Hi, I have performed many facial shaping procedures over the past 30 years including many cheek augmentations with dermal fillers and silastic cheek implants. From the before photo and still to a great extent in the "after" photo, your cheeks are very flat in the front, there is excess fat in front of and below the cheeks. This all combines to create an elongated, rectangularly shaped face. While I can't see the chin and this would be best confirmed with a profile photos of your face, I suspect that you chin may also be weak. Following the facial beauty principles that I've developed over the past 30 years, women look the most feminine and attractive when they have heart shaped faces. My studies indicate that heart shaped faces have cheeks that are shapely, full and round in the front (not off to the sides which tends to widen, broaden and masculinize the face). Cheek augmentation with the proper sized, shaped and placement of a silastic cheek implant will soften and feminize the entire face. Liposuction of the face would be combined to further shape the cheeks and face. If 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 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. I frequently perform chin implant and cheek implant surgery together in less than 1 1/2 hours. Hope this helps.