Would Fillers or Botox help with cheek depression when smiling?

Thank you for the questions and the photographs. The area of concern in your cheek is not something that Botox would be effective at addressing. The volume in that area can be enhanced with a hyaluronic acid filler such as Voluma or a calcium hydroxylapatite filler like Radiesse. I recommend seeking out a consult with a local surgeon with rhinoplasty and filler expertise. A full set of photographs would be necessary to delineate your rhinoplasty goals. At the same time you can learn about the filler options to determine what approach is best for you.

Thank you for sharing your question and photographs. Nothing replaces an in-person examination to hear your specific concerns but based on your photographs alone you have an attractive profile with little need for a rhinoplasty or upper blepharoplasty - which coincidentally do not open your eyes more.  I see your area of concern along your cheek and this can be treated with a dermal filler to help plump the area and provide enough soft tissue so as to make the contour appear more uniform.  Hope this helps.

Yes, well-placed fillers (Voluma, Radiesse, Perlane, Bellafill): Sculptra, implants or fat could all help improve this. See an expert for a formal evaluation. Best, Dr. Emer