How Can I look like Brad Pitt with strong hollow cheeks?

I want my face to look like Brad Pitt. What are the best procedures for me to get that chiseled face and hollow cheeks? Should I just work out and try to get a lower body fat percentage? Or can I hop into the doctors office and get this look in a weekend? Personally I would rather take the short cut and just pay the money to look a certain way. Who has the time for the gym!


M, 35, New York

Tags:man age 25-34 procedure hollow cheeks

Many men seek facial plastic surgery hoping to achieve a more masculine facial aesthetic: a strong chiseled chin, high cheekbones, and angular features, similar to Brad Pitt as you point out. Working out at the gym will do very little to alter your facial structure, although weight loss may help to achieve some hollowness in the cheeks and a leaner appearance. Excessive weight loss can, however, can give you a sunken look.

To achieve the aesthetic goals you have outlined, there is a range of surgical and non-invasive treatments available. Many patients who want to create volume in the middle portions of the face, in the cheekbone area or develop a more prominent jawline first experiment with dermal fillers.

Dermal fillers are temporary and can be injected into the cheeks and along the jawline to augment and sculpt both areas. Radiesse is often used for malar (cheek) augmentation and lasts from 9 to 15 months. Juvederm is often used around the jawline to create a smooth, defined contour, and can last up to 18 months. It is also reversible, which is reassuring to many patients who have not tried dermal fillers and wish to first experiment with subtly changing their facial features.

More permanent options include cheek and chin implants. Cheek implants come in a range of shapes and sizes. Narrow angular implants can achieve a sculpted masculine look. Chin implants can be used to permanently augment the chin. Chin implants come in a range of materials, including Gore Tex, silastic and acrylic. Chin implants can be used in conjunction with dermal fillers along the jawline for a more angular look and optimal effect.

I recommend you schedule an appointment with a board-certified plastic surgeon. He or she will be able to look at your facial muscles, bone structure, and the thickness of the overlying tissue to determine the most suitable approach to achieve the look you desire.

It is important, however, to have realistic expectations about what plastic surgery can achieve -- dermal fillers can subtly enhance your features and implants can provide more significant change, however, neither can make you look like Brad Pitt.  A more realistic and positive aspiration is to look like the best version of yourself.

Exercise helps to develop greater facial definition. Daily exercise reduces excess fat all over your body, including facial fat and double chins which by losing contribute to a more angular and masculine appearance. However, there is only so much exercise can achieve. If you want to dramatically change your facial structure and how your face looks, aesthetic treatments and plastic surgery can create a sculpted, chiseled look and a more youthful appearance.

Many men are unaware of the range of plastic surgery options available that can help them to subtly or more significantly enhance their facial appearance. A talented and experienced facial plastic surgeon can examine your facial structure and facial muscles to determine which procedures can best help your face appear more angled or sculpted while still looking natural, building on your own unique attributes. The surgeon and patient must work together to carefully determine the best way to achieve the desired improvement.

To develop prominent cheekbones, some patients require bony augmentation while others benefit from soft tissue enhancement. Men with chubby cheeks who wish to enhance the bony pyramid of the cheek can do so with dermal fillers such as Voluma or Radiesse, which provide temporary results that last between 9 and 15 months. There is no downtime following dermal filler injections so the patient can return to work and their everyday activities immediately.

Fat transfer represents another method of soft tissue augmentation in the cheeks, and can also improve the appearance of a tired or aging face. The fat can be transferred from a location on the body where there is an abundance of excess fat to specific points on the face. This means twice the benefits -- a more sculpted masculine face, and sculpting in the area where the fat was removed.

For permanent change in the mid-face, facial implants are used. Cheek implants are most commonly inserted orally, through hidden incisions in the mouth. In the long run, implants work out to be the more cost-effective option and provide more dramatic change, though there is some downtime from surgery. However, many patients prefer to first try dermal fillers as they are not permanent, lasting up to 18 months.

To achieve a sculpted jawline, a chin augmentation can be a highly effective method of enhancing the mandible and helping it appear more angular. An implant is inserted through an incision made under the chin. Recovery is typically short, with little risk of side effects or complications.

Jaw augmentation surgery can also help strengthen the appearance of the jaw by creating a more defined jawline and neck. The procedure is performed by placing implants along the jawline via hidden incisions in the mouth, so there is no outward evidence of surgery or scarring. Dermal fillers can also be used for both chin and jaw enhancement, but promise more subtle and temporary results.