Will Sculptra in my cheeks make them too big? (Photo)

It is normal for the portion of the cheek that is below the eye to be relatively flat when you are not smiling. This flat space allows your cheek to move up when you smile. I think you have a slight heaviness in the portion of the cheek that is just above your nasolabial fold.  This anteromedial part of the cheek tends to get heavier as we age.  We can use injectables to restructure your cheek (and not make your cheeks look swollen or overdone). Consider using voluma to lift the cheek back up. Sculptra is a wonderful way to build up the lateral cheek and that will also raise your cheek up. 

You can definitely use Sculptra to enhance your cheeks.  I would approach under the eyes with caution with Sculptra, and would prefer to use a Hyaluronic acid based filler like Restylane.  If you are unsure about volume in your cheeks, you may consider using a filler like Voluma or Perlane to show you what volume can look like.  

Sculptra continues to be an excellent facial filler and sculpting agent for the midface, cheeks, and cheek-lid junction. Best, Dr. Karamanoukian Los Angeles