(20 year old) Noticed skin deep lines on cheek bones since the age of 8? (Photos)

Hi i have these really deep tears starting from the corners of my eyes all the way down to my cheek bones. also lines across both sides of my nose and lips. (i have had these since i first started to notice them around the age of 7/8.. what is this Is it a birth defect? a fat deficiency ? sagging skin? if so if it is a defect what could it be? i have REALLY sunken in eyes,My nose is droopy and huge. what can i do? and what treatments permenant?

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