What procedure(s) should be done to correct sagging "bulldog" appearance? (photos)

In order to create a more contoured and angled appearance there are a few procedures that can be combined to achieve this result. The blacked out areas prevent an assessment of the anterior cheek, but I would guess that it lacks projection and would benefit from lift and projection with cheek implants. The lower face can be made slimmer with buccal fat pad removal and lower face and jowl liposuction. All 3 procedures can be performed simultaneously.

It is difficult to do a full assessment of your concerns based on the limited photos provided. However, I can tell you that you appear to be an excellent candidate for buccal fat pad removal. This outpatient procedure is performed with local anesthesia and incisions inside the mouth that allow for the removal of the buccal fat pad located under the cheekbone. This single treatment will offer a significant amount of slimming in the mid to lower face. It is also possible you might benefit from additional augmentation to the cheeks or chin to further enhance your facial contour. However, I would need to see you in person to provide a thorough examination and discussion of your concerns and goals. I recommend scheduling a consultation with an experienced, board-certified facial plastic surgeon to that assessment and treatment recommendations.

Hello, thank you for your question. Buccal fat removal is 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.

Thanks for your question and Pictures
The buccal fat pad is a rounded mass of fat in the middle of your cheek. It’s located between facial muscles, in the hollow area beneath your cheekbone. The size of your buccal fat pads affects your face shape.
Everyone has buccal fat pads. However, the size of buccal fat pads can vary greatly.
If you have larger buccal fat pads, you might feel like your face is too round or full.
You can be a candidate for a Buccal Pad removal surgery.
Best of Luck

Thanks for the nice question and description. If you can send or upload a side picture we can determine your chin balance. Soft tissues of the face rest on the bony structure below and if the chin is too far behind the lower lip this is inadequate and we refer to this as a weak chin. Buccal Fat Removal combined with a chin implant or chin filler can really improve the bulldog appearance you have described. In your case I would first assess the images carefully and the other thing you may consider is filler along the zyogmatic arch to again enhance the architecture and restore the facial proportions.