Cheek Filler or Mid Face Lift?

The approach to the lower eyelid and cheek (midface) is a very controversial and sometimes intimidating area of the face, and as you can see from most answers the majority of plastic surgeons want to perform fillers in this area which is fine though when looking at your face and your complaint, you have the typical negative vector orbit with a flat midface and early descent of your soft tissue. Fillers are only going to partially correct this, so I would recommend consulting a midface specialist who would lift your cheek and smooth out your lower eyelid, as well as add volume to this area. I perform this either through the lower eyelid or with an endoscope through the brow. It can be a technically challenging procedure though long term would likely address your concerns. Let me know if you have questions.

Fillers like restylane, juvederm, radiesse or perlane can be very effective in restoring midfacial volume in the cheeks and restoring youthful fullness in a young person who feels they have prematurely aged.   Hyaluronic acid fillers like restylane or juvederm are currently the only safe fillers in the periorbital region but must be done by an experienced injector.  Artful injection is required to create a natural looking eyelid/cheek junction. Alternatively, microfat transfer can provide more lasting improvement that is softer but requires more downtime than fillers.   I think either would be appropriate for you from what I can tell from your picture.  I usually reserve an endoscopic midface lift for patients with fuller cheeks that show evidence of drooping like hollow eyes, a deep nasolabial fold or buccal fat herniation.  An endoscopic midface lift with fat repositioning of the orbital fat, buccal fat, and malar fat pads can be very effective in these situations to restore facial volume and lift a sagging face.  

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.