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

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