How common is micro lipo for the lower face/lower cheek area? (Photo)

Thank you for your question. An in-person evaluation to better understand your goals and facial anatomy would be most beneficial.
Micro liposuction for the lower face and lower cheek area is relatively uncommon, mostly due to the long-term effects of removing facial fat which can contribute to a prematurely aged appearance. However, it can be effective for contouring areas like the jawline or cheeks, particularly with a skilled surgeon using small cannulas.
An alternative or complementary option to consider is masseteric Botox, which targets the masseter muscles in the jaw to reduce their size and create a slimmer, more defined facial appearance without the need for surgery. Consulting with an experienced plastic surgeon can help determine the best approach based on your goals and facial structure.
Krishna Vyas, MD, PhD, MHSHarvard, Hopkins, & Mayo Clinic Trained Aesthetic Plastic SurgeonNew York, New York

Facial liposuction is an option and can help to slim the face. There are benefits and risks to every procedure and your surgeon should review this with you at your consultation. You can also consider Botox injections in the masseter muscle to slim the jawline. The results are temporary, with the medication gradually wearing off over three to four months.

Liposuction in the face is not common due to risk of nerve injury and bleeding due to the vascularity of the face. However, if done with tumescence, small cannulas and care it can be effective. I would recommend a temporal cheek lift rather than liposuction. This would lift your cheeks and lower face using a small incision in the temple area.

Facial liposuction may not significantly change an overall round facial appearance. Consider starting with masseter neuromodulator injections and possibly chin and filler injections for a more balanced result before considering definitive facial surgery.

You have a strong jawline with strong mandibular angles. This will not be affected by liposuction. In fact, your mandibular angles are attractive and do not cause a round face. Liposuction can cause an aging appearance. Your best option is to do nothing.