Hi, I have performed many facial shaping procedures using dermal fillers, silastic facial implants (cheek implants, chin implants, lip implants), liposuction, Brow lifts, eyelid and/or facelifts for over 30 years. From the photos, your cheeks are very flat in the front, I suspect that the chin is weak (can be confirmed with a profile photo) as are the back portions of the jaw line. These combine to create an elongated, 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 front portion of the cheeks are concave or flat, cheek augmentation with precise placement of a dermal filler or using properly size & shaped silastic cheek implants (permanent enhancement) can create full, round cheeks that will feminize the entire face. I have performed many Chin Augmentations using chin implants for over 30 years. When the chin is weak, this 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 properly positioned silastic 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. There are numerous shapes and sizes of silastic chin implants, some of which are rather old shapes that do not yield the desired "natural" aesthetic results. The Curvilinear shape is an example that is similar to the old "button" implants (had no wings or lateral tapering elements of the newer EAC design) that created a "pharaoh" shaped chin. The EAC or extended anatomical chin implant style offers, in my experience and humble opinion, the most natural, aesthetic result when augmenting the chin. Proper placement and the appropriate approach (placing the incision under the chin and not inside the mouth) are also key to obtaining the best aesthetic result. I prefer placement of a silastic chin implant through a small, curved incision under the chin (submental) instead of through the mouth for the following reasons: *The submental approach is sterile while the intra-oral approach is not. *The submental approach requires limited dissection as it is much closer to where the chin implant needs to be placed along the center (front) and lower most sections of the chin on each side (where the wings are placed). In my opinion and experience there is no need to secure a silastic chin implants with sutures and screws when the following conditions are met: * Select a silastic chin implant ( I prefer the EAC) that doesn't have too much projection (thickness) as this becomes a problem stabilizing the implant under the periosteum when the implant is too thick. * Place the implant through a small curved incision under the chin which allows direct access to the periosteum (under the mentalis muscle) while preserving the muscle attachments. This prevents upward migration of the implant which can occur when the intra-oral approach is used that severs the muscle attachments. * While the center or body of the chin implant should be placed at a perpendicular angle the chin bone in order to provide the proper forward projection to the chin, the "wings" of the implant should be at a lower level and follow the inferior (bottom) edge of the jaw line on either side of the chin. When properly dissected and placed, this will be below the mental nerve foramen and be just wide enough of a dissection to accommodate the tapering wing. There isn't enough room in this technique to allow the wings to migrate upward and contact the mental nerve. In contrast if the dissection, along the sides of the chin (jaw line) are performed too high...this will place the mental nerve in danger and if the side dissection is too wide, the wings will have a space within which to migrate upward. * We have all of our chin implant patients avoid touching and feeling their chin implant for 1 month post op. We also ask that they sleep on a U-shaped airline pillow for the same time. Our experience when following the technique described above is that the silastic chin implant does not need to be secured with sutures or screws and does not move. I have placed silastic chin implants in military, SWAT, LE, professional fighters, as well as actors and many regular people who are active. In addition, I have had the opportunity on numerous occasions to replace silastic chin implants (placed by others) that had been screwed into the bone. During the replacement it was evident that the metal screws pushed right through the soft silastic implant as it was tightened down on the hard chin bone. Which makes perfect sense. So in the long run, these fixation methods alone are no guarantee that the implant won't move. Proper placement, proper implant pocket creation and meticulous closure of all the tissues layers is what is required in my humble opinion. If you are not ready for a silastic chin implant, the chin can be augmented using precise placement of a dermal filler. 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.