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.
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.
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.