I am 180lbs and 5'11, but my face is always fat and round and made worse by short hair. My father's face is not fat, but he probably weighs 160lbs and is 5'10. I think the roundness is worse because I am on Propecia and was terrible when I was on Avodart.

Is there any way I can get the face to become smaller without losing weight? Liposuction under local anaesthesia possible?

well, bodyfat is distributed everywhere throughout the body; thus, the higher your bodyfat the more "fat" your face will be; at 5'10 180 lbs I would guess that your bodyfat isn't too high; guessing 12%; if you get your bodyfat under 10% your face will definitely be "leaner" looking; however, you can't change the genetic shape/structure of your face; if you have a round face shape/structure you can't change that; propecia/advordart should not have any effect on your face roundness; it hasn't on me, anyway;

My face gets thinner when I am in top shape.

This is one of the little discussed benefits of being lean; your face looks better.

I would take up running. Unless you have a broad frame, 180lbs is a bit heavy for 5'11". See if you can get to 165-170.

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My Hair Loss Web Site - Hair Transplant with Dr. Wong

My body fat percentage is 24% even at this fairly low weight.

Losing about 10% of that body fat, to me, seems to be a much better option than going under the knife...

But, I need / plan to lose about 20 lbs. myself.

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100? 'mini' grapfts by Latham's Hair Clinic - 1991 (Removed 50 plugs by Cooley 3/08.)
2750 FU 3/20/08 by Dr. Cooley

My Hair Loss Website - Hair Transplant with Dr. Cooley

Current regimen:
1.66 mg Proscar M-W-F
Rogaine 5% Foam - every now and then
AndroGel - once daily
Lipitor - 5 mg every other day
Weightlifting - 2x per week
Jogging - 3x per week

Well but based on proportions, even if I lose 10lbs of weight, my body fat percentage will probably just go from 24% to 20%. Whats the easiest way to make sure that the 10lbs I lose is mostly fat rather than fat and muscle?

High rep, circuit weight training 3 - 4 times per week. Low intensity running 3 times per week.

This should do the trick, imo.

__________________
100? 'mini' grapfts by Latham's Hair Clinic - 1991 (Removed 50 plugs by Cooley 3/08.)
2750 FU 3/20/08 by Dr. Cooley

My Hair Loss Website - Hair Transplant with Dr. Cooley

Current regimen:
1.66 mg Proscar M-W-F
Rogaine 5% Foam - every now and then
AndroGel - once daily
Lipitor - 5 mg every other day
Weightlifting - 2x per week
Jogging - 3x per week

Tembo, If you don't already workout, you'll definitely want to start there, and after the ball gets rolling you might be amazed how your loooks change, especially for many in the face. I lost 12-15 pounds a while back pretty suddenly and I couldn't believe the new person I was looking at. Others were saying the same thing. If you're working out you'll start to lose weight and just lay off the some of the fat foods like everybody knows. I don't count calories or body fat or even worry too much about weighing myself, I just look in the mirror.

Im sorry I must have taken a wrong turn in New Mexico! I was looking for the Hair transplant network. Can somebody point me in the right direction?

Cardio work is the best way to lose extra body fat. If you look at most actors these days, especially on TV because it makes people appear even bigger than film, they are all going for the lean look, it adds definition and structure to the face, they were lean even in the 1940's and 50's.

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My Hair Loss Website - Hair Transplant with Dr. Siporin