Cheek indent parallel to the nasiolabial fold (photo)

To address cheek indents parallel to the nasolabial folds, there are several treatment options you might consider. Since these lines have become more pronounced with age and are contributing to your self-consciousness, consulting with a board-certified dermatologist or cosmetic surgeon who can tailor a treatment plan to your needs is advisable. Here are some potential approaches:

Dermal Fillers: Fillers such as hyaluronic acid (e.g., Juvederm or Restylane) can be used to add volume to the area, smoothing out the indentations and providing a more youthful appearance.

Sculptra: This is a type of filler that stimulates collagen production over time, gradually improving skin thickness and reducing the appearance of lines.

Microneedling with PRP (Platelet-Rich Plasma): This combination can enhance collagen production and improve skin texture, potentially reducing the appearance of lines.

Laser Resurfacing: Fractional laser treatments can help improve skin texture and tone, reducing the appearance of fine lines and wrinkles.

Radiofrequency Microneedling: This treatment combines microneedling with radiofrequency energy to stimulate collagen and elastin production, potentially improving skin laxity and texture.

Topical Treatments: Retinoids and other collagen-stimulating topical agents can help improve skin texture over time, though results may be more subtle compared to other treatments.

Since you are already receiving Botox, it's possible that the paralysis of the crows feet muscles is affecting the dynamics of other facial muscles, making certain lines more prominent. Discussing this with your provider can help in adjusting your treatment plan to achieve a more balanced and harmonious result.

Each option has its benefits and considerations, so a consultation with a professional will help determine the most suitable choice based on your individual skin type and aesthetic goals.