Thank you for posting your photos with your questions. My approach to your natural facial rejuvenation would be to restore the lost volume and contour of your cheeks and chin. Looking at your photos, you have a youthful neck and jawline, but have lost some volume in your cheeks. At the time of your consultation, I would like you to bring a photograph of yourself from 5 years ago for comparison. Together we would analyze the subtle facial changes and I would come up with a treatment plan. Most of the volume lost in the face, between the ages of 25- 55 years old is due to bone loss! This lost volume results in the face sagging in predictable patterns. For immediate results, you could use fillers that are designed to lift and resist the compression of the cheeks and last several months and up to 1 year. These are considered high G' fillers like Radiesse, Voluma, and Restylane Lyft. For longer lasting natural results, I would suggest Sculptra Aesthetic, which is a facial volumizer, that restores the natural facial volume and contour for up to 2 years. However, Sculptra Aesthetic works by stimulating your body to produce it's own natural collagen and this takes between 4-6 weeks. BOTOX or Dysport, injections to the masseter muscles will give your lower face a more triangular appearance. Removing your buccal fat pads will make your cheeks look hollow and I would not recommend this surgical procedure in you. Most importantly, I recommend that you have a consultation with a Board Certified Plastic Surgeon who is experienced with facial rejuvination with fillers and BOTOX and can answer your questions, listen to your goals and show you before and after results, before you proceed. Best wishes, Dr. Richard Swift