Best way to fix a long face? I want to shorten and widen my face surgically

Hello and thank you for your question.  Based on your photograph, you may benefit from cheek implants and a chin reduction.  I always used medpor implants with screw fixation.  Silicone cheek implants have a much higher rate of malrotation over time.   The
most important aspect is to find a surgeon you are comfortable with. I
recommend that you seek consultation with a qualified board-certified plastic surgeon
who can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Good question.   The photoshopped picture shows what you want.  Cheek implants and a chin reduction will not give you that "look" .  You have differences between the right and left cheeks.  I understand you are hesitant in using fillers.  I would recommend improving your symmetry with fillers.  You can use fillers to estimate the changes that would occur with various cheek implants.  You would know with confidence the changes that would occur with a permanent cheek implant.  Cheek implants do not change the area adjacent to the nose or under the eyelid.  Chin reduction will decrease the vertical height and projection but does not narrow the chin to the degree that you depict in the picture. Bottom line, you want to look better without looking like something was done and you want all the areas to blend together to create harmony and beauty.

Perhaps cheek and chin implants would be helpful but I cannot see your cheeks because  of your hair and the marks covering your eyes. I need to see a profile view to evaluate your chin. Please post or forward pictures described on my website for facial analysis.

 Hi, non smiling photos of your face from the side would help with the evaluation of your chin.  I have performed many facial shaping procedures using dermal fillers, facial implants (cheek, chin), liposuction and/or facelifts for over 30 years.  From the photos, your cheeks are very flat in the front, there is excess fat below and in front of the cheeks (this makes the face appear elongated), while the chin appears to have the proper degree of forward projection (can be confirmed with a profile view). Following the beauty principles outlined in my book on face and body beauty, 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.  Cheek augmentation with a dermal filler or using cheek implants for a permanent enhancement will create full, round cheeks that will feminize the entire face.





 Think of facial beauty as something that "must" address all layers of the face including the skeletal structure of the cheeks and chin, the overlying SMAS muscle, amount and position of subcutaneous fat and finally the degree of skin laxity. It's an "urban myth" that pulling tissues over flat cheeks and a weak chin can create a beautiful or handsome face. Similarly, dermal fillers or facial implants alone can't lift and remove excess skin from the face and neck. Natural looking beauty is created by the aesthetic vision of what tissue layers need to be adjusted by what technique and amount. Augmenting your cheeks as discussed above with liposuction to reduce the excess fat and further shape the cheeks will create more of a feminine, heart-shaped face that "appears" less elongated = shorter.Hope this helps.