So, the weight gain is screwing up the comparison as others have commented.
However, his results do look feminizing. I saw the after first and the before second when I opened this topic, and I thought that was a woman. I don't know exactly why in terms of anatomy, but a fuller submalar area relative to the cheekbone area is definitely a feminine characteristic. The problem with this guy was that his entire midface is recessed, not just the maxilla — the cheekbones are too. The paranasal area is already augmented by LeFort I alone, so getting HA onto that caused even further anterior projection in that area. The cheekbone area by contrast is only raised slightly after a LeFort I, and getting some HA there post-surgery is not enough to make that region equal in anterior projection to the paranasal region. He looked more masculine before because the submalar area was less anreriorly projected relative to the cheekbones.
