I have a dark shadow on my cheekbones while I smile, any suggestions? (Photo)

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in person or virtual consultation to develop a custom and effective treatment plan. It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

Thanks for the question and for the picture. As a normal part of the aging process, our face loses volume and can get sunken in creating mild concavity along the lateral edges, where the light reflex no longer bounces off, casting a 'shadow'.  It's this loss of facial fat or volume that you are noticing, and the best way to correct it would be to get an in person consultation for facial contouring filler injections by an experienced aesthetic physician. In my opinion, you would get a great result with Sculptra which is Poly-L-Lactic acid and a natural biostimulatory injectable, which builds collagen over 6-8 weeks giving you a very natural result which lasts for years.

Hope that helps.
Best
Dr Rosy Sandhu