Hi,
I'm not sure why but I have a long, flat, middle/lower face which I am hoping to address if possible and I just wanted to get some thoughts on how I can proceed. Front/Side pictures can be found here:
https://imgur.com/a/EGv80yj
Many thanks in advance
Flatness is actually in the UPPER midface. Orbital rim area.
Surgical options:
Orbital rim implants with midface lift to shift midface tissue over more midface support that would be given by implants that project the deficient area out.
Bone cutting surgeries aimed at advancing out this area which which happens to be the culprit of your complaint but is 'challenging' to advance out via bone cuts.
Non surgical:
Soft tissue augmentation (fat or filler) to the 'lid cheek junction' with aim of creating a convex CURVE to the upper midface area as to mitigate the concavity to the area which gives appearance of 'long and flat'.
Surgical options are more limited than non-surgical ones because there is no shortage of doctors who address via the non surgical route where as the surgical options are going to be limited to a smaller segment of the surgeon population because they are more challenging to do with reference to a broad base of the surgeon population whether or not it's orbital rim implants or bone cuts to advance out a similar area.
If it's bone cuts to the area you want, perhaps some of the members who have had that type of surgery to advance out the area where you are deficient will come forth and give some suggestions.