Cheek Lift or Fat Injection to Cheeks?

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.

Great question. Obviously a good exam by a boarded plastic surgeon is necessary. I am a big proponent of fat transfer to the face for my patients. It can help with fine wrinkle lines, improve cheek structure and improve the tired appearance of the lower eyelids. 

From what you said I would usually do the cheek lift or cheek implants depending on the size of your cheeks vs. Sagging.

I personally have done cheek lifts and fat trasferring many times. I feel that the cheek lift doesn't give you a natural look and really doesn't do the things you want it to do. It is my opinion that this procedure is outdated and not very useful in many situations.
 

Looking at you photos...I would recommend a cheek lift (endoscopic mid-face lift) for the most reliable, long-lasting and NATURAL result. Fat injections can be a useful substitute if  for whatever reason you can't undergo the cheek lift.  But, my first choice would be a cheek lift by someone experienced and who performs their midface lifts without an incision under the eye.  All the best, Dr. Vartanian.