First of all, I'd like to thank you so much for taking the time to answer these questions..I've been reading through some of your posts (and youtube videos) and am pleasantly surprised at the candor and detail with which you explain/show the procedures you do.
With that said, I wanted to get your opinion on my own situation. I realize it'll be somewhat difficult to give an accurate opinion, being that you're not seeing my face to face, but I will try to be as descriptive as possible.
I am a 22 year old African-American (as in, born in Africa) male, who's recently been considering undergoing plastic surgery to create more definition in my face and get rid of a 'tired' look beneath my eyes. I'd describe my face as heart-shaped: Upper face is slightly narrower than mid-face, and everything tapers down diagonally to my lower face. My cheekbones are somewhat wide, but they are also flat. The effect they give is that it appears as if there are lines reaching from my mid-nose (around my lower eye) to my outer face. I'm not sure if there's a terminology for these lines. While I have noticed it (slightly) in others, mine happen to be very deep and very noticeable, and I feel they detract from my appearance by making me appear gaunt and tired in that region.
Now this perceived gauntness goes in sharp contrast to the fact that I do have a very full face, to the point that even at 22, most people think I'm 15 or 16 (and this may be great for women, but I'm not comfortable with this perception as a guy).
I had consulted with a couple of plastic surgeons in New York, initially thinking (wrongly) that I would need a buccal removal and a chin implant. In hindsight, I'm glad I didn't go ahead with that, as I dont think now that the buccal removal would've done much for my issue.
I am wondering if I would be a candidate for fat grafting around the cheekbone area to build up that area (as the cheekbones would appear more 'raised' and those lines would be gone) and maybe some fat placed in my chin to give a little more projection. I'm also curious as to any other procedures you think would help to give me a little more facial definition. My goal would be to lose the 'heart-shape', as I dont think it's a very masculine feature.
Thanks again for your time.