Want to improve my appearance - Do I need double jaw surgery/jaw reduction? (photos)

The key is bone structure. In your frontal image it is apparent you have a narrow jaw which accentuates the 'fuller' cheek tissue. It is a common issue. Have jawline augmentation to define the jawline and artistically increase its width and ensure natural balance with the cheekbone area.

The lower jaw can be 'shaved' in the back of the jawline - it can be limited in extent to achieve the similar but more permanent look.

The second two pictures show extensive fat bags creating the puffy look in the lower lids. To get rid of the fat bags in the lower lids requires a transconjunctival approach lower blepharoplasty. The Incisions are completely placed on the inside of the lower lids. You. You look way too young to...