Facial remodeling with combination plastic surgery is one of my favorite operations. Some of the more common remodeling surgeries in women include rhinoplasty
with fat grafting to face, chin augmentation to balance nose and face, and buccal lipectomy (removing chipmunk cheeks) to highlight cheek bones. Perhaps the most fun scenario is when a man or woman desires to look “better”, but doesn’t really know what he or she wants. Often, they will tell me they look older, or “tired”, and other times the requests are even more vague, such as, “what can you do to make me look better?”. From this starting point, I generally point out areas that I see “imperfect”, and try to generate ideas to improve units of the face. With a mirror and a Q-tip (or as I call it the “magic wand”), we go over the face from hairline to chin. Thankfully, plastic surgeons don’t have to reinvent the wheel every time someone comes in desiring to look more attractive. There are some aesthetic guidelines for which we follow, and for the most part, are pretty predictive in improving cosmesis. In the following patient, her request fell into the vague category. She had certainly some very pretty facial features, but our goal was to soften her face. Typically, softening, or feminizing a face can be done with balancing the facial structures with volume addition, subtraction, or combinations thereof. In her case, simple volume addition was all she needed to beautify and already pretty face. Fat was taken from an unwanted area (in her case, the hips) and injected through the corner of her mouth into the area below her eyes and cheekbones, to restore the heart shaped face of youth. On profile, a large silicone chin implant was placed from inside the mouth to balance her profile and feminize the nose and face. These procedures were done without leaving any visible scars on the face.