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The thread lifts are very temporary and when they start to resorb, the deformity may be exaggerated.I would suggest a more permanent correction with a n autologous cartilage graft that may give you a more natural and stable result. Even tough you have a septal perforation there are other sources for autologous cartilage .
A hyaluronic-based acid filler or PDO thread can be attempted with an expert physician. Fillers are used to contour facial features and add volume where needed. PDO threads work by repositioning threads to contour also. See a doctor to get an assessment.
PDO threads do not kill any cells. They stimulate collagen production in the areas where they are inserted. Make sure you contact a board-certified physician or other experienced practitioners for safe and effective results.
The one photo is really not enough to allow for a proper assessment. However, in general, a lifting filler, such as Restylane Lyft or Hyabell Deep, can help to augment the cheekbone region and thereby secondarily taper the face into a more ideal, desirable heart-shape. Although I am not able to...