What could be done to improve the overall harmony of my face? (Photos)

Question

This question isn't specifically about a Facelift. It could be. As stated in the title, my question: As a doctor of aesthetics, what could be done to improve the overall harmony of my face? I think I have some obvious problem areas, but I'm not sure which thing is the biggest detractor, or which procedures could benefit me the most (if any at all.) Thank you.

Muhsin Yilmaz, MD, FEBOPRAS · Answer

Looking at your concerns, I think improving facial harmony is more about repositioning tissues than adding volume. A well-performed deep plane facelift, with a neck lift if needed, can restore better balance and definition to the lower face and jawline. Depending on your anatomy, complementary procedures such as fat grafting or chin enhancement may also be worth discussing with your surgeon. The best approach really depends on your facial structure and goals.

Ali Riza Öreroglu, MD · Answer

Based on the photos, I believe the main opportunity lies in improving your overall facial harmony rather than focusing on a single isolated feature. While an in-person examination is essential to evaluate your facial anatomy, soft tissue support, skin quality, and skeletal proportions, your concerns appear to be best addressed with a comprehensive rather than a limited approach.
From what I can appreciate, a deep plane facelift combined with fat grafting would likely provide the greatest overall improvement by restoring facial support and replacing areas of age-related volume loss while maintaining a natural appearance. In addition, a temporal lift could subtly elevate the lateral brow and improve the upper facial balance without creating an overdone look.
Depending on your facial proportions and hairline, a forehead reduction may also be worth considering if reducing forehead height would enhance facial balance. Likewise, if your nasal profile or proportions contribute to the overall facial disharmony, a rhinoplasty could further refine the relationship between the nose and the rest of the face. These decisions, however, should always be made after a thorough facial analysis rather than based on photographs alone.
To optimize healing and achieve the most predictable outcome, these procedures could reasonably be performed in two stages. The first stage could focus on facial rejuvenation with the deep plane facelift, fat grafting, and temporal lift, while the second stage could address structural refinements such as rhinoplasty and, if indicated, forehead reduction.
The primary objective is not to make individual features stand out, but to improve the overall balance and harmony of your face while preserving your natural identity and expressions.

Lexie Wang, MD · Answer

If you don't want to do a facelift, the  procedure that would be HIGHEST yield on you is fat grafting. You have quite a bit of volume loss that is likely making you appear older and more asymmetric. Adding volume back will significantly help with that and also some of the dynamic lines. A facelift can help too but I don't think it will be nearly as helpful as fat grafting. FInally, laser is always good to help clean and maintain the skin of the face/neck.

Semih Yildiz, MD, FEBOPRAS · Answer

The photos show generally balanced facial proportions, a strong smile, and no single feature that clearly disrupts facial harmony. Differences between the images appear influenced by camera angle, lighting, and expression, so treatment should not be planned from selfies alone. A facelift does not appear to be an obvious first step based on these photographs.

There is mild age-related volume loss around the midface and under-eye transition and subtle skin-quality changes, but these findings do not require treatment. If they bother you in person, conservative options could include a skin-care program with daily sun protection, targeted resurfacing for texture, or carefully placed small-volume filler or fat grafting after examination. Neuromodulator can address selected dynamic lines, but a full-face filler approach may add heaviness and reduce the natural character of your face.

The best consultation would begin by identifying the one or two features that concern you most, then assessing the face at rest, smiling, and in profile. Standardized photographs and an examination of skin, eyelids, cheeks, jawline, and dental or skeletal relationships are more useful than choosing a procedure label. If you are unsure what you want changed, it is reasonable to avoid surgery and start only with low-risk skin-quality measures.

Gary M. Horndeski, MD · Answer

Your nose is crooked and the tip is leaning towards the right. You will need a rhinoplasty and septoplasty. You would also benefit from an eccentric lip lift, not a bullhorn lip lift. This does 4 things: shortens the distance between your nose and upper lip, increases the mucosa of the upper lip, increases the incisor show and pulls up the corners. This may help minimize your nasolabial folds and marionette deformities. The rhinoplasty/septoplasty and lip lift can be done simultaneously, if desired.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

What could be done to improve the overall harmony of my face? (Photos)

Answers (5)

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