Hello, my name is Dr. Burko and I am a Plastic Surgeon at SY Aesthetics in NYC. There are multiple approved fillers on the market for particular anatomic injection sites. Sometimes, providers may use a product off label to augment facial structures which is a customized approach to each individual patient. Typically, the effect of fillers lasts 6-12 months, and it is not permanent. It is hard to say through a photo if it is simply soft tissue or if there is potentially an underlying bony irregularity. My recommendation is to see a trained plastic surgeon who can do a physical exam and assess the area that is bothering you so that they can offer you their best treatment plan.