I have these pockets of fat on my face that won’t go away. How can I improve my face? (Photo)

I recommend fillers to soften the nasolabial folds themselves and also lift around the mouth and cheeks to build underlying anatomical support. In our practice we combine Sculptra with other fillers "layered" on top and lasers, skin tightening treatments such as Thermage, Fractora, and Renuvion (J Plasma), thread lifting, and peels to get the most conservative, natural look. I suggest seeing a facial sculpting expert for a formal consultation. Best, Dr. Emer

Hi,
It depends on what exact areas of fullness you are referring to, but given your history I would say Botox to your massagers (20-30 units each side) would be a good start. This may take several treatments to reduce their size and give you an overall slimmer face. It would also give the added benefit of reducing your ability to grind your teeth as hard. I hope this helps. As for Botox effecting the eyelids, there are definitely techniques to help avoid the holding effect you had and I would find an experienced and busy facial plastic surgeon to help you with a treatment plan.