Is there a procedure to balance out my lower face and lessen the fullness of my lower cheeks? (Photo)

Hello, thank you for your question. It seems like you can benefit from Buccal fat removal, this is a good option to contour the face. Buccal fat excision can be done comfortably, awake, under local anesthesia in under an hour. The results are long lasting and the recover is quick. I recommend you to schedule a consultation with a board certified plastic surgeon for proper evaluation.

Based on your photos, it is possible that you can benefit from the augmentation/enhancement of the chin and the jawline along with a chin/jawline liposuction in a manner you seek. It will be best to consult a board certified facial plastic surgeon in person and discuss your goals and options after a physical examination.Hope this helps,Ali Rıza Öreroğlu, MD FEBOPRASEuropean and Turkish Board Certified Aesthetic, Plastic and Reconstructive SurgeonIstanbul, Turkey

A combination of procedures is necessary to make improvements to your facial balance. A chin advancement surgery via an implant or genioplasty will give your face a greater vertical appearance. Simultaneously the jawline and submental fat pockets should be reduced with liposuction. Lastly, the lower cheeks can be made to appear less prominent with removal of the buccal fat pads. Some areas of the face can be slimmed with facial liposuction as well.   

Your foundational procedure is the need for chin augmentation by sliding genioplasty to bring ir forward an down a bit. Thiswill help decrease the perceived size of the cheeks but probably not to the degree you would ideally like. Combining the sliding genioplasty with submental liposuction and buccal lipectomies is the only way to achieve the optimal facial  slimming effect.

You have the 'fullness because the lower jaw is underdeveloped which allows the soft tissue to look most prominent. Very common and you are very correct in avoiding buccal fat trimming. Define the chin and jawline to achieve your goal.