Mid-face lift or filler for malar creases? (Photo)

Thank you for your question and photo. The malar creases you describe may be diminished with laser treatments or dermal filler injections. A lower blepharoplasty is a more long-term solution that can smooth the transition from the lower eyelid to the upper cheek area. This is done by sculpting, repositioning, and removing excess fat and skin.
I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon. They will be able to conduct a physical examination to determine which procedure is best to help you achieve your aesthetic goals.

FaceTite can internally tighten the skin in the lower face and neck. After all the skin has been heated and contracted, we shape the neck with liposuction to give definition and remove stubborn pockets of fat. In one quick treatment, we can tighten skin, remove fat, and contour the lower face, jawline, and jowls with only a weekend of downtime.​ Keep in mind that combination approaches will give you a more significant improvement as opposed to a single procedure. I recommend getting a consultation with a board-certified cosmetic dermatologist and facial sculpting expert. Best, Dr. Emer

Your situation presents a challenge. I would divaxdtsgdsrd facelift and your upper snd lower lids. You can e use t partial correction of your lower lid and cheek bags. Midface lifts can also provide fine improvements but there is the risk if your lower lids getting dragged down if the surgery is too aggressive