Hi, I have performed many SMAS facelifts for over 30 years and have performed many minimally, invasive SMAS facelifts over the past 15 years. Looking at your photos, the front portion of your right cheek is flat while the left cheek is quite prominent, there are signs of "jowls", I suspect that the chin is weak with evidence of chin ptosis (chin muscle sags off the chin at a 45 degree angle making the chin and lower appear elongated) and there is a slight amount of excess fat and skin under the chin. These factors combine to create a rectangular shaped face. "Jowls” are sagging facial tissues and the main indication for some form of a SMAS facelift. The underlying SMAS layer, of the face, must be dissected, lifted, trimmed and re-sutured (not merely folded or suspended with threads or sutures that will not last). The excess skin is then removed and the facelift incisions closed. My most popular SMAS facelift is the minimally invasive, short incision SMAS facelift that has all the benefits of more invasive facelifts (traditional, mid-face, deep plane, cheek lift and subperiosteal facelifts) but with these added benefits: very small incisions and no incisions extend or are placed within the hair. minimal tissue dissection = less bruising and swelling = rapid recovery ( several days instead of weeks or months with the more invasive type facelifts mentioned) can be performed in 90 minutes or less, with or without general anesthesia no incisions within the hair = no hair loss excess fat can be removed from the face and neck excess skin removed from the face and neck cheeks, chin and jaw line can be augmented with dermal fillers (I prefer Restylane Lyft) or facial implants most patients fly back home to parts all over the world in as little as 3 days post-op I combine facial shaping with every facelift procedure. When jowls are present, these should be done in concert and not alone or separately in order to create a naturally, more attractive face. Following my beauty principles, 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 precise placement of an "off the shelf" dermal filler (I prefer using Restylane Lyft) will create full, round cheeks that will feminize and soften the entire face. When 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 placement of a silastic chin implant, through a small curved incision under the chin (also allows excess skin removal) to be very safe, quick and highly effective. The implant will also rotate the ptotic chin muscle back up and onto the chin to correct the chin ptosis. Hope this helps.