Having PDO threads / masseter Botox instead of Buccal fat removal? (photos)

The one photo is really not enough to allow for a proper assessment. However, in general, a lifting filler, such as Restylane Lyft or Hyabell Deep, can help to augment the cheekbone region and thereby secondarily taper the face into a more ideal, desirable heart-shape. Although I am not able to assess the posterior angle of the jaw region, as a rule proper placement of a volumizing filler in that region likewise can taper the front of the face and tighten and better define the jawline. Before wasting money on threads, which in reality do not last much longer than fillers and have a relatively high complication rate, as described in a relatively recent study, you would wise to discuss the use of fillers during a consultation with a board certified aesthetic physician. From the one front face photo, it is also difficult to say whether masseter muscle injection with Botox would play any beneficial place in your treatment. I tend to doubt it, however. Best of luck.