless you are very close to that initially. And adding implants to the round heavy face often just makes it bigger and more bloated in appearance.

Even with the combination of reduction and augmentation I don’t see changes that are worth the effort.

I wish I had more favorable news but it is equally important to prevent patients from putting in a lot of effort (time, money and recovery) only to find themselves disappointed.

Dr. Barry Eppley

World-Renowned Plastic Surgeon