Age 46, noticed changes in face for about 5 years now, do I look like I have acromegaly? (Photos)

Many people with acromegaly experience an increasing size of the circumference of their heads, not and elongated appearance. If you are concerned, please consider visiting with an endocrinologist so you can get worked up. Thank you for this question. Sincerely, Dr. Joseph

I don’t think you have acromegaly. Six years is more than half a decade. I bet if you looked at pictures from ages 24-30, or 30-36 you would see similar amount of change.
Signs of maturation can be hard for some to accept.
My best advice is daily sunscreen, avoidance of sun exposure, consideration of excess weight and avoidance of all tobacco products.
Best,
Mats Hagstrom, MD