Malar creases at only 25, what can I do?

Hello and thank you for your question.  The
best advice you can receive is from an in-person consultation.  Fillers may be your best option based on your age and photographs.  This decision should
be based on a detailed discussion with equal input from both you
and your surgeon.   Make sure you specifically look
at before and after pictures of real patients who have had this surgery
performed by your surgeon and evaluate their results.   The most
important aspect is to find a surgeon you are comfortable with. I recommend
that you seek consultation with a qualified board-certified plastic surgeon who
can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Runners  can have premature fat pad thinning and descent. Still recommend acting NOW to replace that volume with a deeply placed filler such as Voluma that lasts 2 years. That will allow for the fat pad puzzle to remain connected and not get creases and grooves where they are separating.