Hello and thank you for providing photos along with your question. There are many nonsurgical treatments to lift and tighten sagging jowls. Laser therapy, PDO threads, and even RF microneedling can help tighten the skin. Pausing your masseter Botox injections may also promote muscle movement to...
Buccal fat pad removal can be an excellent option for the right patient. I recommend scheduling a consultation with an experienced, board-certified facial plastic surgeon who can assess you in person and determine the treatment plan that will meet your unique concerns and goals best.
Thank you for your question and I appreciate that you are taking a proactive approach to preserving your youthful appearance. Based on your photos, it does appear that buccal fat pad removal might be an option for you, possibly combined with some cheek augmentation to produce the heart shape to...