Cheek Lift and Aspiration of Silicone and Fat Options?

I'm a 37 year old woman who had fat transfer to my cheeks around 10 years ago and (maybe silicone injections). I'm not 100% sure i had silicone injections and i want to know if there is a way to figure that out -maybe an MRI? My problem now is that the lower part of my cheeks is a little saggy and too fat for my small face and i want a cheek life or even a face lift if necessary.I also would like to know if the puffiness in my cheeks can be aspired (wheather it is fat or silicone). Thanks

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