Loose Looking Skin on my Cheeks ~ Creases when Smiling

If you have skin that appears loose when you smile but not when you are in repose, especially given you are only 30 years old, you most likely have crow's feet lines.  These usually respond well to Botox injections.

There are many other facial configurations that could cause this as well (deficits in cheek volume, lax lower eyelid region, etc. but these could best be determined with a picture.

Dear patient from North Richland Hills, TX
Since you’re only 30 and experiencing loose skin on your mid-face area, causing creases when you smile, skin resurfacing might your best answer. Your skin will tighten and your skin will appear refreshed.
 

As we age, the fat and soft tissue in our faces redistributes and atrophies.  This translates into the face becoming longer and thinner and loss of youthful roundness or heart-shaped appearance.  Initially, these changes are very subtle, and they continue as we age.  This may look to you as a hollow appearance or it can look like loose skin.  The best thing to do is to make an appointment to see your dermatologist or plastic surgeon for an in-person consultation to assess what the best option is for you.