Whenever I smile my nose gets very wide and my eyes all puffy. What would be the best surgical solution? Buccal fat removal?

Hello, hope you are well. Thanks for posting your questions and photos. You would benefit from rhinoplasty with a conservative nasal base reduction (alarplasty). As a central feature, your nose appears out of balance in relation to the rest of your face--especially the tip. You have very favorable anatomy for a good result in the right hands. Without knowing your age, buccal fat reduction is also reasonable to consider, but there can be some compelling reasons to wait on depending on how old you are.
Best,Dr. Tower