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.

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.

With the limited information given: you seem to have a face that is genetically narrow, without a cheek/ogee curve.  Filler can help, but you are young, and will be repeating the filler quite often, an annuity for your facial plastic surgeon or dermatologist.  While I rarely perform cheek implantation for aging,  a "shell" type of implant would look natural, if done in the right hands with the right perspective and add to your attractive appearance.  For the laxity of the skin from smoking, there are good non-invasive treatments such as Ulthera that can help, but they won't lift the cheeks.
i've written and published extensively about mid-facelifting, but think an implant (with limited information) might be more useful.  Try smiling in a mirror, and see if the cheeks lift up and give you volume.  If a lot of volume is restored, then you might consider a mid-facelift

You are the prefect candidate for some fillers and superficial skin tightening techniques. As you mentioned, the heart face is what people are after these days. With precisely placed  fillers and some targeted skin treatments there is no doubt you can get back to where you want.  I recommend finding a surgeon you trust and being clear with your goals. I also recommend to go slow. You are a pretty woman and should take care to enhance what you have in order to get to your goals. Hope this helps,Best of luck,DrC

Thank you for your question.  Thank you for your picture.  It would be too premature to perform a mid facelift as you do not have enough skin laxity.  I would suggest creating some volume within Juvederm Voluma Filler.  This would create a lovely contour and fullness.  This is also temporary and can be dissolved if you didn't like it.  The filler lasts approximately 9-18 months.  All The Best 

One's age is best guessed by the appearance of their face. If you feel that your face does not reflect how young you feel inside, you may be a candidate for a facelift.During your #consultation,  your skin texture and elasticity, as well as your underlying skin structure and your facial bone structure will be evaluated. Based on this evaluation, your board certified plastic surgeons will create a custom surgical plan, detailing specific techniques and recommendations to meet your goals. In doing so, he or she should be sure to have a full understanding of what results you expect.If you are not a #candidate, your surgeon can make other suggestions to address your concerns and objectives.