Fat transfer or Sculptra in sunken lower cheek (next to mouth)? (photo)

Did you have a facelift? That can often create the "deformity" you are seeing. In any case, fat transfer is far superior to correcting this than Sculptra. And fat is permanent.

Thank you for your question and photo. Fat transfer might be your best option for this area. This procedure starts with the removal of fat from one area of the body via liposuction. Common donor areas are the abdomen, hips and thighs. The fat is then processed and prepared for injection into the face. The advantage to fat is that it can last much longer than any dermal filler. However, the results can also be less predictable. Make sure you choose a very experienced, board-certified facial plastic surgeon for your treatment to ensure an optimal outcome.

I appreciate your concern, and physical exam would be optimal, but you have 2 main options. Fillers like Juvederm and Voluma work well but are temporary, and fat works well, lasts mostly forever, but requires a procedure. In your case it appears fat transfer would be the best option.. Be sure to consult with a board certified plastic surgeon. Good Luck!