Midface hypoplasia/fat graft midface (Photo)

Thank you for your photo but it is hard to tell what your concerns are. If you desire more fullness in the face then I would look into fat transfer.

If you believe that the application of a scar cream 12 years ago has resulted in changes to your midface appearance, I would strongly recommend consulting with a qualified healthcare professional, such as a dermatologist or plastic surgeon, who can evaluate your condition in person. They will be able to assess your specific situation, thoroughly examine your facial structure, and provide a proper diagnosis.

During your consultation, be sure to provide a detailed history of the scar cream application and any subsequent changes you've noticed in your midface area. The healthcare professional will consider this information along with a physical examination to determine the cause of your concerns and discuss potential treatment options (like fat transfer).

They may also consider other factors that can contribute to changes in facial appearance, such as natural aging processes, loss of volume, or other underlying medical conditions.

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in person or virtual consultation to develop a custom and effective treatment plan. It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.