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It appears that you may have lost some weight or have been stressed out, had children, and that could be the reason why you see the changes in your face. You also appear to have a bit of flatness in the cheek area, but that most likely is hereditary. By seeing a plastic surgeon or specializes in fat grafting, you can have your face looking almost brand new from some 15 years ago. Make sure to bring photographs of your younger self while having a consultation. I hope this helps and good luck from Leonard Grossman, M.D., organic plastic surgery New York City.