Why does my face look “scrunched” and cheeks look chubby when I smile? What can be done to improve this? (Photos)

hello thank you for your question and provided information as well.. based in your question and the picture you showed you are a good candidate for rhinoplasty with technique open with refined the tip. and elevate the tip.

It appears that you have nice, full, youthful cheeks. Nothing wrong when you smile from what I can see on your photos. In person evaluation would give opportunity to discuss your goals and expectations, possibly evaluate your chin and nose. Good luck.

A rhinoplasty procedure can accomplish narrowing the bridge line, refining the nasal tip, and narrowing the nostrils.  Consider placement of a chin implant to augment the chin forward to help with facial balance and proportions, especially from the side profile photograph.  For many examples of this combination, please see the link and the video below

Hi! A nose job or rhinoplasty certainly would help make the tip more refined and fit you face better. Looking at your pictures it looks droopy when you smile because you have over activated “depressor septi” muscles which should be addressed during surgery. Unfortunately the buccal lipectomy doesn’t change the size of your cheek mounds. The buccal fat pad sits slightly below where your cheeks are where you smile. There isn’t much you can do to reduce the size of your cheeks but I have a feeling that if you had a thorough analysis you would find your cheeks are sized appropriately. Lastly to look at chin size and position you need to look at a true side view. From what you provided it doesn’t look like implants are necessary. Sometimes your upper jaw or maxilla can be retrusive and this cannot be fixedly with a chin implant. When you have a true side view and drop a line down from the lips, in a female the chinches should like 3-5mm behind this line.sorry lots of words but hope that helps!

Sagar Patel MD