Where should I put fillers if my cheeks are very round big when I smile but when not smiling very saggy & tired looking? (photo)

Hi @melanie1989! Morpheus 8 is a great option. Morpheus8 is a non-surgical treatment for full body skin resurfacing, skin tightening, and fat reduction of stubborn areas. It uses minimally invasive fractional radiofrequency energy (RF) to penetrate the skin deeper than other microneedling devices, triggering the skin’s natural healing response to promote skin tightening and lifting. Best of luck, Dr. Nima!

An Uplift, not a Facelift! 

Ultherapy is a new type of non-surgical, non-invasive procedure for the face that uses ultrasound and the body’s own natural healing process to lift, tone and tighten loose skin. 



The FDA – approved device used in the procedure utilizes the safe, time-tested energy of ultrasound to stimulate the deep structural support layers of the skin including those typically addressed in a surgical face lift without disturbing the surface of the skin.

Great question and thank you for it.  In just looking at your picture I think placing a small amount of Juvederm or Voluma along the jaw just behind the chin would give you a little bit of fullness to balance face.  Also a small amount fanned into the lower cheek would give you a a better transition to the jaw.  Of course an in person visit would be better to fully evaluate your needs.  Thanks again.