What procedure(s) would I benefit from to achieve heart shaped face? (photos)

Thank you for the photos, When we age, our heart shaped faces turn into peanut heads. Then, eggs (bottom heavy). Much of this is a result of fat loss. Grafting fat to the upper third of the face will restore a more youthful, top heavy face of youth.

My advice would be to go slow, you have a beautiful face you could potentially start with a rhinoplasty and a little bit of filler to your chin and anterior cheek area maybe a little along the jawline to smooth it out but overall your shape is excellent. I would be very cautious about doing a buccal fat pad removal. In someone with your facial shape in 10 years you may regret not having that volume. When I speak of filler you could also do fat grafting in those areas. Best of luck! Dr. Boschert, Renaissance Plastic Surgery

Based upon the 2 posted photos I agree with your assessment of what surgical and non surgical procedures are recommended. To add and agree: full Rhinoplasty, fat grafting to cheeks (malar), chin, mini FL/NL SMAS plication. Fee $18,000. Best to virtual consult.

Unfortunately doing facial contouring isn’t like working with clay.

Each individual person‘s facial look or individual characteristics is primarily determined by facial skeletal structure.

It is the bone that creates individuality and helps us recognize each other including what people consider attractive, unattractive, masculine and feminine. Soft tissue coverage is very consistent from person to person and changes only with age.

When young people want to change their facial appearance surgical approaches need to take primary issues into consideration and address the primary problem not do so with soft tissue manipulation.

What you described as a simplistic approach that has a high likelihood of leaving you in regret of what you wish for.

If you want to get a proper assessment in regards to facial bone structure then see board certified plastic surgeons who have cranial facial background training or oral surgeons.

Facial liposuction needs to be done with great caution in order to avoid facial nerve injuries.

Facial fat transfer is tricky business and once fat is grafted in place it’s very difficult to reverse the outcome.

Many people come to regret having buccal fat pad removal if not immediately then typically later in life as with age facial volume loss becomes one of the major components of facial aging.

Look for senior providers with many years of experience and consider having multiple consultations hopefully with each provider confirming the same recommendation.

Best,

Mats Hagstrom MD