Hi. According to your photo , I suggest to do buccal fat removal to make your cheek smaller especially when you smile and this can prevent a jowl in the future.
Furthermore, Double chin liposuction with necktite can correct your double chin and make your jawline defined.

As ive got older (53) my face has got rounder and heavier looking. I’m quite slim everywhere else. Can anything be done?

What can be done to slim my face?

Buccal Fat Removal

Hi. According to your photo , I think you have the problem of chubby cheeks especially at the front of your cheeks where the buccal fat place. Many patients lose their weight more than 10 kgs. but the buccal fat still wouldn't gone. 
However, you have a history of clenching your jaw that can enlarge your masseter muscles. Another advantage of BOTOX masseter injection in bruxism patient is the BOTOX will weaken your masseter muscles and you will stop clenching jaw. 
In my opinion , you're a good candidate for both buccal fat removal and BOTOX masseter injection.

Been on SSRIs for 10 years which means I have clenched my jaw for a decade. I believe I have enlarged masseters. I recently went to the dentist and was told I have noticeable jaw tension. I will be having a mouthguard fitted. I told her I didn't like how the masseters looked but she told me it was actually mostly fat, not muscle in those areas. I have been very underweight from anorexia nervosa and the bulging jawline was still there. But it was also there before SSRIs. Any advice?

Buccal fat pad removal or masseter botox? (Photo)

Hi , According to your photo , your problem is caused by both buccal fat and masseter muscles. 
The chubby cheek when you smile is caused by the buccal fat. I suggest to do buccal fat removal. By my surgical technique : After taking the fat out , you'll not have a saggy cheek because I'll suture your cheek muscles for tightening your cheek. Another advantage of buccal fat removal is to make your face more symmetry. If you see your smile photo , you would see that both sides are not the same. This problem is caused by the different size and position of the buccal fat each side.
Your square shaped face is caused by big masseter muscles that can be reduced by using BOTOX injection.
Hope you get an idea for solving your problem.

Hello! I am 25 years old and I Really dont like how big my face is compared to my features. It gets so wide when I smile and I get a square shaped face. Will getting buccal fat removal or masseter botox help me get a V shaped face? I’m worried my face would sag with buccal fat removal

Will Buccal fat removal or masseter botox fix my wide face? (Photos)

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