33, unhappy with my facial harmony, what filler/procedure would have the biggest effect? (Photos)

While there is no substitute for an in-person examination that allows not only for a close-up evaluation, but for palpation and manipulation of the tissues, as well, the photos provided suggest that the use of an appropriately robust volumizing filler for the cheeks would not only create a more feminine, oval, heart-shaped face, but would likely improve the under-eye hollows and incipient tear troughs. The use of another robust HA filler for the chin would create greater harmony between the projections of the chin, lips and nose in profile. In experienced hands, both procedures can be performed within about twenty minutes with immediate, on-the-spot results and engender little to no significant downtime. You would be wise to make sure to consult an experienced, board certified cosmetic dermatologist filler injector. Best of luck.

We all have facial asymmetry to some degree and yours certainly falls into the normal range. A combination of fillers and Botox can often help minimize the appearance of asymmetry. I encourage you to visit with an expert injector near you to discuss your concerns and learn more about your options.

Depending on your specific goals for enhancing facial harmony, there are several safe, natural treatments we recommend for achieving noticeable results. Juvéderm Ultra or Juvéderm Ultra XC dermal fillers are an excellent choice for smoothing deep lines and crevices, like nasolabial folds or marionette lines, while the Restylane Lyft dermal filler has proven an effective option for adding structure and support to the cheeks and throughout the mid-face area. PDO threads can provide more extensive contouring to restore facial symmetry or firm up the jawline.
These are just some of the many options available for restoring smoothness, balance, and symmetry to the face. Another option—especially if you have multiple or broad rejuvenation goals—is to work with a specialist to combine therapies into a tailored treatment that is designed just for you.