Hi, in my experience when evaluating the face, it's key to determine the following: Are the cheeks, chin and lips the ideal aesthetic shape? Are "jowls" present and is there excess fat and skin in the face and neck. Once these factors are determined, the proper aesthetic plan can be determined to make the face balanced, (for women) feminine and more naturally youthful and beautiful (while for men creating a more chiseled, angular and handsome face). Following this aesthetic plan is what I believe constitutes a "Facial Shaping" expert. I have performed many facial shaping procedures using dermal fillers, silastic facial implants (cheek, chin), liposuction and/or facelifts for over 30 years. From the photos, your cheeks are very flat in the front (more so on the left) and the chin is very weak (also more so on the left side) however there are no signs of "jowls" in the lower face. These combine to create a thin, elongated, rectangularly-shaped face. Following my beauty principles, women look the most feminine, youthful and attractive with heart shaped faces. Heart shaped faces have cheeks that are full and round in the front. Cheek augmentation with a dermal filler or using silastic cheek implants for a permanent enhancement will create full, round cheeks that will feminize the entire face. I have performed many Chin Augmentations with dermal fillers or silastic chin implants, for over 30 years. When the chin is weak, this creates an imbalance making the nose appear larger, the mid face top heavy, the lower face looks short, de-emphasizes the lips and allows early formation of a "double chin". Proper placement of a silastic chin implant adds forward projection to the chin thereby creating harmony and balance to the lower face. Using the same incision, liposuction can be performed to reduce the fat and further shape the neck. Excess skin, from below the chin, can also be removed through the same incision. 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, highly effective and far less invasive than a sliding genioplasty (requires extensive tissue dissection, bone cuts and placement of metal screws and plates to secure the cut segments of bone). I perform chin implant surgery in 30 minutes or less, often using a local anesthetic alone. In my opinion, you are a good candidate for cheek and chin augmentation. Hi, I have performed many SMAS facelifts for over 30 years and have performed many minimally, invasive SMAS facelifts. If you have "jowls”, in the lower face, these are sagging facial tissues and the main 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 SMAS facelift is the minimally invasive, short incision SMAS facelift that has all the benefits of more invasive facelifts (traditional, mid-face, deep plane, cheek lift and subperiosteal facelifts) but with these added benefits: very small incisions and no incisions extend or are placed within the hair. minimal tissue dissection = less bruising and swelling = rapid recovery ( several days instead of weeks or months with the more invasive type facelifts mentioned) can be performed in 90 minutes or less, with or without general anesthesia no incisions within the hair = no hair loss excess fat can be removed from the face and neck excess skin removed from the face and neck cheeks, chin and jaw line can be augmented with dermal fillers (I prefer Restylane Lyft) or facial implants most patients fly back home to parts all over the world in as little as 3 days post-op I combine facial shaping 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. I have been a board certified facial plastic surgeon with The American Board of Facial Plastic and Reconstructive Surgery since 1993. There are several boards that certify plastic and or cosmetic surgeons (summarized below): The American Board of Facial Plastic and Reconstructive Surgery for facial plastic surgeons that specialize in plastic surgery of the face, head and neck area. The American Board of Plastic Surgery for plastic surgeons performing plastic, reconstructive, (some also perform hand and back surgery). The American Board of Cosmetic Surgery for cosmetic surgeons performing cosmetic surgery of the face and or body. You can google each specific board to learn more about them and the specialty they represent. In my experience and humble opinion, board certification by any board (and you can see that since there are at least 3 such certifying boards, no one board can "claim" ownership or superiority in Plastic Surgery..doing so is more "hype" and "marketing" than fact), so logically there must be some other way to find the surgeon that's "right" for you. **Medical Boards of each state keep records of safety and or malpractice issues with all doctors, including any plastic & cometic surgeon. **Avoid price as an initial determination of how your select your plastic and cosmetic surgeon. If it sounds too good to be true it probably is. **Do rely on reputation, experience and of course a "sound aesthetic judgement" on what will or will not make you more naturally attractive. **Finally, always follow that little voice in your head that says this is the right place or perhaps you might want another opinion. Hope this helps.