Lower face widens when smiling - would like more sculpted look (Photo)

In young patients with normal weight, a healthy diet, and regular exercise, a chubby smile making them appear 10 pounds heavier is often due to enlarged buccal fat pads. These fat pads, located in the anterior lower cheek, give the face a chubbier look, especially when smiling. Diet and exercise typically do not reduce these fat pockets.

For patients with enlarged buccal fat pads, a plastic surgery procedure called buccal fat removal (bichectomía) can be beneficial. This procedure permanently removes excess buccal fat, helping to achieve a slimmer, more sculpted facial appearance.

I hope this helps!

Sincerely,

John Mesa, MD
Buccal Fat Removal Specialist Plastic Surgeon
New York - New Jersey - Miami.

Buccal fat pad removal would certainly reduce the volume and width of your lower face. On the first picture you demonstrate a fullness right where the buccal fat pad is located. It's a simple procedure with very little downtime done under local anesthesia and would be my first choice for your concerns.