Hi, I have performed many facelifts and facial shaping procedures using dermal fillers, facial implants (cheek, chin) and liposuction for over 30 years. Following the facial beauty principles that I have developed over 30 years of rejuvenating faces I have found that men look chiseled and handsome with angularity in the cheeks, chin and mandibular angles. From the photos, your cheeks are very flat anteriorly (in the front), I suspect that the chin is weak (can be confirmed with a profile view) as are the mandibular angles and there is excess facial fat in front of the cheeks and in the neck (excess skin in the neck). These combine to create a very thin, elongated, rectangularly shaped face. The following procedures would create a more ruggedly handsome face. Cheek augmentation with cheek implants to add angularity to the cheeks and mid face. This would be combined with liposuction to reduce the excess facial fat to further define the cheek shape. Dermal fillers could also be used for a temporary enhancement. **Despite its recent popularity, fat transfer offers far less of a reliable and predictable shaping volume than silastic facial implants or a off the shelf dermal filler in my opinion and experience. For that reason, I do not use fat to shape the cheeks, chin, jaw line or lips. Chin augmentation, using a chin implant, to add projection to the chin creating harmony and balance to the lower face. I have performed many Chin Augmentations using silastic chin implants for over 30 years. Presence of a weak chin creates an imbalance making the nose appear larger, the mid face top heavy and the lower face look short that de-emphasizes the lips and allows early formation of a double chin. Chin augmentation with a silastic chin implant will add forward projection, to correct the weak chin, thereby creating harmony and balance to the lower face. I place the silastic chin implant, through a small curved incision under the chin (also allows excess skin removal) in 30 minutes or less and find this procedure to be very safe, quick, highly effective and far less invasive than a sliding genioplasty. Liposuction and excess skin removal would be combined and performed using the same incision. Augmentation of the mandibular angles using a dermal filler (jaw implants have too many unwanted side effects IMHO) to add volume, angularity and flare to the jaw line. "Jowls” are sagging facial tissues and an indication for some form of a SMAS facelift. The underlying SMAS layer, of the face, must be dissected, lifted, trimmed and re-sutured (not merely folded or suspended with threads or sutures that will not last). The excess skin is then removed and the facelift incisions closed. My most popular facelift is the minimally invasive, short incision facelift that has all the benefits of the more invasive type facelifts (traditional facelift, mid-face facelift, deep plane facelift, cheek lift and subperiosteal facelifts) but with these added benefits: very small incisions and no incisions extend or are placed within the hair minimal tissue dissection = less bruising and swelling = rapid recovery (several days instead of weeks or months with the more invasive type facelifts mentioned) can be performed in 90 minutes or less, with or without general anesthesia no incisions within the hair = no hair loss Since no type of facelift by itself will adequately and properly shape the "key" facial features, I combine facial shaping with every facelift procedure. When jowls are present, these should be done in concert and not alone or separately in order to create a naturally, more attractive face. In my humble opinion, the key objective in you having a facelift should be to create a more angular, chiseled, handsome face that's more youthful and naturally attractive. This will require a mute-phase approach as discussed above. Simply "pulling" the tissues and or skin of the face with any form of a facelift, without creating the properly shaped facial features below, risks making the face appear "pulled", "windswept" and "flat". Hope this helps.