Especially with women over the age of 30, I try to make sure they are happy with the reference photo that I plan to use for the portrait. (I assume you're working from photos here.) I make sure you've both settled on ONE photo of the face. I don't try to make something "sort of in between" two different shots, for example.
Go back to the reference photo you agreed on and show her that. Be sure she's happy with that and start from there. Ask her if she feels the photo captures the look she wants. You can only paint what you see and, though small changes are possible (softening wrinkles, etc), major changes like "making the face look less full" isn't something I'd try to do.
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