What permanent or long lasting procedure can help minimize the appearance of nasolabial shadow from heavy cheeks? (photos)

I recommend fillers to soften the nasolabial folds themselves and also lift around the mouth and cheeks to build underlying anatomical support. In our practice we combine Sculptra with other fillers "layered" on top and lasers, skin tightening treatments such as Thermage, Fractora, and Renuvion (J Plasma), thread lifting, and peels to get the most conservative, natural look. I suggest seeing a facial sculpting expert for a formal consultation. Best, Dr. Emer

Thank you for sharing your questions and posting your photo. It appears you would benefit from thread lifting. This would enhance your cheeks and lessen your nasolabial folds. See an experienced oculofacial surgeon for consultation.
Good luck,

Hello. I can offer you a mid-face lift. When we lift your cheeks upwards, you can get rid of your nasolabial lines. Please check our Instagram account and RealSelf photos. You can get more detailed information about me, ask all questions about your case and sending your photos to my assistants at the number on my profile. You can also book an online consultation and discuss your problems with me. Best regards.