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From the photo at rest, the issue appears to be malar bags. The second photo, in which you pull the cheek taut leading to significant diminution of the problem, suggests that the use of an appropriately robust HA volumizing filler for mid-cheek reflation could be quite helpful, since the upper portion of the mid-cheek serves as a major support for that region. In the hands of an experienced injector this can be performed in about fifteen to twenty minutes, engender little to no significant downtime and yield immediate, on-the-spot results. You would be wise to consult with board certified cosmetic dermatologist filler expert to explore this further. Hope this helps.
As with many things in life, there is a hard way and an easy way. Cosmetic surgery, which is expensive, and entails a prolonged post-operative recovery period and the risks of scar formation would be the hard way. Especially in a thirty-year old, fillers have a long track record for efficacy...
Based on the nicely posyed photos I recommend a mini face/neck lift with SMAS plication. BTW I always offer SMAS plication with my mini's! Fee $8,000. Best to virtual consult with....
The upper mid-cheek area is a major support for the under-eyes. So, here' s the good news. In the hands of an experienced filler injector, a robust HA filler can be used to both restore volume to the upper outer cheeks (and create a more feminine, ideal oval, heart-shaped face) and secondarily...
