Round Face With Flat Cheeks. Looking to Balance My Face and Profile? (photo)

As we age, we lose facial fat. The most visible area where this shows is the mid-face. Once high cheekbones are no longer balanced by full cheeks. From the photos posted, you have lost mid-face fullness. Fillers work great in this area to restore a full youthful cheek. As the filler is put in, the cheek bone can be augmented and "sculpted' with the filler as well to obtain your ideal shaped cheeks. This is much easier and faster than cheek implants, which is why I do far fewer than i used to do now that we have fillers that last a year or longer.
 

Hello,

Facial fillers work well for this type of situation.  Although several filler options are available, Radiesse (calcium based) works well in the malar area. 

Hope this is helpful.

Respectfully,

Andy Shah MD

 It's important not to over-do cheek implants, so that you do not look overdone. Virtual plastic surgery software was available on our website for you to try, so that you can see what cheek implants and neck liposuction would do for you. Cheek implants are manufactured in a large array of thicknesses, sizes, and shapes which is best determined at the time of the consultation and examination.

In the late 30's and early 40's I frequently see volume loss in the fat pads beneath the orbicularis oculi muscle and associated sagging of the cheek and flattening in the lateral brow.  One of the most lasting and gratifying procedures for this problem is the endoscopic brow and midface lift.  It is a hidden small scar procedure that restores the position of the lateral brow, cheek fat pad, and orbicularis muscle.  Fat volume is restored in the pads beneath the muscle.  In some cases the cheek bone is actually underdeveloped and in these cases the skeleton is augmented with hydroxyapatite bone mineral through the same endoscopic procedure.

 Aestheically speaking, from the photos provided, your profile is fine as far as facial structure however there is excess fat and skin under the chin.  From the front, the cheeks are quite flat and "jowls" are present indicating excess skin of the lower face.  A minimal incision Facelift, shaping the cheeks with a Cheek Implant or a filler (I prefer Perlane), micro-liposuction of the neck and removal of excess skin through an incision under the chin would address your concerns.  Hope this helps.