Hi, I have performed many facial shaping procedures using dermal fillers, silastic facial implants (cheek implants, chin implant, lip implants), liposuction and/or facelifts for over 30 years. From the photos, your cheeks are very flat in the front (the left is more flat than the right), there is excess fat in the lower face creating nasolabial folds (more on the right than the left) and "jowls" are present (more on the right than the left side) and the back portion of the jaw line is weak. These combine to create an elongated, rectangularly shaped face. Im my experience, your face shows an average degree of facial asymmetry. Symmetry by itself will not make the face feminine, masculine or attractive. The level of attractiveness is directly related to the presence or absence of ideally, shaped facial features. Following my facial beauty principles that I have developed, women look the most feminine, youthful and attractive with heart shaped faces. Heart shaped faces have cheeks that are full and round in the front. Cheek augmentation with a dermal filler or using cheek implants for a permanent enhancement will create full, round cheeks that will feminize the entire face. Liposuction would be combined to further shape the cheeks and face. Lack of proper cheek bone support will lead to premature sagging of the cheek tissues towards the nose and mouth creating nasolabial folds and jowls. The back portion of your jaw line is a bit weak and can be augmented, without making your face appear masculine, using precise placement of a dermal filler (I prefer using Restylane Lyft). If "jowls” are present, these represent sagging facial tissues and are the main 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. I have performed SMAS facelifts for over 30 years and have performed many minimally, invasive SMAS facelifts. My most popular facelift is the minimally invasive, short incision SMAS facelift that has all the benefits of more invasive facelifts (traditional, mid-face, deep plane, 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 excess fat can be removed from the face and neck excess skin removed from the face and neck cheeks, chin and jaw line can be augmented with dermal fillers (I prefer Restylane Lyft) or facial implants most patients fly back home to parts all over the world in as little as 3 days post-op 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. Hope this helps