Occasional puffy upper cheek/lower eyelid 5 years after cheek filler - is this related? (photos)

It's difficult to say without the benefit of a formal evaluation. See an expert who does facial shaping with surgical and non surgical methods to get a comprehensive option. Best, Dr. Emer.

Seek out a facial sculpting expert. They'll be able to consult which filler and technique is best for you.

I recommend fillers to soften the nasolabial folds themselves and also lift around the mouth and cheeks to build underlying anatomical support. In our practice we combine Sculptra with other fillers "layered" on top and lasers, skin tightening treatments such as Thermage, Fractora, and Renuvion...