What are these lines in top of my cheeks caused by? (Photo)

Thank you for the question and your photos. The "holes" you see are the natural contours of the cheek bone and cheek fat pads. Different people have different facial shapes and sizes.  In some patients, they find these contours unpleasing and seek aesthetic enhancements (e.g., fillers, implants, etc.). At this point, you are too young for such treatments. However, as you get older, these may be helpful for you.

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 reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.