Face elongation, what are my options? (photo)

  Hi, I have performed many facial shaping procedures using dermal fillers, facial implants (cheek, chin), liposuction and/or facelifts for over 30 years.  Non smiling photos of your face from the front and side would be the best for evaluation.  Smiling photos push facial fat up onto the cheeks changing their shape and fullness.  From the photos, I suspect that your cheeks are flat in the front, there is excess fat in the mid and lower face, the lips are quite thin and the nose is a bit wide along its entire length.  From the smiling front photos, its difficult to determine if the chin is indeed weak but this can be verified with a non smiling side (profile) photos.  These factors combine to create a rectangularly shaped face.  
 Following my facial beauty beauty principles that I've developed over the past 30 years, 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 using cheek implants for a permanent enhancement will create full, round cheeks that will feminize the entire face.  Liposuction would be combined to decrease the excess fat thereby further shaping the cheeks and face.
 I have performed many Chin Augmentations using chin implants for over 30 years.  I the chin is weak, this will create 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, highly effective and far less invasive than a sliding genioplasty.  I perform chin implant surgery in 30 minutes or less, often using a local anesthetic alone.  
 The lips are thin and can be augmented and softened by making them fuller with the proper aesthetic proportion.  My beauty principles outline full, beautiful lips are ideally proportioned when the upper lip is approximately 75% as full as the lower lip which creates a pleasing pout.  Dermal filler or permanent lip implants can be used to augment the lips.   Finally, a Closed Rhinoplasty can thin and refine the body and tip of the nose making it more sleek and naturally attractive.  
Hope this helps

hey, if you stay looking younger than you are you are ahead of the game. Why argue with success?