Which procedure would help minimize the appearance of lines under my eyes on the upper cheek area? 47 y/o (photos)

Juvederm Volite is currently unavailable in U.S. market. However, a popular alternative is Belotero. Belotero is used for fine lines and is used like volite for both plumping and rejuvenating the skin. Much like restylane skin boosters available outside the us.

Thank you for submitting your question and photos. Hyaluronic acid dermal fillers can add volume to the shallow contours below your eyes to diminish lines and create a smooth transition between the lower lid and upper cheek area. While filler treatments are not as complex as surgery, they still require a great deal of skill and precision to achieve the best possible results. Administering them with a microcannula can minimize bruising and swelling while ensuring the smoothest outcome. I recommend scheduling an in-person consultation with an experienced, board-certified injector. They will be able to discuss your concerns and aesthetic goals with you to help you decide on the best treatment option.

Age-related changes and descent in the supportive upper cheek fat pads below the skin are largely responsible for the loss of a smooth transition between the upper cheek and the under-eye regions and for the deepening of the smile lines--both of which are evident in the photos. It is also why pulling up near the corners of your eyes eliminates the problem, as it simulates the lift that was once provided by the more youthful fat pads. This is a very common problem seen practically daily in any active cosmetic dermatology practice. It can be quite easily addressed with typically immediate results via the proper injection of an appropriately rebust HA filler. You would be wise to consult with a board certified, experienced filler injector, cosmetic dermatologist and best of luck.

Nice posted photos. You have a few issues: malar swelling/fat, tear trough, wrinkling orbitally. I recommend start with micro Botox for wrinkling and GA fillers to tear troughs to see if effectively imprived. As for malar swelling, try low dose KyBella. If not satisfied then proceed to mini face lift with SMAS and pinch lower lid lift. Best to virtual consult with...