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...