Hi, I have performed many facial shaping procedures, using dermal fillers or facial implants (cheek, chin) for over 30 years. Based upon the beauty principles outlined in my book on face and body beauty men look chiseled and handsome with angularity in the cheeks, chin and mandibular angles. From the photos, your cheeks are flat anteriorly (in the front), the chin is weak as are the mandibular angles and there is excess facial skin evidenced by nasolabial folds and jowls. These combine to create an elongated, thin, rectangular shaped face. 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 using a chin implant will add projection to the chin creating harmony and balance to the lower face. I have found that placement of a silastic chin implant, through a small curved incision under the chin (also allows excess skin removal) to be very safe, quick and highly effective. The following procedures would create a more ruggedly handsome face.Cheek augmentation with cheek implants to add angularity to the cheeks and mid face. Chin augmentation, using a chin implant, to add projection to the chin creating harmony and balance to the lower face. I perform this procedure under local anesthesia in 30 minutes or less.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. The procedures mentioned above will add angularity to your face however, the excess skin would remain. If you have "jowls" this is 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 more invasive facelifts (traditional, mid-face and subperiosteal facelifts) but with these added benefits:very small incisionsminimal tissue dissection = less bruising and swelling = rapid recoverycan be performed in 90 minutes or less, with or without general anesthesiano incisions within the hair = no hair lossexcess fat can be removedexcess skin removedcheeks, chin and jaw line can be augmented with dermal fillers (I prefer Restylane Lyft) or facial implantsmost patients fly back home to parts all over the world in as little as 3 days post-op I combine whatever facial shaping that's necessary 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.
