Chin implant AND buccal fat removal?? Or would an implant correct lower portion of face? (photos)

Thank you for the question and photos and I would go on some complimentary consultations with experts who use digital photography to show you how you might look after surgery and educate you on how it might be performed Dr Corbin

  Hi, I have performed many facial shaping procedures using dermal fillers, silastic facial implants (for the cheeks, chin and/or lips), liposuction and/or facelifts for over 30 years.  From the photos, your cheeks are very flat (actually concave) in the front, there is excess fat in front of the cheeks and the chin is quite weak.  These combine to create an elongated, thin, 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.  When the cheeks are concave or flat 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.  Liposuction can reduce the excess fat to further shape the cheeks and face.  In contrast, removing the buccal fat (which is actually below the cheek bone itself) alone by any method would not properly shape the cheek bone itself.  For this reason, removing buccal fat, is an outdated and ineffective method of shaping the cheeks in my humble opinion.
 There are many faces that have excess fat over the cheek area which hides the "true" shape of the cheeks below.  In addition to obstructing the cheek shape, this excess fat will sag prematurely as it is pulled by gravity at an accelerated rate versus a face without excess fat in the mid face.  Removal of the excess fat, with liposuction, is key when properly shaping the cheeks with cheek implants.  I have used this in combination with cheek implant surgery for 30 years.  In my experience these procedures when combined in a face with excess fat in the mid face are extremely safe, effective and reliable in the aesthetic results they produce.
 I have performed many Chin Augmentations using chin implants for over 30 years.  A weak chin creates 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.  In my opinion, you are a good candidate for chin implant surgery.
 The back portion of your jaw line is a bit weak and can be augmented, without making your face appear masculine, using precise placement of a dermal filler (I prefer using Restylane Lyft).  
Hope this helps.