Cheek lift at 23? Or buccal fat removal and cheekbone implants? I want a more heart shaped face (Photo)

my patient do threads for the midface, fillers to contour, facetite + buccal fat pad to give them more tightening and contouring when they are younger (see link).
For facial slimming a combination of treatments are always needed.  Options include:
1. Buccal fat pad removal to reduce fat on the lower face
2. Factite or Renuvion/J Plasma to tighten the lower face, jawline, and chin to reduce fat and give the jawline and neck tightening and shaping.
3. Botox to the masseter to reduce the muscular size of the jaw giving the face an illusion of being more slender
4. Fillers to the jawline, chin, cheeks, temples and brow help to shape the face and make it more angled and defined
  Best, Dr. Emer.

They key to cheek implants is what type of cheek change are your seeking and what areas of the cheeks do they need to cover? (apple cheek fullness vs high cheekbone look) The right design of cheek implants can make for a very significant difference. That combined with buccal lipectomies and perioral liposuction, and rhinoplasty, can change your whole midface appearance.