Which procedure would help minimize the appearance of indentations across cheeks? 43 y/o (photos)

Hi there, I don't know if you have ever gotten fillers, but from the photo, it looks like fillers have migrated and accumulated under your tear troughs. Even Hyaluronic acid fillers can last for many years. If you have ever received fillers in this area, the best approach would be to dissolve them with hyaluronidase and then consider a PRP gel treatment such as AutoCorre PBF, or EZ gel to stimulate your own natural collagen.

This area can have some very complex pathology, which can be significantly worsened with fillers or any type of injections. You need to be evaluated in person by an experienced surgeon. I would recommend seeing an American Board of Plastic Surgery certified plastic surgeon with experience in facial surgery.

Absolutely do not have any fillers placed into this area. It actually appears that you may have already had some fillers used in the area. If you did, I would have them gently dissolved. I would consider fat grafting which will restore the volume as well as straighten out all the oddities of the face. Make sure the procedure is done by an expert in fat grafting plastic surgeon. I would not consider any of the energy delivery devices. I hope this helps and good luck from New York City plastic surgery.

Thank you for the photos. Super helpful. Those lines are ligaments. They are a part of your anatomy. The goal is to reduce their appearance.Never put any dermal filler in your cheek or under eye area, it will not come out good.
Injection of Sculptra biostimulator to the mid face and cheek area will definitely soften the appearance of those lines and provide mid face support. RF microneedling will tighten the face. You may just need one session Sculptra 2 vials and 1 treatment of RF microneedling, which can be done in one session, and then wait 3 months to see what kind of outcome you are getting.
Have a beautiful day

That is volume loss and you are revealing your zygomatic cutaneous ligament. Fat transfer or fillers can be placed in the area to restore the deficit

Based on your nicely post of photos, you have two options of either using capital HA fillers in multiple sessions or nano grafting under local anesthesia. Fees range from $2000-$10,000. Best of virtual consult with.

Fillers in this area can actually make the concern appear worse in some cases. You may want to consider treatments like Morpheus8. This combines RF technology with microneedling to improve overall skin tone and texture. You can learn more by visiting my website or a provider near you.