How can I improve my mid face/ cheek area with fillers or implants? (photo)

This is my expertise and a huge portion of my practice. Asymmetry is normal and expected. Buccal fat pad gives slimming not symmetry. Masseter botox will make you slimmer and make the jawline more loose. Fillers help give shaping and contouring. If you want perfect or close to perfect symmetry you need maxillofacial surgery or implants customized. I suggest seeing an expert to go through all options. Most of my younger clients use fillers to give them shaping especially on the cheeks, jawline, and chin which make the face look more slim and tight; and threads such as PDO or Instalift can build collagen and support the facial shaping and skin looseness over time, slowing down the aging process and given the face a more “snatched” look; and morpheus8 or PiXel8 deep microneedling RF can tighten crepe skin especially on the neck and jawline and is great for long term tightening of the full face, neck and chest; its often used to give the face a slimmer more sculpted look because it tightens the skin and gives lift. an early face lift can be performed as well even in younger clients if they want a different facial shape, maxillofacial surgery with bone breaking or shaving can also be done. For facial slimming a combination of treatments are always needed. Options include: 1. Buccal fat pad removal to reduce fat on the lower face 2. Factite or Renuvion/J Plasma to tighten the lower face, jawline, and chin to reduce fat and give the jawline and neck tightening and shaping. 3. Botox to the masseter to reduce the muscular size of the jaw giving the face an illusion of being more slender 4. Fillers to the jawline, chin, cheeks, temples and brow help to shape the face and make it more angled and defined Always use at home derma rolling (see link to Emerageskin x anteageMD roller plus stem cells/hyaluronic acid ampules) and peels like emeragecosmetics enlighten or aerify that can be used to improve skin quality and tighten the skin while improving wrinkles, pigmentation, acne, and Melasma. See an expert who does facial shaping with surgical and non surgical methods to get a comprehensive option. Best, Dr. Emer.

Midface augmentation fillers or implants. Voluma is the new mid face filler that lasts 2 years and works quite well. The downside is it only lasts 2 years. My choice for you would be cheek implants as they are permanent. Choose an experienced surgeon. 

Volumais a new filler that is highly crosslinked and therefore can lift more than other fillers. It also lasts at least twice as long.  It can be placed in the upper cheek area to give the kind of lift you are asking about.

Thank you for posting a
photo. If you are looking to restore volume in the mid-face area I suggest
Voluma. This facial filler will instantly restore volume and may last up to two
years. Please consult with your doctor to discuss if this is the best option
for you.

Augmenting your midface will make a significant difference in your facial contours and proportions. As you know the fillers can be used; my preferences are Radiesse and the newer Voluma which is presently getting a lot of coverage in the media. Implants , which are placed through an incision in the mouth, will last a lifetime. Take the time for a consultation to discuss your goals and clarify your alternatives.