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The proper use of appropriate natural HA fillers can help to lift the cheeks, define the jawline, increase chin projection and elevate and straighten the corners of the mouth. In experienced hands, all of the above, if needed to be done, could be achieved in 20-30minutes with immediate, typically "Wow!" results. So, no need to despair at 32 or any age, for that matter. But make sure that you consult with an experienced, board certified cosmetic dermatologist, and of course ask to see his/her personal B&As before agreeing to proceed. Best of luck.
I suggest reaching out to an expert for a formal consultation. I like to recommend my patients start a combination of facial rejuvenation treatments.1) Skincare with products and microneedling/PRP2) PDT Light Therapy a few times per month with growth factors3) Laser treatments like Clear + Brilliant regularly and others (Fraxel, Moxi, Viva, CO2, Erbium, Halo) a few times per year4) Sculptra injections a few times per year for collagen production with fillers like Juvederm, Restylane, Belotero, Radiesse, and/or Bellafill5) Thermage/Ultherapy for yearly skin tightening with or without PDO or cone-based Instalift threads for lifting6) Botox every 2 to 3 months to stop movement lines and prevent lines at restBest, Dr. Emer.
Take heart. In experienced hands, one treatment session using an appropriate volumizing filler for the cheeks would likely both significantly improve the cheek flattening that you dislike and improve the under eye tear troughs and hollows. It's been dubbed the "domino effect" by my European...
For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in-person or virtual consultation to develop a custom and effective treatment plan. It is difficult to precisely define the best option without collecting the same information. I suggest...
Thank you for your question and photos. Since you’re not interested in fillers, cheek augmentation with implants may be a suitable option for you. Implants can increase the projection of the cheekbones, thus improving the appearance of the eyes. Though implants can provide a permanent change, s...