What can I do about malar cheek line/hollowness? Not necessarily “eye bags” do not want to inject puffy filler (Photo)

Hi @lreye001. Thank you for sharing your photos. I recommend Morpheus 8. Morpheus 8 is a non-surgical treatment for full body skin resurfacing, skin tightening, and fat reduction of stubborn areas. It uses minimally invasive fractional radiofrequency energy (RF) to penetrate the skin deeper than other microneedling devices, triggering the skin’s natural healing response to promote skin
tightening and lifting.

Best of luck,

Dr. Nima

Thank you for your question and for providing photos. Since you were unsatisfied with the results from dermal filler injections, you may benefit from RF microneedling to smooth the area you’re referring to.
Rf microneedling treatments stimulate your body’s collagen, elastin, and hyaluronic acid production, increasing the skin’s volume and making it appear more firm and supple. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon. They will be able to discuss your concern with you and help you decide on the best treatment option to achieve your aesthetic goals.

Thank you for the photos. If this is puffiness, then fat won't work well in this area. Do you smoke by any chance? Smokers sometimes get puffiness under the eyes that is difficult to treat. If it's hollowness unrelated to skin changes, then I would recommend fat transfer.