33 - Advice on facial balancing - what would make improvements? (Photos)

Question

I am a 33 year old, looking for advice on what procedure(s) to get. I feel self conscious when I smile because my cheeks get very wide and my face looks pear shaped. I’m not sure if buccal fat would help with this. I also feel that my nose is disproportionate to my face and have been interested in a nose job for a long time. Any advice on balancing out my face would be much appreciated.

Anil R. Shah, MD · Answer

Hello! My name is Jessica, I am a physician assistant, and one of the providers at Aesthetic Skin - Winnetka & Chicago. This is a great question. Thank you for sharing your concerns—what you’re describing is actually quite common, and there are definitely options to help bring more balance and harmony to your facial features. At 33, if you feel that your cheeks appear overly wide when you smile and give your face a pear-shaped appearance, buccal fat removal may help, but only if you're a good candidate. This procedure is best suited for individuals with fuller, more rounded cheeks, and should be approached cautiously since too much volume loss in the midface can lead to premature aging over time. In terms of your concern about your nose feeling disproportionate, a rhinoplasty—whether surgical or non-surgical—could absolutely help bring more balance to your facial profile, especially if the nose appears more prominent in contrast to the width of your lower face. Sometimes, subtle changes to the nasal bridge, tip, or projection can make a significant difference in overall facial harmony. Depending on your facial structure, cheek contouring with filler or even jawline slimming with Botox (masseter reduction) could also help refine the proportions of your face, making the smile appear more balanced and softening the width of the lower face without surgery. It’s all about customizing the right combination for your features. I hope this helps and best of luck!

33 - Advice on facial balancing - what would make improvements? (Photos)

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33 - Advice on facial balancing - what would make improvements? (Photos)

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Everything you need to know about Buccal Fat Removal

Our mission is to create a world where every investment in modern beauty is Worth It.