Surgery for very narrow face. (photo)

There are several procedures one can think of to correct elongated, narrow face. Visually shorter forehead (hairline forehead lift) would help, wider cheeks (cheek implants, fat grafts) and wider jaw angles (jaw implants) would create more oval, youthful face. One could also consider shortening upper jaw (set back) to achieve shorter face. In depth clinical evaluation, possibly cephalometric study would benefit to decide about best treatment plan.You should seek a consultation with an experienced board certified plastic surgeon with experience in facial implant/surgery, possibly craniofacial or experienced maxillofacial surgeon. Good luck.

Augmentation/enhancement of the mid face and the jawline can help the face look wider. Fat grafting or implants can be alternatives to fillers which can provide volumizing and contouring effects for the face. A rhinoplasty can help reduce the size of a nose. It will be best to consult a board certified facial plastic surgeon in person and discuss your goals and options after a physical examination.

I recommend a combination approach for facial contouring: implants for cheeks and chin in combination with facial contouring with fillers as needed. A combination of VASER liposuction and thermiRF or thermage, ultherapy, kybella can also be used to further contour the jawline. I recommend seeing an expert for a formal consultation. Best, Dr. Emer

You would benefit by jaw angle and submalar cheek implants which would create greater facial width. Your jawline  in the back sits way inside that of your cheeks. This requires widening jaw angle implants. While your cheek bones have adequate width in the front your lack of facial fat beneath them give a very sunken in look. Submalar cheek implants will help add fullness to your sunken cheeks below the height of the cheek bones.. 

A full set of facial photographs( not selfies, since they are wide-angle and parabolic) are required to make a determination about what may be needed to discuss a chin implant, rhinoplasty, and cheek implants. When patients have a flat maxilla and a flat cheek profile, cheek implants can be considered. Cheek implants  are placed through an intra-oral approach under brief general anesthesia. They can accomplish giving volume restoration to the cheeks when they are looking sunken. Cheek implants are manufactured in a large variety of sizes and shapes, and can be custom carved when necessary to match patient's unique anatomy. For more information, many examples and diagrams of the implants themselves, please see the link and the video below