TABLE 5.

Important features for shaping a round face to an oval

ASSESSMENT ITEMS		%
Features to be evaluated when changing a round face to oval
Circular facial appearance		80
Convex facial shape		70
Soft tissue excess (e.g., buccal or neck fat pad overgrowth)		100
Bony deficiencies (short or deficient lower jaw/chin and lacks bony projection)		100
Loss of angular contours due to increase in submalar and mandibular soft tissue volume		90
Loss of fullness in the malar region		40
Face appears as long as it is broad		70
Cheeks are not rounded		20
Zygoma is wide		50
Low temples		30
Bilateral masseter muscle hypertrophy		90
Overgrowth or eversion of the mandibular angle		40
Highly curved hairline		0
Fuller submental fat pad		70
Relatively short attached neck muscles		50
Might have a fuller lateral mid-face with little soft-tissue atrophy		70
Other: •Development of the maxillary bone and mandibular bone (longitudinal dimensions) or short chin, parotid hypertrophy •Flat forehead, malar area •Nasal hip
0 to 3 physicians agree with statement (low)	4 to 7 physicians agree with statement	8 to 10 physicians agree with statement (high)