What procedures could help me achieve more facial harmony/balance? (Photo)

Each person‘s facial appearance is primarily determined by facial skeletal structure. This is especially true for young people. Healthy young people tend to have very consistent soft tissue covering over their facial skeletal structure.
It’s the bone structure that makes each person unique and a losses to recognize each other and this includes things like male versus female and attractive versus not so attractive.
Because the great majority of this is all based on bone structure soft tissue manipulation really isn’t treating any of the problems and have subtle responses and sometimes do not create the contour changes patients were hoping for.
As much as possible treatment options should be based first and foremost on an assessment or understanding what it is about the bone structure that is less than ideal and then secondly address those characteristics.
Making a proper facial aesthetic assessment requires skill and experience.
Doing so well is lacking among many providers offering aesthetic treatments such as nurses working in med spas and even in the plastic surgery community.
Some of this is based on formulas and more scientific principles and also subjective judgment.
I suppose in this arena we can really call it the art and science of medicine.
You’ve done a recently good job at including pictures but to make a good assessment we need standard pictures. Look at how plastic surgeons take before and after pictures for facial aesthetics. They should basically be straight forward mug shots without facial expression. Pictures should be taken from about 6 feet away without wide angle enhancement. The person should not have their neck turned in the pictures. Used to timer on your camera if needed or have someone else take pictures.
I’m guessing much of your concern comes down to the relationship between your maxilla and mandible. I’m guessing you have quite a tall maxilla and slightly undersized mandible.
Sometimes it’s worthwhile getting a proper assessment by an oral surgeonw. They tend to see things more from a skeletal perspective since that’s kind of what your training and work tends to be about.
Otherwise scheduled in person consultations with local board-certified plastic surgeons or facial plastic surgeons.
Be careful when it comes to procedures that permanently and irreversibly change your face.
This definitely includes buccal fat removal and any form of fat grafting.
Probably the best place to start is in the hands of an exceptionally talented provider working with fillers.
Take a look at the website of Dr. David Mabrie MD in San Francisco.
He’s a facial plastic surgeon who’s practice is devoted exclusively to working with fillers.
You can get an idea of what can be achieved with non-surgical means in the hands of the right provider.
Surgical intervention attempting to manipulate soft tissues when the problem is skeletal sometimes turns out differently than patients had hoped and this is not always for the better.
Best,
Mats Hagstrom MD