I'm considering a cheek augmentation but my cheekbones are ok when I smile. What would you recommend? (photos)

My recommendation is to first try a reversible long term filler such as Voluma, Radiesse or Sculptra. If you like the appearance then consult with a board certified plastic surgeon with experience to see if fat transfer or cheek implants are best for you. My general recommendation is that if you like the appearance with fillers, then fat transfer may be the way to go. If you want a more well defined or chiseled look then implants are preferred

Volume and contouring of the cheeks can be created with well-placed fillers (Voluma, Radiesse, Bellafill, Contour) and Sculptra. Implants or fat are alternatives. Botox and radiofrequency can help slim and contour the jawline. Liposuction can help slim the face. Ultherapy, J Plasma and rf treatments can provide skin tightening and lift. I recommend getting a formal evaluation with a facial sculpting expert. Best, Dr. Emer

Cheek implants for the flat cheek will give you what you want permanently and look natural IF you see an experienced surgeon who does not overdo these.

It appears that your deficiency is actually under your eyes (tear troughs) and in the medial part of your cheek (close to the nose).  I would recommend a small amount of fillers in both of these regions (e.g. Restylane, Belotero) using a microcannula to avoid bruising and to have a safe filling of this region.  

Cheeks can augmented in different places on the face and with implants or fillers.  It would be possible to augment the area just over the cheek bone and this should not look odd when you smile.  Most of the fullness that you get with smiling is on the middle part of the cheek and the augmentation can be done above this area.  The amount of augmentation can also be varied by the amount of filler used or the size of the implant placed.  

Thank you for posting a photo. I recommend
learning more about Voluma, this facial filler will instantly volumize the
mid-face area. Voluma is a facial filler that will give the face a younger
appearance. Consult with your doctor to make sure this is best for you.

xrobeert, try voluma or other hylaronic acid filler first. If you like the result see facial plastic specialist and have implants. It's that simple. Just see the right doctor. Good luck!

The decision to perform cheek implants is made at rest, not when smiling. Cheek implants are  recommended in patients who have a very flat cheek profile. The implants are composed of Silastic, are manufactured in a variety of sizes and shapes  and are inserted through an intra-oral  approach under a  brief general anesthesia. For many examples, please see the link and video below

Unless you smile a lll the time I suggest that you consider the placement of cheek imlants. This will improve your facial contours and accentuate normal proportions. Fillers can be used but the implants will provide a permanent solution.

You would benefit from cheek implants.  Male cheek implants will make the face more masculine.  You need to see someone who understands the difference between male and female cheeks!  I use a stylastic implant that works well and is a permanent solution.